WO2007019232A2 - Immunoconjugate formulations - Google Patents

Immunoconjugate formulations Download PDF

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Publication number
WO2007019232A2
WO2007019232A2 PCT/US2006/030295 US2006030295W WO2007019232A2 WO 2007019232 A2 WO2007019232 A2 WO 2007019232A2 US 2006030295 W US2006030295 W US 2006030295W WO 2007019232 A2 WO2007019232 A2 WO 2007019232A2
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WO
WIPO (PCT)
Prior art keywords
formulation
immunoconjugate
polysorbate
sucrose
histidine
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2006/030295
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French (fr)
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WO2007019232A3 (en
Inventor
Wei Zhang
Michael S. Flemming
Godfrey Amphlett
Hung-Wei Chih
Elizabeth Bartlett
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Immunogen Inc
Original Assignee
Immunogen Inc
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First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=37727890&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=WO2007019232(A2) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Priority to AU2006278573A priority Critical patent/AU2006278573A1/en
Priority to NZ564843A priority patent/NZ564843A/en
Priority to EA200800233A priority patent/EA014513B1/en
Priority to MX2008001492A priority patent/MX336033B/en
Priority to EP06800717A priority patent/EP1917030A4/en
Priority to CA 2615122 priority patent/CA2615122A1/en
Priority to JP2008525189A priority patent/JP2009503105A/en
Priority to CN200680028557.XA priority patent/CN101237881B/en
Application filed by Immunogen Inc filed Critical Immunogen Inc
Priority to BRPI0614100-5A priority patent/BRPI0614100A2/en
Publication of WO2007019232A2 publication Critical patent/WO2007019232A2/en
Publication of WO2007019232A3 publication Critical patent/WO2007019232A3/en
Priority to IL188733A priority patent/IL188733A/en
Priority to NO20080612A priority patent/NO20080612L/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/0012—Galenical forms characterised by the site of application
    • A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00—Medicinal preparations containing antigens or antibodies
    • A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36—Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6801—Drug-antibody or immunoglobulin conjugates defined by the pharmacologically or therapeutically active agent
    • A61K47/6803—Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates
    • A61K47/68033—Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates the drug being a maytansine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6835—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
    • A61K47/6849—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a receptor, a cell surface antigen or a cell surface determinant
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6835—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
    • A61K47/6851—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell
    • A61K47/6863—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell the tumour determinant being from stomach or intestines cancer cell
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12—Antivirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00—Drugs for immunological or allergic disorders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00—Drugs for immunological or allergic disorders
    • A61P37/02—Immunomodulators
    • A61P37/04—Immunostimulants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10—Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36—Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/40—Cyclodextrins; Derivatives thereof

Definitions

  • the present invention relates to methods for the preparation of stable formulations of immunoconjugates, which are pharmaceutical compounds that are composed of an antibody and one or several covalently linked molecules of a drug.
  • Immunoconjugates are developed as highly potent and specific agents for the treatment of cancer and other conditions.
  • An immunoconjugate is composed of an antibody specifically recognizing a target cell antigen, such as a tumor cell antigen, and one or several covalently linked molecules of a drug, particularly a cytotoxic drug such as a maytansinoid, a taxane, or a CC- 1065 analog.
  • a cytotoxic drug such as a maytansinoid, a taxane, or a CC- 1065 analog.
  • Another name used for such immunoconjugates is antibody-drug conjugates.
  • Immunoconjugates are inactive during circulation but bind to target cell surfaces, whereupon they are internalized by the cells. By mechanisms not yet fully understood, the drugs are subsequently released from the antibody and can exert their pharmacological effect.
  • cytotoxic drugs used as immunoconjugates are 100 to 1000-fold more potent than conventional chemotherapy drugs.
  • Examples of such immunoconjugates are disclosed in International (PCT) Patent Application Nos. WO 00/02587, 02/060955, and 02/092127; U.S. Patent Nos. 5,475,092, 6,340,701, 6,171,586, 6,706,708 B2, and 6,756,397 B2; and Chari et al, Cancer Res., 52, 127-131 (1992).
  • immunoconjugates are generally combined with one or more pharmaceutically acceptable carriers, excipients, and/or stabilizers to provide a pharmaceutical composition that allows for administration to patients and for storage and transport of the pharmaceutical compound.
  • immunoconjugates are prone to degradation such as oxidation, deamidation, as well as particle and aggregate formation, etc.
  • Particle formation in protein pharmaceuticals can destabilize the pharmaceutical compound, thus making the formulation less potent or even harmful for clinical use.
  • particles in injected pharmaceutical formulations can cause significant injury to veins or prolonged venous stasis in patients.
  • aggregate formation is a major degradation pathway of protein pharmaceuticals (Chari et al., Pharm Res. 20, 1325-1336 (2003)), and may lead to undesirable effects such as immunogenicity.
  • the present invention provides pharmaceutical compositions of immunoconjugates that are substantially free of particles and/or aggregates and prevent the formation of particles and/or aggregates during storage and/or transport. Methods for use of the pharmaceutical compositions are also provided.
  • the present invention is based on the finding that particle and aggregate formation in pharmaceutical compositions of immunoconjugates can be inhibited by using certain excipients.
  • the novel formulations yield greater stability and substantially longer shelf lives for the pharmaceutical compounds and provide assurance of patient safety.
  • an immunoconjugate formulation that is substantially free of particles
  • the immunoconjugate formulation comprising: an immunoconjugate and one or more excipients selected from the group consisting of: sucrose, polysorbate 20, polysorbate 80, cyclodextrin, dextrose, glycerol, polyethylene glycol, mannitol, sodium chloride, and an amino acid, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6.
  • a second aspect of the present invention provides an immunoconjugate formulation that is substantially free of aggregates, the immunoconjugate formulation comprising: an immunoconjugate and one or more excipients selected from the group consisting of histidine, sucrose, glycine and sodium chloride, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6.
  • the present invention further provides an immunoconjugate formulation that is substantially free of both particles and aggregates.
  • the present invention provides stable pharmaceutical compositions of immunoconjugates that are substantially free of particles and/or aggregates and remain substantially free of particles and/or aggregates over a prolonged period of storage and during transport.
  • the present invention is based on the finding that particle and/or aggregate formation in pharmaceutical compositions of immunoconjugates can be inhibited by using certain excipients.
  • the novel formulations yield greater stability and substantially longer shelf lives for the pharmaceutical compounds and provide assurance of patient safety.
  • Such formulations are prepared by inclusion of an excipient that inhibits or reduces formation of visible (larger than 50 ⁇ m) and subvisible (larger than 5 ⁇ m) particles.
  • a composition that is “substantially free of particles” will pass the US Pharmacopeia (USP) test ⁇ 788>, which requires that particles with size above 10 ⁇ m should be below 6000 counts per container and particles with size above 25 ⁇ m should be below 600 counts per container. See USP 28, Chapter 788 "Particulate Matter in Injections," 2004, edited by United States Pharmacopeia, Rockville, MD.
  • a composition that is “substantially free of aggregates” will remain free of aggregates during storage and transport so that the immunoconjugate monomer level remains above 95% throughout the shelf life of the composition.
  • a typical shelf life for the immunoconjugate compositions of the present invention is about 1 to 5 years, preferably 1 to 4 years, more preferably 2 to 4 years, at 4° C.
  • An immunoconjugate formulation of the invention that is substantially free of particles comprises an immunoconjugate and one or more excipients selected from the group consisting of sucrose, polysorbate 20, polysorbate 80, cyclodextrin, dextrose, glycerol, polyethylene glycol, mannitol, sodium chloride, and an amino acid, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6.
  • the formulation may comprise one or more excipients selected from the group consisting of: (i) 0.1-12% sucrose, (ii) 0.005-1.0% polysorbate 20, (iii) 0.5-2% beta-cyclodextrin, (iv) 2-8% glycerol, (v) 1 -5% PEG6000, (vi) 2-8% mannitol, (vii) 0.005-1.0% polysorbate 80, (viii) ' 5-20 mM histidine, (ix) 100-300 mM glycine, and (x) 50-300 mM sodium chloride.
  • excipients selected from the group consisting of: (i) 0.1-12% sucrose, (ii) 0.005-1.0% polysorbate 20, (iii) 0.5-2% beta-cyclodextrin, (iv) 2-8% glycerol, (v) 1 -5% PEG6000, (vi) 2-8% mannitol, (vii) 0.005-1.0% polysorbate
  • the formulation of the invention that is substantially free of particles preferably comprises one or more excipients selected from the group consisting of: (i) 5-10% sucrose; (ii) 0.005-0.2 % polysorbate 20; (iii) 0.5-1% beta-cyclodextrin; (iv) 2-5% glycerol; (v) 2-3% PEG6000; (vi) 3-5% mannitol; (vii) 0.005-0.2 % polysorbate 80; (viii) 10-15 mM histidine; (ix) 130-250 mM glycine, and (x) 100-200 mM sodium chloride.
  • excipients selected from the group consisting of: (i) 5-10% sucrose; (ii) 0.005-0.2 % polysorbate 20; (iii) 0.5-1% beta-cyclodextrin; (iv) 2-5% glycerol; (v) 2-3% PEG6000; (vi) 3-5% mannitol; (vii) 0.005-0
  • the buffered aqueous solution may contain one or more of histidine, succinate, citrate, phosphate, and acetate, and the pH is preferably from 5.0 to 7.0.
  • the pH of the formulation is more preferably from 5.0 to 6.0.
  • the immunoconjugate of the formulation comprises a humanized antibody selected from the group consisting of huMy9-6, huC242, huN901, DS6, trastuzumab, bivatuzumab, sibrotuzumab, and rituximab; and/or the immunoconjugate comprises a cytotoxic drug selected from the group consisting of a maytansinoid, a taxane, and a CC-1065.
  • the concentration of immunoconjugate in the inventive formulation can range from between about 0.5 to 20.0 mg per ml.
  • the concentration of immunoconjugate is 0.5 to 10 nig per ml.
  • An immunoconjugate formulation of the invention that is substantially free of aggregates comprises: an immunoconjugate; and one or more excipients selected from the group consisting of histidine, sucrose, glycine and sodium chloride, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6.
  • the immunoconjugate formulation comprises one or more excipients selected from 5-200 mM histidine, 100-200 mM glycine, and 2-8% sucrose.
  • the excipients are 5-100 mM histidine or 100-150 mM glycine, or the formulation contains 2-8% sucrose and 100-150 mM glycine. In certain other preferred embodiments, the formulation contains 10 mM histidine, 5% sucrose and 130 mM glycine.
  • the buffered aqueous solution may contain one or more of histidine, succinate, citrate, phosphate, and acetate, and the pH is preferably from 5.0 to 7.0.
  • the pH of the formulation is more preferably from 5.0 to 6.0.
  • the formulation that is substantially free of aggregates further comprises polysorbate 20 and/or polysorbate 80, such that the formulation is also substantially free of particles.
  • the immunoconjugate of the formulation comprises a humanized antibody selected from the group consisting of huMy9-6, huC242, huN901, DS6, trastuzumab, bivatuzumab, sibrotuzumab, and rituximab; and/or the immunoconjugate comprises a cytotoxic drug selected from the group consisting of a maytansinoid, a taxane, and a CC-1065.
  • the concentration of immunoconjugate in the inventive formulation can range from between about 0.5 to 20.0 mg per ml.
  • the concentration of immunoconjugate is 0.5 to 10 mg per ml.
  • the immunoconjugate formulation is substantially free of both aggregates and particles.
  • the present invention provides an immunoconjugate formulation consisting essentially of: huN901-DMl immunoconjugate at a concentration of from 0.5-10 mg/ml; 5-15 mM histidine and/or 5-15 mM succinate; 0.1-10 % sucrose and/or 100-300 mM glycine; 0.005-0.2% polysorbate 80 and/or 0.005-0.2% polysorbate 20, wherein the formulation is an aqueous buffered solution having a pH of from 5-6. Additional ingredients may be optionally added so long as the formulation remains substantially free of both aggregates and particles.
  • an immunoconjugate formulation consists essentially of: (a) huC242-DM4 immunoconjugate at a concentration of from 0.5-10 mg/ml; 5-15 mM histidine; 0.1-10 % sucrose and/or 100-300 mM glycine; 0.005-0.2% polysorbate 80 and/or 0.005-0.2% polysorbate 20; wherein the formulation is an aqueous buffered solution having a pH of from 5-6. Additional ingredients may be optionally added, so long as the formulation remains substantially free of both aggregates and particles.
  • suitable excipients may be selected from a variety of categories, including but not limited to inorganic salts, organic acids, saccharides, amino acids, polysorbates, polyethylene glycol and combinations thereof.
  • Preferred excipients are selected from the group consisting of inorganic salts, organic carboxylic acids, saccharides, amino acids, polysorbates, polyethylene glycol, albumins, glycerol, and combinations thereof.
  • suitable inorganic salts include but are not limited to sodium chloride, calcium chloride, magnesium sulphate, magnesium chloride, sodium sulphate, and combinations thereof.
  • Sodium chloride is a preferred excipient for use in the present invention.
  • suitable organic carboxylic acids include but are not limited to tartaric acid (which includes racemic tartaric acid, D-tartaric acid and L-tartaric acid) maleic acid, acetic acid, citric acid, succinic acid, glucuronic acid, and combinations thereof.
  • Acid refers to the acid and any hydrate and salts thereof, i.e., citrates and succinates.
  • Succinic acid is a preferred excipient for use in the present invention.
  • saccharides include but are not limited to sucrose, trehalose, dextrose, mannitol, cyclodextrin and combinations thereof. Sucrose and cyclodextrin are preferred excipients for use in the present invention.
  • Suitable amino acids include but are not limited to histidine, glycine, lysine, arginine and combinations thereof. Histidine and glycine are preferred excipients for use in the present invention.
  • suitable albumins include human serum albumin.
  • polyethylene glycols examples include polyethylene glycols with a molecular weight of about 200 to 20,000 Da.
  • Preferred polyethylene glycols are PEG 4000, PEG 5000, PEG 6000, PEG 8000, and PEG 10000.
  • polysorbate 20 TWEEN-20TM
  • polysorbate 80 examples of suitable polysorbates
  • Suitable cyclodextrins are alpha-, beta-, and gamma- cyclodextrin.
  • the tonicity of the immunoconjugate formulation is about that of human blood (i.e., isotonic).
  • suitable tonicifying agents are salts, amino acids, and sugars.
  • Preferable salts include monovalent sodium salts.
  • Preferable amino acids include histidine, glycine, lysine and arginine. Most preferred is glycine.
  • Preferable sugars include monosaccharides, disaccharides, linear oligosaccharides, and cyclic oligosaccharides. A preferred disaccharide is sucrose. Suitable amounts of salts, saccharides, and/or amino acids can be added to the inventive formulation to achieve a desirable tonicity.
  • the pharmaceutical compound is an immunoconjugate composed of an antibody specifically recognizing a target cell antigen, and one or several covalently linked molecules of a cytotoxic drug, such as a maytansinoid, a taxane, or a CC- 1065 analog.
  • a cytotoxic drug such as a maytansinoid, a taxane, or a CC- 1065 analog.
  • the antibody can be specific for any kind of cell, but generally targets cells that are to be destroyed, such as tumor cells (particularly solid tumor cells), virus infected cells, microorganism infected cells, parasite infected cells, autoimmune cells (cells that produce autoantibodies), activated cells (those involved in graft rejection or graft vs. host disease), or any other type of diseased or abnormal cells.
  • Antibodies may be of any kind presently known, or that become known, and can include any immunoglobulin, any immunoglobulin fragment, such as Fab, F(ab') 2 , dsFv, sFv, diabodies, and triabodies, or immunoglobulin chimera, which can bind to an antigen on the surface of a cell (e.g., which contains a complementarity determining region (CDR)). Any suitable antibody can be used as the cell-binding agent.
  • CDR complementarity determining region
  • the type and number of cell surface molecules i.e., antigens
  • a particular cell population typically and preferably a diseased cell population
  • Cell surface expression profiles are known for a wide variety of cell types, including tumor cell types, or, if unknown, can be determined using routine molecular biology and histochemistry techniques.
  • the antibody can be polyclonal or monoclonal, but is most preferably a monoclonal antibody.
  • polyclonal antibodies refer to heterogeneous populations of antibody molecules, typically contained in the sera of immunized animals.
  • Monoclonal antibodies refer to homogenous populations of antibody molecules that are specific to a particular antigen. Monoclonal antibodies are typically produced by a single clone of B lymphocytes ("B cells"). Monoclonal antibodies maybe obtained using a variety of techniques known to those skilled in the art, including standard hybridoma technology (see, e.g., Kohler and Milstein, Eur. J. Immunol., 5: 511-519 (1976), Harlow and Lane (eds.), Antibodies: A Laboratory Manual, CSH Press (1988), and CA. Janeway et al. (eds.), Immunobiology, 5th Ed., Garland Publishing, New York, NY (2001)).
  • the hybridoma method of producing monoclonal antibodies typically involves injecting any suitable animal, typically and preferably a mouse, with an antigen (i.e., an "immunogen"). The animal is subsequently sacrificed, and B cells isolated from its spleen are fused with human myeloma cells. A hybrid cell is produced (i.e., a "hybridoma"), which proliferates indefinitely and continuously secretes high titers of an antibody with the desired specificity in vitro. Any appropriate method known in the art can be used to identify hybridoma cells that produce an antibody with the desired specificity.
  • Such methods include, for example, enzyme-linked immunosorbent assay (ELISA), Western blot analysis, and radioimmunoassay.
  • ELISA enzyme-linked immunosorbent assay
  • the population of hybridomas is screened to isolate individual clones, each of which secretes a single antibody species to the antigen. Because each hybridoma is a clone derived from fusion with a single B cell, all the antibody molecules it produces are identical in structure, including their antigen binding site and isotype.
  • Monoclonal antibodies also may be generated using other suitable techniques including EBV-hybridoma technology (see, e.g., Haskard and Archer, J. Immunol.
  • the monoclonal antibody can be isolated from or produced in any suitable animal, but is preferably produced in a mammal, more preferably a mouse or human, and most preferably a human. Methods for producing an antibody in mice are well known to those skilled in the art and are described herein. With respect to human antibodies, one of ordinary skill in the art will appreciate that polyclonal antibodies can be isolated from the sera of human subjects vaccinated or immunized with an appropriate antigen. Alternatively, human antibodies can be generated by adapting known techniques for producing human antibodies in non-human animals such as mice (see, e.g., U.S. Patent Nos. 5,545,806, 5,569,825, and 5,714,352, and U.S. Patent Application Publication No. 2002/0,197,266 Al).
  • human antibodies While being the ideal choice for therapeutic applications in humans, human antibodies, particularly human monoclonal antibodies, typically are more difficult to generate than mouse monoclonal antibodies.
  • Mouse monoclonal antibodies induce a rapid host antibody response when administered to humans, which can reduce the therapeutic or diagnostic potential of the antibody-drug conjugate.
  • a monoclonal antibody preferably is not recognized as "foreign" by the human immune system.
  • phage display can be used to generate the antibody.
  • phage libraries encoding antigen-binding variable (V) domains of antibodies can be generated using standard molecular biology and recombinant DNA techniques (see, e.g., Sambrook et al. (eds.), Molecular Cloning, A Laboratory Manual, 3rd Edition, Cold Spring Harbor Laboratory Press, New York (2001)). Phage encoding a variable region with the desired specificity are selected for specific binding to the desired antigen, and a complete human antibody is reconstituted comprising the selected variable domain.
  • Nucleic acid sequences encoding the reconstituted antibody are introduced into a suitable cell line, such as a myeloma cell used for hybridoma production, such that human antibodies having the characteristics of monoclonal antibodies are secreted by the cell (see, e.g., Janeway et al., supra, Huse et al., supra, and U.S. Patent No. 6,265,150).
  • a suitable cell line such as a myeloma cell used for hybridoma production
  • monoclonal antibodies can be generated from mice that are transgenic for specific human heavy and light chain immunoglobulin genes.
  • Such methods are known in the art and described in, for example, U.S. Patent Nos. 5,545,806 and 5,569,825, and Janeway et al., supra.
  • the antibody is a humanized antibody.
  • a suitable cell line such as a myeloma cell used for hybridoma production
  • a suitable cell line such as a mye
  • humanized antibody is one in which the complementarity-determining regions (CDR) of a mouse monoclonal antibody, which form the antigen binding loops of the antibody, are grafted onto the framework of a human antibody molecule. Owing to the similarity of the frameworks of mouse and human antibodies, it is generally accepted in the art that this approach produces a monoclonal antibody that is antigenically identical to a human antibody but binds the same antigen as the mouse monoclonal antibody from which the CDR sequences were derived. Methods for generating humanized antibodies are well known in the art and are described in detail in, for example, Janeway et al., supra, U.S. Patent Nos. 5,225,539, 5,585,089 and 5,693,761, European Patent No.
  • Humanized antibodies can also be generated using the antibody resurfacing technology described in U.S. Patent No. 5,639,641 and Pedersen et al., J. MoI. Biol., 235: 959-973 (1994). While the antibody employed in the immunoconjugate of the inventive composition most preferably is a humanized monoclonal antibody, a human monoclonal antibody and a mouse monoclonal antibody, as described above, are also within the scope of the invention.
  • Antibody fragments that have at least one antigen binding site, and thus recognize and bind to at least one antigen or receptor present on the surface of a target cell also are within the scope of the invention.
  • proteolytic cleavage of an intact antibody molecule can produce a variety of antibody fragments that retain the ability to recognize and bind antigens.
  • limited digestion of an antibody molecule with the protease papain typically produces three fragments, two of which are identical and are referred to as the Fab fragments, as they retain the antigen binding activity of the parent antibody molecule.
  • F(ab')2 fragment Cleavage of an antibody molecule with the enzyme pepsin normally produces two antibody fragments, one of which retains both antigen-binding arms of the antibody molecule, and is thus referred to as the F(ab')2 fragment.
  • Reduction of a F(ab') 2 fragment with dithiothreitol or mercaptoethylamine produces a fragment referred to as a Fab' fragment.
  • a single-chain variable region fragment (sFv) antibody fragment which consists of a truncated Fab fragment comprising the variable (V) domain of an antibody heavy chain linked to a V domain of a light antibody chain via a synthetic peptide, can be generated using routine recombinant DNA technology techniques (see, e.g., Janeway et al., supra).
  • disulfide- stabilized variable region fragments (dsFv) can be prepared by recombinant DNA technology (see, e.g., Reiter et al., Protein Engineering, 7: 697-704 (1994)).
  • Antibody fragments in the context of the invention are not limited to these exemplary types of antibody fragments.
  • any suitable antibody fragment that recognizes and binds to a desired cell surface receptor or antigen can be employed.
  • Antibody fragments are further described in, for example, Parham, J. Immunol, 131: 2895-2902 (1983), Spring et al., J. Immunol, 113: 470-478 (1974), andNisonoff et al., Arch. Biochem. Biophys., 89: 230-244 (1960).
  • Antibody-antigen binding can be assayed using any suitable method known in the art, such as, for example, radioimmunoassay (RIA), ELISA, Western blot, immunoprecipitation, and competitive inhibition assays (see, e.g., janeway et al., supra, and U.S. Patent Application Publication No. 2002/0,197,266 Al).
  • RIA radioimmunoassay
  • ELISA ELISA
  • Western blot Western blot
  • immunoprecipitation immunoprecipitation
  • competitive inhibition assays see, e.g., janeway et al., supra, and U.S. Patent Application Publication No. 2002/0,197,266 Al.
  • the antibody can be a chimeric antibody or an antigen binding fragment thereof.
  • chimeric it is meant that the antibody comprises at least two immunoglobulins, or fragments thereof, obtained or derived from at least two different species (e.g., two different immunoglobulins, such as a human immunoglobulin constant region combined with a murine immunoglobulin variable region).
  • the antibody also can be a domain antibody (dAb) or an antigen binding fragment thereof, such as, for example, a camelid antibody (see, e.g., Desmyter et al., Nature Struct.
  • a shark antibody such as, for example, a new antigen receptor (IgNAR) (see, e.g., Greenberg et al., Nature, 374: 168 (1995), and Stanf ⁇ eld et al., Science, 305: 1770-1773 (2004)).
  • IgNAR new antigen receptor
  • the monoclonal antibody J5 is a murine IgG2a antibody that is specific for Common Acute Lymphoblastic Leukemia Antigen (CALLA) (Ritz et al., Nature, 283: 583-585 (1980)), and can be used to target cells that express CALLA (e.g., acute lymphoblastic leukemia cells).
  • CALLA Common Acute Lymphoblastic Leukemia Antigen
  • the monoclonal antibody MY9 is a murine IgGl antibody that binds specifically to the CD33 antigen (Griffin et al., Leukemia Res., 8: 521 (1984)), and can be used to target cells that express CD33 (e.g., acute myelogenous leukemia (AML) cells).
  • the monoclonal antibody anti-B4 (also referred to as B4) is a murine IgGl antibody that binds to the CD19 antigen on B cells (Nadler et al., J.
  • N901 is a murine monoclonal antibody that binds to the CD56 (neural cell adhesion molecule) antigen found on cells of neuroendocrine origin, including small cell lung tumor, which can be used in the immunoconjugate to target drugs to cells of neuroendocrine origin.
  • the J5, MY9, and B4 antibodies preferably are resurfaced or humanized prior to their use as part of the immunoconjugate. Resurfacing or humanization of antibodies is described in, for example, Roguska et al., Proc. Natl. Acad. ScL USA, 91: 969-73 (1994).
  • the monoclonal antibody C242 binds to the CanAg antigen
  • HuC242 is a humanized form of the monoclonal antibody C242 (see, e.g., U.S. Patent No. 5,552,293).
  • the hybridoma from which HuC242 is produced is deposited with ECACC identification Number 90012601.
  • HuC242 can be prepared using CDR- grafting methodology (see, e.g., U.S. Patent Nos.
  • HuC242 can be used to target the immunoconjugate to tumor cells expressing the CanAg antigen, such as, for example, colorectal, pancreatic, non-small cell lung, and gastric cancer cells.
  • an anti-MUCl antibody can be used as the cell-binding agent in the immunoconjugate.
  • Anti-MUCl antibodies include, for example, anti-HMFG-2 (see, e.g., Taylor-Papadimitriou et al., Int. J. Cancer, 28: 17-21 (1981)), hCTMOl (see, e.g., van Hof et al., Cancer Res., 56: 5179-5185 (1996)), and DS6.
  • Prostate cancer cells also can be targeted with the immunoconjugate by using an anti-prostate-specific membrane antigen (PSMA) as the cell-binding agent, such as J591 (see, e.g., Liu et al., Cancer Res., 57: 3629-3634 (1997)).
  • PSMA anti-prostate-specific membrane antigen
  • cancer cells that express the Her2 antigen such as breast, prostate, and ovarian cancers, can be targeted using the antibody trastuzumab.
  • Anti-IGF-IR antibodies that bind to insulin-like growth factor receptor also can be used in the immunoconjugate.
  • Particularly preferred antibodies are humanized monoclonal antibodies, examples of which include huN901, huMy9-6, huB4, huC242, DS6, trastuzumab, bivatuzumab, sibrotuzumab, and rituximab (see, e.g., U.S. Patent Nos. 5,639,641 and 5,665,357; U.S. Patent Application Publication No.
  • the antibody is the huN901 humanized monoclonal antibody or the huMy9-6 humanized monoclonal antibody.
  • Other humanized monoclonal antibodies are known in the art and can be used in connection with the invention.
  • the immunoconjugate can comprise any suitable drug, typically a cytotoxic agent.
  • Suitable cytotoxic agents include, for example, maytansinoids and maytansinoid analogs, taxoids, CC- 1065 and CC-1065 analogs, and dolastatin and dolastatin analogs.
  • the cytotoxic agent is a maytansinoid, including maytansinol and maytansinol analogs. Maytansinoids are compounds that inhibit microtubule formation and are highly toxic to mammalian cells.
  • Suitable maytansinol analogues include those having a modified aromatic ring and those having modifications at other positions.
  • Such maytansinoids are described in, for example, U.S. Patent Nos. 4,256,746, 4,294,757, 4,307,016, 4,313,946, 4,315,929, 4,322,348, 4,331,598, 4,361,650, 4,362,663, 4,364,866, 4,424,219, 4,371,533; 4,450,254, 5,475,092, 5,585,499, 5,846,545, and 6,333,410.
  • Examples of maytansinol analogs having a modified aromatic ring include: (1) C 19-dechloro (U.S. Patent No. 4,256,746) (prepared by LAH reduction of ansamytocin P2), (2) C-20-hydroxy (or C-20-demethyl) +/-C- 19-dechloro (U.S. Patent Nos. 4,361,650 and 4,307,016) (prepared by demethylation using Streptomyces or Actinomyces or dechlorination using LAH), and (3) C-20-demethoxy, C-20-acyloxy (- OCOR), +/-dechloro (U.S. Patent No. 4,294,757) (prepared by acylation using acyl chlorides).
  • Examples of maytansinol analogs having modifications of positions other than an aromatic ring include: (1) C-9-SH (U.S. Patent No. 4,424,219) (prepared by the reaction of maytansinol with H 2 S or P 2 S 5 ), (2) C-14-alkoxymethyl (demethoxy/CH 2 OR) (U.S. Patent No. 4,331,598), (3) C-14-hydroxymethyl or acyloxymethyl (CH 2 OH or CH 2 OAc) (U.S. Patent No. 4,450,254) (prepared from Nocardid), (4) C-15- hydroxy/acyloxy (U.S. Patent No.
  • the immunoconjugate utilizes the thiol-containing maytansinoid DMl, also known as N2'-deacetyl-N2'-(3-merca ⁇ to-l- oxopropyl)-maytansme, as the cytotoxic agent.
  • DMl also known as N2'-deacetyl-N2'-(3-merca ⁇ to-l- oxopropyl)-maytansme
  • the immunoconjugate utilizes the thiol-containing maytansinoid DM4, also known as N-2'-deacetyl-N-2'-(4- methyl-4-mercapto-l-oxopentyl)-maytansine, as the cytotoxic agent.
  • DM4 is represented by formula (II):
  • maytansines may be used in the context of the invention, including, for example, thiol and disulfide-containing maytansinoids bearing a mono or di-alkyl substitution on the carbon atom bearing the sulfur atom.
  • Particularly preferred is a maytansinoid having at the C 3 position, the C 14 hydroxymethyl, the Ci 5 hydroxy, or the C 20 desmethyl functionality, an acylated amino acid side chain with an acyl group bearing a hindered sulfhydryl group, wherein the carbon atom of the acyl group bearing the thiol functionality has one or two substituents, said substituents being CH 3 , C 2 H 5 , linear or branched alkyl or alkenyl having from 1 to 10 carbon atoms, cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl, or heterocyclic aromatic or heterocycloalkyl radical, and further wherein one of the substituents can be
  • R 1 and R 2 are each independently linear alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH 3 or C 2 Hs 1 branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl radical, and wherein R 2 also can be H, wherein A, B, D are cycloalkyl or cycloalkenyl having 3-10 carbon atoms, simple or substituted aryl, or heterocyclic aromatic, or heterocycloalkyl radical, wherein R 3 , R 4 , R 5 , R
  • Such additional maytansines also include compounds represented by formula (IV-L), (IV-D), or (IV-D 5 L):
  • Preferred embodiments of formulas (IV-L), (IV-D) and (IV-D 5 L) include compounds of formulas (IV-L), (W-D) and (W-D ,L) wherein (a) R 1 is H, R 2 is methyl, R 5 , R 6 , R 7 , and R 8 are each H, 1 and m are each 1, n is 0, and Z is H, (b) R 1 and R 2 are methyl, R 5 , R 6 , R 7 , R 8 are each H, 1 and m are 1, n is 0, and Z is H, (c) R 1 is H, R 2 is methyl, R 5 , R 6 , R 7 , and R 8 are each H, 1 and m are each 1, n is 0, and Z is -SCH 3 , or (d) R 1 and R 2 are methyl, R 5 , R 6 , R 7 , R 8 are each H, 1 and m are 1, n is 0, and Z is -SCH 3 .
  • the cytotoxic agent is represented by formula (W-L).
  • Additional preferred maytansines also include compounds represented by formula (V):
  • Y represents (CR 7 R 8 )i(CR 5 R 6 ) m (CR 3 R 4 ) n CRiR 2 SZ
  • R 1 and R 2 are each independently H, linear alkyl, or alkenyl having from 1 to 10 carbon atoms, preferably CH 3 or C 2 H 5 , branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl radical, wherein R 3 , R 4 , R 5 , R 6 , R 7 , and Rg are each independently H, linear alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH 3 or C 2 H 5; branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl, or heterocyclic aromatic or heterocycloalkyl radical, wherein 1, m, and n are
  • Preferred embodiments of formula (V) include compounds of formula (V) wherein (a) R 1 is H, R 2 is methyl, R 5 , R 6 , R 7 , and R 8 are each H; 1 and m are each 1; n is 0; and Z is H, (b) R 1 and R 2 are methyl; R 5 , R 6 , R 7 , R 8 are each H, 1 and m are 1; n is 0; and Z is H, (c) R 1 is H, R 2 is methyl, R 5 , R 6 , R 7 , and R 8 are each H, 1 and m are each 1, n is 0, and Z is -SCH 3 , or (d) Ri and R 2 are methyl, R 5 , R 6 , R 7 , R 8 are each H, 1 and m are 1, n is 0, and Z is -SCH 3 .
  • Still further preferred maytansines include compounds represented by formula (VI-L), (VI-D), or (VI-D 5 L):
  • R 1 and R 2 are each independently linear alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH 3 or C 2 H 5, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl radical, and wherein R 2 also can be H, wherein R 3 , R 4 , R 5 , R 6 , R 7 , and R 8 are each independently H, linear cyclic alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH 3 or C 2 H 5, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl
  • Additional preferred maytansines include compounds represented by formula (VII):
  • R 1 and R 2 are each independently H, linear branched or alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH 3 or C 2 H 5 , cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl radical, wherein A, B, and D each independently is cycloalkyl or cycloalkenyl having 3 to 10 carbon atoms, simple or substituted aryl, or heterocyclic aromatic or heterocycloalkyl radical, wherein R 3 , R 4 , R 5 , R
  • Preferred embodiments of formula (VII) include compounds of formula
  • the cytotoxic agent used in the immunoconjugate can be a taxane or derivative thereof.
  • Taxanes are a family of compounds that includes paclitaxel (Taxol®), a cytotoxic natural product, and docetaxel (Taxotere®), a semi-synthetic derivative, which are both widely used in the treatment of cancer. Taxanes are mitotic spindle poisons that inhibit the depolymerization of tubulin, resulting in cell death. While docetaxel and paclitaxel are useful agents in the treatment of cancer, their antitumor activity is limited because of their non-specific toxicity towards normal cells. Further, compounds like paclitaxel and docetaxel themselves are not sufficiently potent to be used in immunoconjugates.
  • a preferred taxane for use in the preparation of a cytotoxic immunoconjugate is the taxane of formula (VIII):
  • the cytotoxic agent also can be CC- 1065 or a derivative thereof.
  • CC-1065 is a potent anti-tumor antibiotic isolated from the culture broth of Streptomyces zelensis.
  • CC- 1065 is about 1000-fold more potent in vitro than commonly used anticancer drugs, such as doxorubicin, methotrexate, and vincristine (Bhuyan et al., Cancer Res., 42: 3532-3537 (1982)).
  • CC-1065 and its analogs are disclosed in U.S. Patent Nos. 5,585,499, 5,846,545, 6,340,701, and 6,372,738.
  • the cytotoxic potency of CC-1065 has been correlated with its alkylating activity and its DNA-binding or DNA-intercalating activity.
  • CC-1065 analogs are known in the art and also can be used as the cytotoxic agent in the immunoconjugate (see, e.g., Warpehoski et al., J. Med. Chem., 31: 590-603 (1988)).
  • a series of CC-1065 analogs has been developed in which the CPI moiety is replaced by a cyclopropabenzindole (CBI) moiety (Boger et al., J. Org. Chem., 55: 5823-5833 (1990), and Boger et al., Bioorg. Med. Chem. Lett, 1: 115-120 (1991)).
  • CBI cyclopropabenzindole
  • These CC-1065 analogs maintain the high in vitro potency of the parental drug, without causing delayed toxicity in mice.
  • these compounds are alkylating agents that covalently bind to the minor groove of DNA to cause cell death.
  • CC-1065 analogs can be greatly improved by changing the in vivo distribution through targeted delivery to a tumor site, resulting in lower toxicity to non-targeted tissues, and thus, lower systemic toxicity.
  • conjugates of analogs and derivatives of CC-1065 with cell-binding agents that specifically target tumor cells have been generated (see, e.g., U.S. Patent Nos. 5,475,092, 5,585,499, and 5,846,545). These conjugates typically display high target-specific cytotoxicity in vitro, and anti-tumor activity in human tumor xenograft models in mice (see, e.g., Chari et al., Cancer Res., 55: 4079-4084 (1995)).
  • Drugs such as methotrexate, daunorubicin, doxorubicin, vincristine, vinblastine, melphalan, mitomycin C, chlorambucil, calicheamicin, tubulysin and tubulysin analogs, duocarmycin and duocarmycin analogs, dolastatin and dolastatin analogs also can be used in the context of the invention.
  • Doxarubicin and daunorubicin compounds can also be used as the drug.
  • the immunoconjugates may be prepared by in vitro methods.
  • a linking group is used.
  • Suitable linking groups are well known in the art and include disulfide groups, acid labile groups, photolabile groups, peptidase labile groups, and esterase labile groups.
  • Preferred linking groups are disulfide groups.
  • immunoconjugates can be constructed using a disulfide exchange reaction between the antibody and the drug or prodrug.
  • the drug molecules also can be linked to an antibody through an intermediary carrier molecule such as serum albumin.
  • the antibody may be modified by reaction with a bifunctional crosslinking reagent, thereby resulting in the covalent attachment of a linker molecule to the antibody.
  • a "bifunctional crosslinking reagent” is any chemical moiety that covalently links a cell-binding agent to a drug, such as the drugs described herein.
  • a portion of the linking moiety is provided by the drug.
  • the drug comprises a linking moiety that is part of a larger linker molecule that is used to join the antibody to the drug.
  • the side chain at the C-3 hydroxyl group of maytansine is modified to have a free sulfhydryl group (SH).
  • This thiolated form of maytansine can react with a modified antibody to form an immunoconjugate. Therefore, the final linker is assembled from two components, one of which is provided by the crosslinking reagent, while the other is provided by the side chain from DMl.
  • Any suitable bifunctional crosslinking reagent can be used in connection with the invention, so long as the linker reagent provides for retention of the therapeutic, e.g., cytotoxicity, and targeting characteristics of the drug and the antibody, respectively.
  • the linker molecule joins the drug to the antibody through chemical bonds (as described above), such that the drug and the antibody are chemically coupled (e.g., covalently bonded) to each other.
  • the linking reagent is a cleavable linker. More preferably, the linker is cleaved under mild conditions, i.e., conditions within a cell under which the activity of the drug is not affected. Examples of suitable cleavable linkers include disulfide linkers, acid labile linkers, photolabile linkers, peptidase labile linkers, and esterase labile linkers. Disulfide containing linkers are linkers cleavable through disulfide exchange, which can occur under physiological conditions.
  • Acid labile linkers are linkers cleavable at acid pH.
  • certain intracellular compartments such as endosomes and lysosomes, have an acidic pH (pH 4-5), and provide conditions suitable to cleave acid labile linkers.
  • Photo labile linkers are useful at the body surface and in many body cavities that are accessible to light. Furthermore, infrared light can penetrate tissue. Peptidase labile linkers can be used to cleave certain peptides inside or outside cells (see e.g., Trouet et al, Proc. Natl. Acad. ScL USA, 79: 626-629 (1982), and Umemoto et al., Int. J. Cancer, 43: 677-684 (1989)).
  • the drug is linked to an antibody through a disulfide bond.
  • the linker molecule comprises a reactive chemical group that can react with the antibody.
  • Preferred reactive chemical groups for reaction with the antibody are N-succinimidyl esters and N-sulfosuccinimidyl esters.
  • the linker molecule comprises a reactive chemical group, preferably a dithiopyridyl group, that can react with the drug to form a disulfide bond.
  • Particularly preferred linker molecules include, for example, N- succinimidyl 3-(2-pyridyldithio)propionate (SPDP) (see, e.g., Carlsson et al., Biochem.
  • N-succinimidyl 4-(2- ⁇ yridyldithio)butanoate SPDB
  • N-succinimidyl 4-(2-pyridyldithio)pentanoate (SPP) see, e.g., CAS Registry number 341498-08-6.
  • cleavable linkers preferably are used in the inventive method
  • a non-cleavable linker also can be used to generate the above-described immunoconjugate.
  • a non-cleavable linker is any chemical moiety that is capable of linking a drug, such as a maytansinoid, a taxane, or a CC- 1065 analog, to a cell-binding agent, such as an antibody, in a stable, covalent manner.
  • non-cleavable linkers are substantially resistant to acid-induced cleavage, light-induced cleavage, peptidase-induced cleavage, esterase-induced cleavage, and disulfide bond cleavage, at conditions under which the drug or the antibody remains active.
  • non-cleavable linkers between a drug and a cell-binding agent are well known in the art.
  • non-cleavable linkers include linkers having an N-succinimidyl ester or N-sulfosuccinimidyl ester moiety for reaction with the cell-binding agent, as well as a maleimido- or haloacetyl- based moiety for reaction with the drug.
  • Crosslinking reagents comprising a maleimido- based moiety include N-succinimidyl 4-(maleimidomethyl)cyclohexanecarboxylate (SMCC), N-succinimidyl-4-(N-maleimidomethyl)-cyclohexane- 1 -carboxy-(6- amidocaproate), which is a "long chain" analog of SMCC (LC-SMCC), K- maleimidoundecanoic acid N-succinimidyl ester (KMUA), ⁇ -maleimidobutyric acid N- succinimidyl ester (GMBS), ⁇ -maleimidocaproic acid N-hydroxysuccinimide ester (EMCS), m-maleimidobenzoyl-N-hydroxysuccinimide ester (MBS), N-( ⁇ - maleimidoacetoxy)-succinimide ester (AMAS), succinimidyl-6-( ⁇ - maleimid
  • Cross-linking reagents comprising a haloacetyl-based moiety include N-succinimidyl-4-(iodoacetyl)- arninobenzoate (SLAB), N-succinimidyl iodoacetate (SIA), N-succinimidyl bromoacetate (SBA), and N-succinimidyl 3-(bromoacetamido) ⁇ ropionate (SBAP).
  • SLAB N-succinimidyl-4-(iodoacetyl)- arninobenzoate
  • SIA N-succinimidyl iodoacetate
  • SBA N-succinimidyl bromoacetate
  • SBAP N-succinimidyl 3-(bromoacetamido) ⁇ ropionate
  • linkers can be derived from dicarboxylic acid based moieties.
  • Suitable dicarboxylic acid based moieties include, but are not limited to, ⁇ , ⁇ -dicarboxylic acids of the general formula (IX):
  • X is a linear or branched alkyl, alkenyl, or alkynyl group having 2 to 20 carbon atoms
  • Y is a cycloalkyl or cycloalkenyl group bearing 3 to 10 carbon atoms
  • Z is a substituted or unsubstituted aromatic group bearing 6 to 10 carbon atoms, or a substituted or unsubstituted heterocyclic group wherein the hetero atom is selected from N, O or S, and wherein 1, m, and n are each 0 or 1, provided that 1, m, and n are all not zero at the same time.
  • the drug can be first modified to introduce a reactive ester suitable to react with an antibody. Reaction of these maytansinoids containing an activated linker moiety with an antibody provides another method of producing a cleavable or non-cleavable antibody maytansinoid conjugate.
  • Processes for the manufacture of such pharmaceutical compositions involve buffer exchanging the bulk pharmaceutical into appropriate formulation buffer by chromatography or diafiltration and then adding appropriate excipients in desired amount, either as solution or as solid. Final adjustment of protein concentration and/or pH may also be performed to achieve the desired composition.
  • the immunoco ⁇ jugates of the invention are administered to the patient in the form of a pharmaceutical formulation described in this application and a pharmaceutically acceptable carrier, excipient or diluent therefore.
  • pharmaceutically acceptable refers to those agents that are useful in the treatment or diagnosis of mammals, preferably human.
  • the preferred mode of administration is parenterally, particularly by the intravenous, intramuscular, subcutaneous, intraperitoneal, or intralymphatic route. See, e.g. Remington's Pharmaceutical Sciences, 16th ed., 1980, Mack Publishing Company, edited by Osol et al.
  • compositions may include proteins, such as serum proteins, for example, human serum albumin, buffers or buffering substances such as phosphates, other salts, or electrolytes, and the like.
  • Suitable diluents may include, for example, sterile water, isotonic saline, dilute aqueous dextrose, a polyhydric alcohol or mixtures of such alcohols, for example, glycerin, propylene glycol, polyethylene glycol and the like.
  • the formulations may contain preservatives such as phenethyl alcohol, methyl and propyl parabens, and the like. If desired, the formulation can include 0.05 to about 0.20 percent by weight of an antioxidant.
  • Administration may be via any route known to be effective by the physician of ordinary skill.
  • Parenteral administration is preferred.
  • Preferred parenteral routes for administering the formulations of the present invention include intravenous, intramuscular, subcutaneous, intraperitoneal, intraarterial.
  • Intravenous, intraperitoneal, intramuscular, and subcutaneous routes of administration of the compounds used in the present invention are more preferred parenteral routes of administration.
  • Intravenous, intraperitoneal, and subcutaneous routes of administration of the formulations of the present invention yet more highly preferred.
  • Administration via certain parenteral routes may involve introducing the formulations of the present invention into the body of a patient through a needle or a catheter.
  • administration may be propelled by a sterile syringe or some other mechanical device such as a continuous infusion system.
  • a formulation provided by the present invention may be administered using a syringe, injector, pump, or any other device or by gravity recognized in the art for parenteral administration.
  • the formulation can be administered parenterally, in sterile liquid dosage forms. These formulation may be administered intravenously as a bolus or rapid infusion, which can, in addition to their desired therapeutic, diagnostic or medicinal effect, cause the release of immunoconjugate.
  • the immunoconjugates of the invention are effective over a wide dosage range depending on factors such as the disease state to be treated or the biological effect to be modified, the manner in which the immunoconjugate is administered, the age, weight and condition of the patient as well as other factors to be determined by the treating physician. Thus, the amount administered to any given patient can be determined on an individual basis.
  • the amount of a formulation of the present invention that is administered to treat a patient may depend on a number of factors, among which are included, without limitation, the patient's sex, weight and age, the underlying causes of the condition or disease to be treated, the route of administration and bioavailability, the persistence of the administered immunoconjugate in the body, the formulation, and the potency of the immunoconjugate. Where administration is intermittent, the amount per administration should also take into account the interval between doses, and the bioavailability of the immunoconjugate from the formulation. Administration of the formulation of the present invention could be continuous. It is within the skill of the ordinary physician to titrate the dose and infusion rate or frequency of administration of the formulation of the present invention to achieve the desired clinical result.
  • the dosage administered will, of course, vary depending upon known factors such as the pharmacodynamic characteristics of the particular agent, and its mode and route of administration; age, health, and weight of the recipient; nature and extent of symptoms, kind of concurrent treatment, frequency of treatment, and the effect desired.
  • a daily dosage of therapeutically-significant-compound can be about 0.1 to 100 milligrams per kilogram of body weight.
  • Dosage forms suitable for internal administration contain from about 1 milligram to about 500 milligrams of therapeutically-significant-compound per unit.
  • the therapeutically-significant-compound ordinarily will be present in an amount of about 0.05-2% by weight in a liquid formulation and 2- 50% in the lyophilized formulation prior to reconstitution based on the total weight of the composition.
  • the present invention also provides for a lyophilized powder of the above- described formulation.
  • the lyophilized formulation comprises one or more additional components, such as a lyoprotectant and/or a bulking agent.
  • the lyophilized powder can be reconstituted with water to create a reconstituted solution.
  • the present formulation can be lyophilized and reconstituted as described in U.S. Patent Application No. 2004/0,241,174 Al, which description is hereby incorporated by reference, and which describes lyophilized formulations comprising immunoconjugates.
  • the relative amounts of each component comprising the inventive lyophilized composition can be described in terms of mg of excipient (e.g., buffer, surfactant, bulking agent, cryoprotectant) per mg of conjugate.
  • excipient e.g., buffer, surfactant, bulking agent, cryoprotectant
  • the lyophilized composition preferably comprises a sodium succinate buffer.
  • the buffering agent can be present in the inventive lyophilized composition in any suitable amount.
  • the lyophilized composition desirably comprises about 0.1 mg to about 2 mg of the buffering agent per mg of the conjugate (e.g., about 0.1 mg to about 0.5 mg buffering agent per mg of the conjugate, about 0.5 mg to about 1 mg buffering agent per mg of the conjugate, or about 1 mg to about 2 mg buffering agent per mg of the conjugate).
  • the lyophilized composition comprises about 0.3 mg sodium succinate buffer per mg of the conjugate.
  • the lyophilized composition desirably comprises about 0.005 mg to about
  • the lyophilized composition preferably comprises about 0.02 mg polysorbate 20 per mg of the conjugate.
  • the inventive lyophilized composition further comprises a cryoprotectant, preferably an amorphous cryoprotectant.
  • cryoprotectant refers to an excipient that protects unstable molecules during freezing.
  • Suitable cryoprotectants for use in the lyophilized composition are known to those skilled in the art, and include, for example, glycerol, dimethyl sulfoxide (DMSO), polyethylene glycol (PEG), dextran, glucose, trehalose, and sucrose. Most preferably, the cryoprotectant is sucrose.
  • the cryoprotectant may be present in the inventive lyophilized composition in any suitable amount.
  • the lyophilized composition desirably comprises about 0.5 mg to about 5 mg, for example, about 0.5 mg to about 2 mg of the cryoprotectant per mg of the conjugate, about 0.8 mg cryoprotectant per mg of the conjugate, about 2 mg cryoprotectant per mg of the conjugate, or about 4 mg cryoprotectant per mg of the conjugate.
  • the cryoprotectant is sucrose
  • the lyophilized composition preferably comprises about 0.5 mg to about 2 mg (e.g., about 1 mg) sucrose per mg of the conjugate.
  • the lyophilized composition can further contain a bulking agent, preferably a crystallizable bulking agent.
  • Bulking agents typically are used in the art to provide structure and weight to the "cake" produced as a result of lyophilization. Any suitable bulking agent known in the art may be used in connection with the inventive lyophilized composition. Suitable bulking agents include, for example, mannitol, dextran, and glycine. The bulking agent used in the inventive composition most preferably is glycine.
  • the lyophilized composition can contain any suitable amount of the bulking agent, but preferably the lyophilized composition comprises about 2 mg to about 20 mg of the bulking agent per mg of the conjugate, and preferably about 2 mg to about 10 mg bulking agent per mg of the conjugate, about 5 mg to about 10 mg bulking agent per mg of the conjugate, about 10 mg to about 15 mg bulking agent per mg of the conjugate, or about 15 mg to about 20 mg bulking agent per mg of the conjugate.
  • the lyophilized composition preferably comprises about 3.8 mg glycine per mg of the conjugate.
  • the contents of a lyophilized composition that is to be reconstituted to contain 5 mg/mL of conjugate preferably comprises (i) about 0.3 mg sodium succinate buffer per mg of the conjugate, (ii) about 0.02 mg polysorbate 20 per mg of the conjugate, (iii) about 1 mg sucrose per mg of the conjugate, and (iv) about 3.8 mg glycine per mg of the conjugate.
  • conjugate e.g., preferably a conjugate comprising huN901 chemically coupled to DMl
  • a lyophilized composition preferably has a pH of about 5.5.
  • the descriptions of the relative concentrations of the excipients set forth above in connection with the liquid formulation are applicable to the aforesaid lyophilized composition.
  • the inventive lyophilized composition can be produced using a lyophilization cycle comprising the following steps: (1) pre-cooling at a shelf temperature of 4° C. and ambient chamber pressure for 2.5 hours, (2) freezing at a shelf temperature of -50° C. and ambient chamber pressure for 14 hours, (3) glycine recrystallization at a shelf temperature of -20° C. and ambient chamber pressure for 6 hours, (4) re-freezing at a shelf temperature of -50° C. and ambient chamber pressure for 16 hours, (5) primary drying at a shelf temperature of - 13° C.
  • the lyophilized composition is not limited to compositions produced by the above-described method. Indeed, any suitable lyophilization method can be used to produce the lyophilized composition, and it will be apparent to those skilled in the art that the chosen lyophilization parameters (e.g., drying times) will vary depending on a variety of factors, including the volume of the solution to be lyophilized.
  • the present invention is directed to a kit for preparing an aqueous formulation, which kit contains both a first container containing a lyophilized powder and a second container containing an aqueous formulation comprising a reconstitution stabilizer.
  • concentration of the lyophilized powder in the solution, the solution volume which is charged into each container, and the capacity of the containers are all interrelated parameters which can be suitably modified, depending upon the desired concentration of active principle in the end dosage unit. Thus, these parameters may vary within wide ranges.
  • the samples were tested by examining at least 1.0 mL of solution against a white background for clarity and against a black background under white light for the presence or absence of visible particles. The results are reported as presence or absence of visible particles. Subvisible particles with the size above 5 ⁇ m were also measured with an HIAC particle counter calibrated to measure particle size between 2 and 100 ⁇ m.
  • Example 1 shows that histidine improves the formulation with regard to preventing conjugate aggregate formation. Glycine also has benefits.
  • SPDB-DM4 conjugate in terms of conjugate aggregate.
  • sucrose and glycine together in the above combination, improves the formulation with regards to protection against conjugate aggregation. The greatest improvement is observed when the sucrose and glycine combination is used with histidine.
  • composition 5 In all cases formulations containing sucrose have lower aggregate content than ones without sucrose.

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Abstract

The present invention provides an immunoconjugate formulation that is substantially free of particles, the immunoconjugate formulation comprising: an immunoconjugate and one or more excipients selected from the group consisting of: sucrose, polysorbate 20, polysorbate 80, cyclodextrin, dextrose, glycerol, polyethylene glycol, mannitol, sodium chloride, and an amino acid, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6. The present invention also provides an immunoconjugate formulation that is substantially free of aggregates, the immunoconjugate formulation comprising: an immunoconjugate and one or more excipients selected from the group consisting of histidine, sucrose, glycine and sodium chloride, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6. The present invention further provides an immunoconjugate formulation that is substantially free of both particles and aggregates.

Description

IMMUNOCONJUGATE FORMULATIONS
[01] This application claims benefit under 35 U.S. C. §119(e) to Application
Nos: 60/704,902 filed August 3, 2005; 60/707,162 filed August 11, 2005; 60/746,454 filed May 4, 2006; and 60/746,456 filed May 4, 2006, the disclosures of which are each hereby incorporated by reference in their entireties.
FIELD OF THE INVENTION
[02] The present invention relates to methods for the preparation of stable formulations of immunoconjugates, which are pharmaceutical compounds that are composed of an antibody and one or several covalently linked molecules of a drug.
BACKGROUND OF THE INVENTION
[03] Immunoconjugates are developed as highly potent and specific agents for the treatment of cancer and other conditions. An immunoconjugate is composed of an antibody specifically recognizing a target cell antigen, such as a tumor cell antigen, and one or several covalently linked molecules of a drug, particularly a cytotoxic drug such as a maytansinoid, a taxane, or a CC- 1065 analog. Another name used for such immunoconjugates is antibody-drug conjugates. Immunoconjugates are inactive during circulation but bind to target cell surfaces, whereupon they are internalized by the cells. By mechanisms not yet fully understood, the drugs are subsequently released from the antibody and can exert their pharmacological effect.
[04] The targeted delivery of cytotoxic drugs to target cells, such as cells making up cancer tissue, potentially improves the therapeutic indexes of the cytotoxic drugs. Typically, cytotoxic drugs used as immunoconjugates are 100 to 1000-fold more potent than conventional chemotherapy drugs. Examples of such immunoconjugates are disclosed in International (PCT) Patent Application Nos. WO 00/02587, 02/060955, and 02/092127; U.S. Patent Nos. 5,475,092, 6,340,701, 6,171,586, 6,706,708 B2, and 6,756,397 B2; and Chari et al, Cancer Res., 52, 127-131 (1992). [05] Pharmaceutical compounds such as immunoconjugates are generally combined with one or more pharmaceutically acceptable carriers, excipients, and/or stabilizers to provide a pharmaceutical composition that allows for administration to patients and for storage and transport of the pharmaceutical compound. Like other protein pharmaceuticals, immunoconjugates are prone to degradation such as oxidation, deamidation, as well as particle and aggregate formation, etc. (Manning et al., Pharm. Res. 6, 903-918 (1989); Ahern and Manning, Stability of Protein Pharmaceuticals: Part A, Chemical and Physical pathways of Protein Degradation, Plenum, New York, (1992); and Cleland et al., Crit. Rev. Ther. Drug Carrier Syst. 10, 307-377 (1993)).
[06] Particle formation in protein pharmaceuticals, in particular, can destabilize the pharmaceutical compound, thus making the formulation less potent or even harmful for clinical use. For example, particles in injected pharmaceutical formulations can cause significant injury to veins or prolonged venous stasis in patients. In addition, aggregate formation is a major degradation pathway of protein pharmaceuticals (Chari et al., Pharm Res. 20, 1325-1336 (2003)), and may lead to undesirable effects such as immunogenicity.
[07] The conjugation of drugs, especially cytotoxic drugs, which are often hydrophobic, small molecules, to hydrophilic monoclonal antibodies, introduces additional instability to immunoconjugates. Addressing the properties attributable to the antibody component of immunoconjugates is critical to the generation of stable liquid or lyophilized pharmaceutical formulations. To this end, WO 2004/004639 A2 and U.S. Patent Application No. 2004/0,241,174 Al describe compositions of immunoconjugates. However, these compositions do not adequately address particle and aggregate formation in pharmaceutical compositions of immunoconjugates.
[08] Thus, there remains a need for pharmaceutical compositions of immunoconjugates that are substantially free of particles and/or aggregates, and remain substantially free of particles and/or aggregates during storage and transport.
[09] The present invention provides pharmaceutical compositions of immunoconjugates that are substantially free of particles and/or aggregates and prevent the formation of particles and/or aggregates during storage and/or transport. Methods for use of the pharmaceutical compositions are also provided. These and other advantages of the invention, as well as additional inventive features, will be apparent from the descriptions of the invention provided herein.
BRIEF SUMMARY OF THE INVENTION
[10] The present invention is based on the finding that particle and aggregate formation in pharmaceutical compositions of immunoconjugates can be inhibited by using certain excipients. The novel formulations yield greater stability and substantially longer shelf lives for the pharmaceutical compounds and provide assurance of patient safety.
[11] One aspect of the present invention provides an immunoconjugate formulation that is substantially free of particles, the immunoconjugate formulation comprising: an immunoconjugate and one or more excipients selected from the group consisting of: sucrose, polysorbate 20, polysorbate 80, cyclodextrin, dextrose, glycerol, polyethylene glycol, mannitol, sodium chloride, and an amino acid, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6.
[12] A second aspect of the present invention provides an immunoconjugate formulation that is substantially free of aggregates, the immunoconjugate formulation comprising: an immunoconjugate and one or more excipients selected from the group consisting of histidine, sucrose, glycine and sodium chloride, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6.
[13] The present invention further provides an immunoconjugate formulation that is substantially free of both particles and aggregates.
DETAILED DESCRIPTION OF THE INVENTION
[14] The present invention provides stable pharmaceutical compositions of immunoconjugates that are substantially free of particles and/or aggregates and remain substantially free of particles and/or aggregates over a prolonged period of storage and during transport. The present invention is based on the finding that particle and/or aggregate formation in pharmaceutical compositions of immunoconjugates can be inhibited by using certain excipients. The novel formulations yield greater stability and substantially longer shelf lives for the pharmaceutical compounds and provide assurance of patient safety.
[15] Such formulations are prepared by inclusion of an excipient that inhibits or reduces formation of visible (larger than 50 μm) and subvisible (larger than 5 μm) particles. As used herein, a composition that is "substantially free of particles" will pass the US Pharmacopeia (USP) test <788>, which requires that particles with size above 10 μm should be below 6000 counts per container and particles with size above 25 μm should be below 600 counts per container. See USP 28, Chapter 788 "Particulate Matter in Injections," 2004, edited by United States Pharmacopeia, Rockville, MD. As used herein, a composition that is "substantially free of aggregates" will remain free of aggregates during storage and transport so that the immunoconjugate monomer level remains above 95% throughout the shelf life of the composition.
[16] A typical shelf life for the immunoconjugate compositions of the present invention is about 1 to 5 years, preferably 1 to 4 years, more preferably 2 to 4 years, at 4° C.
[17] An immunoconjugate formulation of the invention that is substantially free of particles comprises an immunoconjugate and one or more excipients selected from the group consisting of sucrose, polysorbate 20, polysorbate 80, cyclodextrin, dextrose, glycerol, polyethylene glycol, mannitol, sodium chloride, and an amino acid, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6. The formulation may comprise one or more excipients selected from the group consisting of: (i) 0.1-12% sucrose, (ii) 0.005-1.0% polysorbate 20, (iii) 0.5-2% beta-cyclodextrin, (iv) 2-8% glycerol, (v) 1 -5% PEG6000, (vi) 2-8% mannitol, (vii) 0.005-1.0% polysorbate 80, (viii) ' 5-20 mM histidine, (ix) 100-300 mM glycine, and (x) 50-300 mM sodium chloride.
[18] In certain preferred embodiments, the formulation of the invention that is substantially free of particles preferably comprises one or more excipients selected from the group consisting of: (i) 5-10% sucrose; (ii) 0.005-0.2 % polysorbate 20; (iii) 0.5-1% beta-cyclodextrin; (iv) 2-5% glycerol; (v) 2-3% PEG6000; (vi) 3-5% mannitol; (vii) 0.005-0.2 % polysorbate 80; (viii) 10-15 mM histidine; (ix) 130-250 mM glycine, and (x) 100-200 mM sodium chloride.
[19] In preferred embodiments the buffered aqueous solution may contain one or more of histidine, succinate, citrate, phosphate, and acetate, and the pH is preferably from 5.0 to 7.0. The pH of the formulation is more preferably from 5.0 to 6.0.
[20] In certain embodiments of the invention, the immunoconjugate of the formulation comprises a humanized antibody selected from the group consisting of huMy9-6, huC242, huN901, DS6, trastuzumab, bivatuzumab, sibrotuzumab, and rituximab; and/or the immunoconjugate comprises a cytotoxic drug selected from the group consisting of a maytansinoid, a taxane, and a CC-1065. The concentration of immunoconjugate in the inventive formulation can range from between about 0.5 to 20.0 mg per ml. Preferably, the concentration of immunoconjugate is 0.5 to 10 nig per ml.
[21] An immunoconjugate formulation of the invention that is substantially free of aggregates comprises: an immunoconjugate; and one or more excipients selected from the group consisting of histidine, sucrose, glycine and sodium chloride, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6. Preferably, the immunoconjugate formulation comprises one or more excipients selected from 5-200 mM histidine, 100-200 mM glycine, and 2-8% sucrose.
[22] In certain preferred embodiments, the excipients are 5-100 mM histidine or 100-150 mM glycine, or the formulation contains 2-8% sucrose and 100-150 mM glycine. In certain other preferred embodiments, the formulation contains 10 mM histidine, 5% sucrose and 130 mM glycine.
[23] In preferred embodiments the buffered aqueous solution may contain one or more of histidine, succinate, citrate, phosphate, and acetate, and the pH is preferably from 5.0 to 7.0. The pH of the formulation is more preferably from 5.0 to 6.0.
[24] In another aspect of the invention, the formulation that is substantially free of aggregates further comprises polysorbate 20 and/or polysorbate 80, such that the formulation is also substantially free of particles. [25] In certain embodiments of the invention, the immunoconjugate of the formulation comprises a humanized antibody selected from the group consisting of huMy9-6, huC242, huN901, DS6, trastuzumab, bivatuzumab, sibrotuzumab, and rituximab; and/or the immunoconjugate comprises a cytotoxic drug selected from the group consisting of a maytansinoid, a taxane, and a CC-1065. The concentration of immunoconjugate in the inventive formulation can range from between about 0.5 to 20.0 mg per ml. Preferably, the concentration of immunoconjugate is 0.5 to 10 mg per ml.
[26] In certain preferred embodiments of the invention, the immunoconjugate formulation is substantially free of both aggregates and particles. For example, the present invention provides an immunoconjugate formulation consisting essentially of: huN901-DMl immunoconjugate at a concentration of from 0.5-10 mg/ml; 5-15 mM histidine and/or 5-15 mM succinate; 0.1-10 % sucrose and/or 100-300 mM glycine; 0.005-0.2% polysorbate 80 and/or 0.005-0.2% polysorbate 20, wherein the formulation is an aqueous buffered solution having a pH of from 5-6. Additional ingredients may be optionally added so long as the formulation remains substantially free of both aggregates and particles.
[27] In another example, an immunoconjugate formulation consists essentially of: (a) huC242-DM4 immunoconjugate at a concentration of from 0.5-10 mg/ml; 5-15 mM histidine; 0.1-10 % sucrose and/or 100-300 mM glycine; 0.005-0.2% polysorbate 80 and/or 0.005-0.2% polysorbate 20; wherein the formulation is an aqueous buffered solution having a pH of from 5-6. Additional ingredients may be optionally added, so long as the formulation remains substantially free of both aggregates and particles.
[28] Generally, suitable excipients that may be used in conjunction with the present invention may be selected from a variety of categories, including but not limited to inorganic salts, organic acids, saccharides, amino acids, polysorbates, polyethylene glycol and combinations thereof. Preferred excipients are selected from the group consisting of inorganic salts, organic carboxylic acids, saccharides, amino acids, polysorbates, polyethylene glycol, albumins, glycerol, and combinations thereof.
[29] Examples of suitable inorganic salts include but are not limited to sodium chloride, calcium chloride, magnesium sulphate, magnesium chloride, sodium sulphate, and combinations thereof. Sodium chloride is a preferred excipient for use in the present invention.
[30] Examples of suitable organic carboxylic acids include but are not limited to tartaric acid (which includes racemic tartaric acid, D-tartaric acid and L-tartaric acid) maleic acid, acetic acid, citric acid, succinic acid, glucuronic acid, and combinations thereof. "Acid" as used herein refers to the acid and any hydrate and salts thereof, i.e., citrates and succinates. Succinic acid is a preferred excipient for use in the present invention.
[31] Examples of suitable saccharides include but are not limited to sucrose, trehalose, dextrose, mannitol, cyclodextrin and combinations thereof. Sucrose and cyclodextrin are preferred excipients for use in the present invention.
[32] Examples of suitable amino acids include but are not limited to histidine, glycine, lysine, arginine and combinations thereof. Histidine and glycine are preferred excipients for use in the present invention.
[33] Examples of suitable albumins include human serum albumin.
[34] Examples of suitable polyethylene glycols are polyethylene glycols with a molecular weight of about 200 to 20,000 Da. Preferred polyethylene glycols are PEG 4000, PEG 5000, PEG 6000, PEG 8000, and PEG 10000.
[35] Examples of suitable polysorbates are polysorbate 20 (TWEEN-20™) and polysorbate 80.
[36] Examples of suitable cyclodextrins are alpha-, beta-, and gamma- cyclodextrin.
[37] From the teachings of this invention, one of skill in the art can readily determine the excipients that would best provide a formulation that is substantially free of particles and/or aggregates, given a particular immunoconjugate solution.
[38] Preferably, the tonicity of the immunoconjugate formulation is about that of human blood (i.e., isotonic). [39] Examples of suitable tonicifying agents are salts, amino acids, and sugars.
Preferable salts include monovalent sodium salts. Preferable amino acids include histidine, glycine, lysine and arginine. Most preferred is glycine. Preferable sugars include monosaccharides, disaccharides, linear oligosaccharides, and cyclic oligosaccharides. A preferred disaccharide is sucrose. Suitable amounts of salts, saccharides, and/or amino acids can be added to the inventive formulation to achieve a desirable tonicity.
[40] The pharmaceutical compound is an immunoconjugate composed of an antibody specifically recognizing a target cell antigen, and one or several covalently linked molecules of a cytotoxic drug, such as a maytansinoid, a taxane, or a CC- 1065 analog.
[41] The antibody can be specific for any kind of cell, but generally targets cells that are to be destroyed, such as tumor cells (particularly solid tumor cells), virus infected cells, microorganism infected cells, parasite infected cells, autoimmune cells (cells that produce autoantibodies), activated cells (those involved in graft rejection or graft vs. host disease), or any other type of diseased or abnormal cells.
[42] Antibodies may be of any kind presently known, or that become known, and can include any immunoglobulin, any immunoglobulin fragment, such as Fab, F(ab')2, dsFv, sFv, diabodies, and triabodies, or immunoglobulin chimera, which can bind to an antigen on the surface of a cell (e.g., which contains a complementarity determining region (CDR)). Any suitable antibody can be used as the cell-binding agent. One of ordinary skill in the art will appreciate that the selection of an appropriate antibody will depend upon the cell population to be targeted. In this regard, the type and number of cell surface molecules (i.e., antigens) that are selectively expressed in a particular cell population (typically and preferably a diseased cell population) will govern the selection of an appropriate antibody for use in the inventive composition. Cell surface expression profiles are known for a wide variety of cell types, including tumor cell types, or, if unknown, can be determined using routine molecular biology and histochemistry techniques. [43] The antibody can be polyclonal or monoclonal, but is most preferably a monoclonal antibody. As used herein, "polyclonal" antibodies refer to heterogeneous populations of antibody molecules, typically contained in the sera of immunized animals. "Monoclonal" antibodies refer to homogenous populations of antibody molecules that are specific to a particular antigen. Monoclonal antibodies are typically produced by a single clone of B lymphocytes ("B cells"). Monoclonal antibodies maybe obtained using a variety of techniques known to those skilled in the art, including standard hybridoma technology (see, e.g., Kohler and Milstein, Eur. J. Immunol., 5: 511-519 (1976), Harlow and Lane (eds.), Antibodies: A Laboratory Manual, CSH Press (1988), and CA. Janeway et al. (eds.), Immunobiology, 5th Ed., Garland Publishing, New York, NY (2001)). In brief, the hybridoma method of producing monoclonal antibodies typically involves injecting any suitable animal, typically and preferably a mouse, with an antigen (i.e., an "immunogen"). The animal is subsequently sacrificed, and B cells isolated from its spleen are fused with human myeloma cells. A hybrid cell is produced (i.e., a "hybridoma"), which proliferates indefinitely and continuously secretes high titers of an antibody with the desired specificity in vitro. Any appropriate method known in the art can be used to identify hybridoma cells that produce an antibody with the desired specificity. Such methods include, for example, enzyme-linked immunosorbent assay (ELISA), Western blot analysis, and radioimmunoassay. The population of hybridomas is screened to isolate individual clones, each of which secretes a single antibody species to the antigen. Because each hybridoma is a clone derived from fusion with a single B cell, all the antibody molecules it produces are identical in structure, including their antigen binding site and isotype. Monoclonal antibodies also may be generated using other suitable techniques including EBV-hybridoma technology (see, e.g., Haskard and Archer, J. Immunol. Methods, 74(2): 361-67 (1984), and Roder et al., Methods Enzymol, 121: 140-67 (1986)), bacteriophage vector expression systems (see, e.g., Huse et al., Science, 246: 1275-81 (1989)), or phage display libraries comprising antibody fragments, such as Fab and scFv (single chain variable region) (see, e.g., U.S. Patent Nos. 5,885,793 and 5,969,108, and International Patent Applications WO 92/01,047 and WO 99/06,587).
[44] The monoclonal antibody can be isolated from or produced in any suitable animal, but is preferably produced in a mammal, more preferably a mouse or human, and most preferably a human. Methods for producing an antibody in mice are well known to those skilled in the art and are described herein. With respect to human antibodies, one of ordinary skill in the art will appreciate that polyclonal antibodies can be isolated from the sera of human subjects vaccinated or immunized with an appropriate antigen. Alternatively, human antibodies can be generated by adapting known techniques for producing human antibodies in non-human animals such as mice (see, e.g., U.S. Patent Nos. 5,545,806, 5,569,825, and 5,714,352, and U.S. Patent Application Publication No. 2002/0,197,266 Al).
[45] While being the ideal choice for therapeutic applications in humans, human antibodies, particularly human monoclonal antibodies, typically are more difficult to generate than mouse monoclonal antibodies. Mouse monoclonal antibodies, however, induce a rapid host antibody response when administered to humans, which can reduce the therapeutic or diagnostic potential of the antibody-drug conjugate. To circumvent these complications, a monoclonal antibody preferably is not recognized as "foreign" by the human immune system.
[46] To this end, phage display can be used to generate the antibody. In this regard, phage libraries encoding antigen-binding variable (V) domains of antibodies can be generated using standard molecular biology and recombinant DNA techniques (see, e.g., Sambrook et al. (eds.), Molecular Cloning, A Laboratory Manual, 3rd Edition, Cold Spring Harbor Laboratory Press, New York (2001)). Phage encoding a variable region with the desired specificity are selected for specific binding to the desired antigen, and a complete human antibody is reconstituted comprising the selected variable domain. Nucleic acid sequences encoding the reconstituted antibody are introduced into a suitable cell line, such as a myeloma cell used for hybridoma production, such that human antibodies having the characteristics of monoclonal antibodies are secreted by the cell (see, e.g., Janeway et al., supra, Huse et al., supra, and U.S. Patent No. 6,265,150). Alternatively, monoclonal antibodies can be generated from mice that are transgenic for specific human heavy and light chain immunoglobulin genes. Such methods are known in the art and described in, for example, U.S. Patent Nos. 5,545,806 and 5,569,825, and Janeway et al., supra. [47] Most preferably the antibody is a humanized antibody. As used herein, a
"humanized" antibody is one in which the complementarity-determining regions (CDR) of a mouse monoclonal antibody, which form the antigen binding loops of the antibody, are grafted onto the framework of a human antibody molecule. Owing to the similarity of the frameworks of mouse and human antibodies, it is generally accepted in the art that this approach produces a monoclonal antibody that is antigenically identical to a human antibody but binds the same antigen as the mouse monoclonal antibody from which the CDR sequences were derived. Methods for generating humanized antibodies are well known in the art and are described in detail in, for example, Janeway et al., supra, U.S. Patent Nos. 5,225,539, 5,585,089 and 5,693,761, European Patent No. 0,239,400 Bl, and United Kingdom Patent No. 2,188,638. Humanized antibodies can also be generated using the antibody resurfacing technology described in U.S. Patent No. 5,639,641 and Pedersen et al., J. MoI. Biol., 235: 959-973 (1994). While the antibody employed in the immunoconjugate of the inventive composition most preferably is a humanized monoclonal antibody, a human monoclonal antibody and a mouse monoclonal antibody, as described above, are also within the scope of the invention.
[48] Antibody fragments that have at least one antigen binding site, and thus recognize and bind to at least one antigen or receptor present on the surface of a target cell, also are within the scope of the invention. In this respect, proteolytic cleavage of an intact antibody molecule can produce a variety of antibody fragments that retain the ability to recognize and bind antigens. For example, limited digestion of an antibody molecule with the protease papain typically produces three fragments, two of which are identical and are referred to as the Fab fragments, as they retain the antigen binding activity of the parent antibody molecule. Cleavage of an antibody molecule with the enzyme pepsin normally produces two antibody fragments, one of which retains both antigen-binding arms of the antibody molecule, and is thus referred to as the F(ab')2 fragment. Reduction of a F(ab')2 fragment with dithiothreitol or mercaptoethylamine produces a fragment referred to as a Fab' fragment. A single-chain variable region fragment (sFv) antibody fragment, which consists of a truncated Fab fragment comprising the variable (V) domain of an antibody heavy chain linked to a V domain of a light antibody chain via a synthetic peptide, can be generated using routine recombinant DNA technology techniques (see, e.g., Janeway et al., supra). Similarly, disulfide- stabilized variable region fragments (dsFv) can be prepared by recombinant DNA technology (see, e.g., Reiter et al., Protein Engineering, 7: 697-704 (1994)). Antibody fragments in the context of the invention, however, are not limited to these exemplary types of antibody fragments. Any suitable antibody fragment that recognizes and binds to a desired cell surface receptor or antigen can be employed. Antibody fragments are further described in, for example, Parham, J. Immunol, 131: 2895-2902 (1983), Spring et al., J. Immunol, 113: 470-478 (1974), andNisonoff et al., Arch. Biochem. Biophys., 89: 230-244 (1960). Antibody-antigen binding can be assayed using any suitable method known in the art, such as, for example, radioimmunoassay (RIA), ELISA, Western blot, immunoprecipitation, and competitive inhibition assays (see, e.g., janeway et al., supra, and U.S. Patent Application Publication No. 2002/0,197,266 Al).
[49] In addition, the antibody can be a chimeric antibody or an antigen binding fragment thereof. By "chimeric" it is meant that the antibody comprises at least two immunoglobulins, or fragments thereof, obtained or derived from at least two different species (e.g., two different immunoglobulins, such as a human immunoglobulin constant region combined with a murine immunoglobulin variable region). The antibody also can be a domain antibody (dAb) or an antigen binding fragment thereof, such as, for example, a camelid antibody (see, e.g., Desmyter et al., Nature Struct. Biol, 3: 752, (1996)), or a shark antibody, such as, for example, a new antigen receptor (IgNAR) (see, e.g., Greenberg et al., Nature, 374: 168 (1995), and Stanfϊeld et al., Science, 305: 1770-1773 (2004)).
[50] Any suitable antibody can be used in the context of the invention. For example, the monoclonal antibody J5 is a murine IgG2a antibody that is specific for Common Acute Lymphoblastic Leukemia Antigen (CALLA) (Ritz et al., Nature, 283: 583-585 (1980)), and can be used to target cells that express CALLA (e.g., acute lymphoblastic leukemia cells). The monoclonal antibody MY9 is a murine IgGl antibody that binds specifically to the CD33 antigen (Griffin et al., Leukemia Res., 8: 521 (1984)), and can be used to target cells that express CD33 (e.g., acute myelogenous leukemia (AML) cells). [51] Similarly, the monoclonal antibody anti-B4 (also referred to as B4) is a murine IgGl antibody that binds to the CD19 antigen on B cells (Nadler et al., J. Immunol, 131: 244-250 (1983)), and can be used to target B cells or diseased cells that express CD 19 (e.g., non-Hodgkin's lymphoma cells and chronic lymphoblastic leukemia cells). N901 is a murine monoclonal antibody that binds to the CD56 (neural cell adhesion molecule) antigen found on cells of neuroendocrine origin, including small cell lung tumor, which can be used in the immunoconjugate to target drugs to cells of neuroendocrine origin. The J5, MY9, and B4 antibodies preferably are resurfaced or humanized prior to their use as part of the immunoconjugate. Resurfacing or humanization of antibodies is described in, for example, Roguska et al., Proc. Natl. Acad. ScL USA, 91: 969-73 (1994).
[52] In addition, the monoclonal antibody C242 binds to the CanAg antigen
(see, e.g., U.S. Patent No. 5,552,293), and can be used to target the immunoconjugate to CanAg expressing tumors, such as colorectal, pancreatic, non-small cell lung, and gastric cancers. HuC242 is a humanized form of the monoclonal antibody C242 (see, e.g., U.S. Patent No. 5,552,293). The hybridoma from which HuC242 is produced is deposited with ECACC identification Number 90012601. HuC242 can be prepared using CDR- grafting methodology (see, e.g., U.S. Patent Nos. 5,585,089, 5,693,761, and 5,693,762) or resurfacing technology (see, e.g., U.S. Patent No. 5,639,641). HuC242 can be used to target the immunoconjugate to tumor cells expressing the CanAg antigen, such as, for example, colorectal, pancreatic, non-small cell lung, and gastric cancer cells.
[53] To target ovarian cancer and prostate cancer cells, an anti-MUCl antibody can be used as the cell-binding agent in the immunoconjugate. Anti-MUCl antibodies include, for example, anti-HMFG-2 (see, e.g., Taylor-Papadimitriou et al., Int. J. Cancer, 28: 17-21 (1981)), hCTMOl (see, e.g., van Hof et al., Cancer Res., 56: 5179-5185 (1996)), and DS6. Prostate cancer cells also can be targeted with the immunoconjugate by using an anti-prostate-specific membrane antigen (PSMA) as the cell-binding agent, such as J591 (see, e.g., Liu et al., Cancer Res., 57: 3629-3634 (1997)). Moreover, cancer cells that express the Her2 antigen, such as breast, prostate, and ovarian cancers, can be targeted using the antibody trastuzumab. Anti-IGF-IR antibodies that bind to insulin-like growth factor receptor also can be used in the immunoconjugate. [54] Particularly preferred antibodies are humanized monoclonal antibodies, examples of which include huN901, huMy9-6, huB4, huC242, DS6, trastuzumab, bivatuzumab, sibrotuzumab, and rituximab (see, e.g., U.S. Patent Nos. 5,639,641 and 5,665,357; U.S. Patent Application Publication No. 2005-0118183 Al, International Patent Application WO 02/16,401, Pedersen et al., supra, Roguska et al., supra, Liu et al., supra, Nadler et al., supra, Colomer et al., Cancer Invest., 19: 49-56 (2001), Heider et si., Eur. J. Cancer, 31A: 2385-2391 (1995), Welt et al., J. Clin. Oncol, 12: 1193-1203 (1994), and Maloney et al., Blood, 90: 2188-2195 (1997)). Most preferably, the antibody is the huN901 humanized monoclonal antibody or the huMy9-6 humanized monoclonal antibody. Other humanized monoclonal antibodies are known in the art and can be used in connection with the invention.
[55] The immunoconjugate can comprise any suitable drug, typically a cytotoxic agent. A "cytotoxic agent," as used herein, refers to any compound that results in the death of a cell, induces cell death, or decreases cell viability. Suitable cytotoxic agents include, for example, maytansinoids and maytansinoid analogs, taxoids, CC- 1065 and CC-1065 analogs, and dolastatin and dolastatin analogs. In a preferred embodiment of the invention, the cytotoxic agent is a maytansinoid, including maytansinol and maytansinol analogs. Maytansinoids are compounds that inhibit microtubule formation and are highly toxic to mammalian cells. Examples of suitable maytansinol analogues include those having a modified aromatic ring and those having modifications at other positions. Such maytansinoids are described in, for example, U.S. Patent Nos. 4,256,746, 4,294,757, 4,307,016, 4,313,946, 4,315,929, 4,322,348, 4,331,598, 4,361,650, 4,362,663, 4,364,866, 4,424,219, 4,371,533; 4,450,254, 5,475,092, 5,585,499, 5,846,545, and 6,333,410.
[56] Examples of maytansinol analogs having a modified aromatic ring include: (1) C 19-dechloro (U.S. Patent No. 4,256,746) (prepared by LAH reduction of ansamytocin P2), (2) C-20-hydroxy (or C-20-demethyl) +/-C- 19-dechloro (U.S. Patent Nos. 4,361,650 and 4,307,016) (prepared by demethylation using Streptomyces or Actinomyces or dechlorination using LAH), and (3) C-20-demethoxy, C-20-acyloxy (- OCOR), +/-dechloro (U.S. Patent No. 4,294,757) (prepared by acylation using acyl chlorides). [57] Examples of maytansinol analogs having modifications of positions other than an aromatic ring include: (1) C-9-SH (U.S. Patent No. 4,424,219) (prepared by the reaction of maytansinol with H2S or P2S5), (2) C-14-alkoxymethyl (demethoxy/CH2OR) (U.S. Patent No. 4,331,598), (3) C-14-hydroxymethyl or acyloxymethyl (CH2OH or CH2OAc) (U.S. Patent No. 4,450,254) (prepared from Nocardid), (4) C-15- hydroxy/acyloxy (U.S. Patent No. 4,364,866) (prepared by the conversion of maytansinol by Streptomyces), (5) C-15-methoxy (U.S. Patent Nos. 4,313,946 and 4,315,929) (isolated from Trewia nudiflora), (6) C-18-N-demethyl (U.S. Patent Nos. 4,362,663 and 4,322,348) (prepared by the demethylation of maytansinol by Streptomyces), and (7) 4,5-deoxy (U.S. Patent No. 4,371,533) (prepared by the titanium trichloride/LAH reduction of maytansinol).
[58] In a preferred embodiment of the invention, the immunoconjugate utilizes the thiol-containing maytansinoid DMl, also known as N2'-deacetyl-N2'-(3-mercaρto-l- oxopropyl)-maytansme, as the cytotoxic agent. The structure of DMl is represented by formula (I):
Figure imgf000016_0001
(I)
[59] In another preferred embodiment of the invention, the immunoconjugate utilizes the thiol-containing maytansinoid DM4, also known as N-2'-deacetyl-N-2'-(4- methyl-4-mercapto-l-oxopentyl)-maytansine, as the cytotoxic agent. The structure of DM4 is represented by formula (II):
Figure imgf000017_0001
[60] Other maytansines may be used in the context of the invention, including, for example, thiol and disulfide-containing maytansinoids bearing a mono or di-alkyl substitution on the carbon atom bearing the sulfur atom. Particularly preferred is a maytansinoid having at the C3 position, the C14 hydroxymethyl, the Ci5 hydroxy, or the C20 desmethyl functionality, an acylated amino acid side chain with an acyl group bearing a hindered sulfhydryl group, wherein the carbon atom of the acyl group bearing the thiol functionality has one or two substituents, said substituents being CH3, C2H5, linear or branched alkyl or alkenyl having from 1 to 10 carbon atoms, cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl, or heterocyclic aromatic or heterocycloalkyl radical, and further wherein one of the substituents can be H, and wherein the acyl group has a linear chain length of at least three carbon atoms between the carbonyl functionality and the sulfur atom.
[61 ] Additional maytansines for use in the context of the invention include compounds represented by formula (III):
Figure imgf000018_0001
(πi), wherein Y' represents (CR7R8)1(CR9=CR10)p(C=C)qAr(CR5R6)mDu(CR11=CR12)r(C=C)sBt(CR3R4)n-CR1R2SZ, wherein R1 and R2 are each independently linear alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH3 or C2Hs1 branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl radical, and wherein R2 also can be H, wherein A, B, D are cycloalkyl or cycloalkenyl having 3-10 carbon atoms, simple or substituted aryl, or heterocyclic aromatic, or heterocycloalkyl radical, wherein R3, R4, R5, R6, R7, R8, R9, R10, R11, and R12 are each independently H, linear alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH3 or C2H5, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic, or heterocycloalkyl radical, wherein 1, m, n, p, q, r, s, u, and t are each independently zero or an integer from 1 to 5, provided that at least two of 1, m, n, p, q, r, s, u, and t are not zero at any one time, and wherein Z is H, SR or COR, wherein R is linear alkyl or alkenyl having from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, simple or substituted aryl or heterocyclic aromatic, or heterocycloalkyl radical. [62] Preferred embodiments of formula (III) include compounds of formula
(III) wherein (a) R1 is H, R2 is methyl and Z is H, (b) R1 and R2 are methyl and Z is H, (c) R1 is H, R2 is methyl, and Z is -SCH3, and (d) R1 and R2 are methyl, and Z is -SCH3.
[63] Such additional maytansines also include compounds represented by formula (IV-L), (IV-D), or (IV-D5L):
Figure imgf000019_0001
(IV-L) . (IV-D) (IV-D,L) wherein Y represents (CR7R8)i(CR5R6)m(CR3R4)nCR1R2SZ, wherein R1 and R2 are each independently H, linear alkyl, or alkenyl having from 1 to 10 carbon atoms, preferably CH3 or C2H5, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl, or heterocyclic aromatic or heterocycloalkyl radical, wherein R3, R4, R5, R6, R7, and R8 are each independently H, linear alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH3 or C2H5, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl, or heterocyclic aromatic or heterocycloalkyl radical, wherein 1, m, and n are each independently an integer of from 1 to 5, and in addition n can be zero, wherein Z is H, SR, or COR wherein R is methyl, linear or branched alkyl or alkenyl having from 1 to 10 carbon atoms, cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, or simple or substituted aryl or heterocyclic aromatic or heterocycloalkyl radical, and wherein May represents a maytansinoid which bears the side chain at C-3, C-14 hydroxymethyl, C- 15 hydroxy, or C-20 desmethyl.
[64] Preferred embodiments of formulas (IV-L), (IV-D) and (IV-D5L) include compounds of formulas (IV-L), (W-D) and (W-D ,L) wherein (a) R1 is H, R2 is methyl, R5, R6, R7 , and R8 are each H, 1 and m are each 1, n is 0, and Z is H, (b) R1 and R2 are methyl, R5, R6, R7, R8 are each H, 1 and m are 1, n is 0, and Z is H, (c) R1 is H, R2 is methyl, R5, R6, R7, and R8 are each H, 1 and m are each 1, n is 0, and Z is -SCH3, or (d) R1 and R2 are methyl, R5, R6, R7, R8 are each H, 1 and m are 1, n is 0, and Z is -SCH3.
[65] Preferably the cytotoxic agent is represented by formula (W-L).
[66] Additional preferred maytansines also include compounds represented by formula (V):
Figure imgf000020_0001
(V) wherein Y represents (CR7R8)i(CR5R6)m(CR3R4)nCRiR2SZ, wherein R1 and R2 are each independently H, linear alkyl, or alkenyl having from 1 to 10 carbon atoms, preferably CH3 or C2H5, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl radical, wherein R3, R4, R5, R6, R7, and Rg are each independently H, linear alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH3 or C2H5; branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl, or heterocyclic aromatic or heterocycloalkyl radical, wherein 1, m, and n are each independently an integer of from 1 to 5, and in addition n can be zero, and wherein Z is H, SR or -COR, wherein R is methyl, linear alkyl or alkenyl having from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, or simple or substituted aryl or heterocyclic aromatic or heterocycloalkyl radical.
[67] Preferred embodiments of formula (V) include compounds of formula (V) wherein (a) R1 is H, R2 is methyl, R5, R6, R7, and R8 are each H; 1 and m are each 1; n is 0; and Z is H, (b) R1 and R2 are methyl; R5, R6, R7, R8 are each H, 1 and m are 1; n is 0; and Z is H, (c) R1 is H, R2 is methyl, R5, R6, R7, and R8 are each H, 1 and m are each 1, n is 0, and Z is -SCH3, or (d) Ri and R2 are methyl, R5, R6, R7, R8 are each H, 1 and m are 1, n is 0, and Z is -SCH3.
[68] Still further preferred maytansines include compounds represented by formula (VI-L), (VI-D), or (VI-D5L):
Figure imgf000021_0001
(VI-L) (VI-D) (VI-D5 L), wherein Y2 represents (CR7R8)](CR5R6)m(CR3R4)nCRiR2SZ2, wherein R1 and R2 are each independently linear alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH3 or C2H5, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl radical, and wherein R2 also can be H, wherein R3, R4, R5, R6, R7, and R8 are each independently H, linear cyclic alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH3 or C2H5, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl radical, wherein 1, m, and n are each independently an integer of from 1 to 5, and in addition n can be zero, wherein Z2 is SR or COR, wherein R is linear alkyl or alkenyl having from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, or simple or substituted aryl or heterocyclic aromatic or heterocycloalkyl radical, and wherein May is a maytansinoid.
[69] Additional preferred maytansines include compounds represented by formula (VII):
Figure imgf000022_0001
(VII), wherein Y2- represents (CR7R8)i(CR9=CR1o)p(C=C)qAr(CR5R6)mDu(CR1i=CR12)r(C=C)sBt(CR3R4)nCR1R2SZ2, wherein R1 and R2 are each independently H, linear branched or alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH3 or C2H5, cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl radical, wherein A, B, and D each independently is cycloalkyl or cycloalkenyl having 3 to 10 carbon atoms, simple or substituted aryl, or heterocyclic aromatic or heterocycloalkyl radical, wherein R3, R4, R5, R6, R7, R8, R9, R10, Rn, and R12 are each independently H, linear alkyl or alkenyl having from 1 to 10 carbon atoms, preferably CH3 or C2H5, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl radical, wherein 1, m, n, p, q, r, s, t, and u are each independently zero or an integer of from 1 to 5, provided that at least two of 1, m, n, p, q, r, s t, and u are not zero at any one time, and wherein Z2 is SR or -COR5 wherein R is linear alkyl or alkenyl having from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl having from 3 to 10 carbon atoms, or simple or substituted aryl or heterocyclic aromatic or heterocycloalkyl radical.
[70] Preferred embodiments of formula (VII) include compounds of formula
(VII), wherein R1 is H and R2 is methyl.
[71] In addition to maytansinoids, the cytotoxic agent used in the immunoconjugate can be a taxane or derivative thereof. Taxanes are a family of compounds that includes paclitaxel (Taxol®), a cytotoxic natural product, and docetaxel (Taxotere®), a semi-synthetic derivative, which are both widely used in the treatment of cancer. Taxanes are mitotic spindle poisons that inhibit the depolymerization of tubulin, resulting in cell death. While docetaxel and paclitaxel are useful agents in the treatment of cancer, their antitumor activity is limited because of their non-specific toxicity towards normal cells. Further, compounds like paclitaxel and docetaxel themselves are not sufficiently potent to be used in immunoconjugates.
[72] A preferred taxane for use in the preparation of a cytotoxic immunoconjugate is the taxane of formula (VIII):
Figure imgf000023_0001
(VIII) [73] Methods for synthesizing taxanes that can be used in the context of the invention, along with methods for conjugating taxanes to cell-binding agents such as antibodies, are described in detail in U.S. Patent Nos. 5,416,064, 5,475,092, 6,340,701, 6,372,738, 6,436,931, 6,596,757, 6,706,708, and 6,716,821, and in U.S. Patent Application Publication No. 2004/0,024,049 Al.
[74] The cytotoxic agent also can be CC- 1065 or a derivative thereof. CC-
1065 is a potent anti-tumor antibiotic isolated from the culture broth of Streptomyces zelensis. CC- 1065 is about 1000-fold more potent in vitro than commonly used anticancer drugs, such as doxorubicin, methotrexate, and vincristine (Bhuyan et al., Cancer Res., 42: 3532-3537 (1982)). CC-1065 and its analogs are disclosed in U.S. Patent Nos. 5,585,499, 5,846,545, 6,340,701, and 6,372,738. The cytotoxic potency of CC-1065 has been correlated with its alkylating activity and its DNA-binding or DNA-intercalating activity. These two activities reside in separate parts of the molecule, hi this respect, the alkylating activity is contained in the cyclopropapyrroloindole (CPI) subunit and the DNA-binding activity resides in the two pyrroloindole subunits of CC-1065.
[75] Several CC-1065 analogs are known in the art and also can be used as the cytotoxic agent in the immunoconjugate (see, e.g., Warpehoski et al., J. Med. Chem., 31: 590-603 (1988)). A series of CC-1065 analogs has been developed in which the CPI moiety is replaced by a cyclopropabenzindole (CBI) moiety (Boger et al., J. Org. Chem., 55: 5823-5833 (1990), and Boger et al., Bioorg. Med. Chem. Lett, 1: 115-120 (1991)). These CC-1065 analogs maintain the high in vitro potency of the parental drug, without causing delayed toxicity in mice. Like CC-1065, these compounds are alkylating agents that covalently bind to the minor groove of DNA to cause cell death.
[76] The therapeutic efficacy of CC-1065 analogs can be greatly improved by changing the in vivo distribution through targeted delivery to a tumor site, resulting in lower toxicity to non-targeted tissues, and thus, lower systemic toxicity. To this end, conjugates of analogs and derivatives of CC-1065 with cell-binding agents that specifically target tumor cells have been generated (see, e.g., U.S. Patent Nos. 5,475,092, 5,585,499, and 5,846,545). These conjugates typically display high target-specific cytotoxicity in vitro, and anti-tumor activity in human tumor xenograft models in mice (see, e.g., Chari et al., Cancer Res., 55: 4079-4084 (1995)).
[77] Methods for synthesizing CC-1065 analogs are described in detail in U.S.
Patent Nos. 5,475,092, 5,585,499, 5,846,545, 6,534,660, 6,586,618, and 6,756,397 and U.S. Patent Application Publication No. 2003/0,195,365 Al.
[78] Drugs such as methotrexate, daunorubicin, doxorubicin, vincristine, vinblastine, melphalan, mitomycin C, chlorambucil, calicheamicin, tubulysin and tubulysin analogs, duocarmycin and duocarmycin analogs, dolastatin and dolastatin analogs also can be used in the context of the invention. Doxarubicin and daunorubicin compounds (see, e.g., U.S. Patent No. 6,630,579) can also be used as the drug.
[79] The immunoconjugates may be prepared by in vitro methods. In order to link a drug or prodrug to the antibody, a linking group is used. Suitable linking groups are well known in the art and include disulfide groups, acid labile groups, photolabile groups, peptidase labile groups, and esterase labile groups. Preferred linking groups are disulfide groups. For example, immunoconjugates can be constructed using a disulfide exchange reaction between the antibody and the drug or prodrug. The drug molecules also can be linked to an antibody through an intermediary carrier molecule such as serum albumin.
[80] The antibody may be modified by reaction with a bifunctional crosslinking reagent, thereby resulting in the covalent attachment of a linker molecule to the antibody. As used herein, a "bifunctional crosslinking reagent" is any chemical moiety that covalently links a cell-binding agent to a drug, such as the drugs described herein. In a preferred embodiment of the invention, a portion of the linking moiety is provided by the drug. In this respect, the drug comprises a linking moiety that is part of a larger linker molecule that is used to join the antibody to the drug. For example, to form the maytansinoid DMl, the side chain at the C-3 hydroxyl group of maytansine is modified to have a free sulfhydryl group (SH). This thiolated form of maytansine can react with a modified antibody to form an immunoconjugate. Therefore, the final linker is assembled from two components, one of which is provided by the crosslinking reagent, while the other is provided by the side chain from DMl. [81] Any suitable bifunctional crosslinking reagent can be used in connection with the invention, so long as the linker reagent provides for retention of the therapeutic, e.g., cytotoxicity, and targeting characteristics of the drug and the antibody, respectively. Preferably, the linker molecule joins the drug to the antibody through chemical bonds (as described above), such that the drug and the antibody are chemically coupled (e.g., covalently bonded) to each other. Preferably, the linking reagent is a cleavable linker. More preferably, the linker is cleaved under mild conditions, i.e., conditions within a cell under which the activity of the drug is not affected. Examples of suitable cleavable linkers include disulfide linkers, acid labile linkers, photolabile linkers, peptidase labile linkers, and esterase labile linkers. Disulfide containing linkers are linkers cleavable through disulfide exchange, which can occur under physiological conditions. Acid labile linkers are linkers cleavable at acid pH. For example, certain intracellular compartments, such as endosomes and lysosomes, have an acidic pH (pH 4-5), and provide conditions suitable to cleave acid labile linkers. Photo labile linkers are useful at the body surface and in many body cavities that are accessible to light. Furthermore, infrared light can penetrate tissue. Peptidase labile linkers can be used to cleave certain peptides inside or outside cells (see e.g., Trouet et al, Proc. Natl. Acad. ScL USA, 79: 626-629 (1982), and Umemoto et al., Int. J. Cancer, 43: 677-684 (1989)).
[82] Preferably the drug is linked to an antibody through a disulfide bond. The linker molecule comprises a reactive chemical group that can react with the antibody. Preferred reactive chemical groups for reaction with the antibody are N-succinimidyl esters and N-sulfosuccinimidyl esters. Additionally the linker molecule comprises a reactive chemical group, preferably a dithiopyridyl group, that can react with the drug to form a disulfide bond. Particularly preferred linker molecules include, for example, N- succinimidyl 3-(2-pyridyldithio)propionate (SPDP) (see, e.g., Carlsson et al., Biochem. J, 173: 723-737 (1978)), N-succinimidyl 4-(2-ρyridyldithio)butanoate (SPDB) (see, e.g., U.S. Patent No. 4,563,304), and N-succinimidyl 4-(2-pyridyldithio)pentanoate (SPP) (see, e.g., CAS Registry number 341498-08-6).
[83] While cleavable linkers preferably are used in the inventive method, a non-cleavable linker also can be used to generate the above-described immunoconjugate. A non-cleavable linker is any chemical moiety that is capable of linking a drug, such as a maytansinoid, a taxane, or a CC- 1065 analog, to a cell-binding agent, such as an antibody, in a stable, covalent manner. Thus, non-cleavable linkers are substantially resistant to acid-induced cleavage, light-induced cleavage, peptidase-induced cleavage, esterase-induced cleavage, and disulfide bond cleavage, at conditions under which the drug or the antibody remains active.
[84] Suitable crosslinking reagents that form non-cleavable linkers between a drug and a cell-binding agent are well known in the art. Examples of non-cleavable linkers include linkers having an N-succinimidyl ester or N-sulfosuccinimidyl ester moiety for reaction with the cell-binding agent, as well as a maleimido- or haloacetyl- based moiety for reaction with the drug. Crosslinking reagents comprising a maleimido- based moiety include N-succinimidyl 4-(maleimidomethyl)cyclohexanecarboxylate (SMCC), N-succinimidyl-4-(N-maleimidomethyl)-cyclohexane- 1 -carboxy-(6- amidocaproate), which is a "long chain" analog of SMCC (LC-SMCC), K- maleimidoundecanoic acid N-succinimidyl ester (KMUA), γ-maleimidobutyric acid N- succinimidyl ester (GMBS), ε-maleimidocaproic acid N-hydroxysuccinimide ester (EMCS), m-maleimidobenzoyl-N-hydroxysuccinimide ester (MBS), N-(α- maleimidoacetoxy)-succinimide ester (AMAS), succinimidyl-6-(β- maleimidopropionamido)hexanoate (SMPH), N-succinimidyl 4-(p-maleimidophenyl)- butyrate (SMPB), and N-(p-maleimidophenyl)isocyanate (PMPI). Cross-linking reagents comprising a haloacetyl-based moiety include N-succinimidyl-4-(iodoacetyl)- arninobenzoate (SLAB), N-succinimidyl iodoacetate (SIA), N-succinimidyl bromoacetate (SBA), and N-succinimidyl 3-(bromoacetamido)ρropionate (SBAP).
[85] Other crosslinking reagents lacking a sulfur atom that form non-cleavable linkers can also be used in the inventive method. Such linkers can be derived from dicarboxylic acid based moieties. Suitable dicarboxylic acid based moieties include, but are not limited to, α,ω-dicarboxylic acids of the general formula (IX):
HOOC-Xi-Yn-Z1n-COOH
(IX), wherein X is a linear or branched alkyl, alkenyl, or alkynyl group having 2 to 20 carbon atoms, Y is a cycloalkyl or cycloalkenyl group bearing 3 to 10 carbon atoms, Z is a substituted or unsubstituted aromatic group bearing 6 to 10 carbon atoms, or a substituted or unsubstituted heterocyclic group wherein the hetero atom is selected from N, O or S, and wherein 1, m, and n are each 0 or 1, provided that 1, m, and n are all not zero at the same time.
[86] Many of the non-cleavable linkers disclosed herein are described in detail in U.S. Patent Application Publication No. 2005-0169933 Al.
[87] Alternatively, as disclosed in U.S. Patent No. 6,441,163 Bl, the drug can be first modified to introduce a reactive ester suitable to react with an antibody. Reaction of these maytansinoids containing an activated linker moiety with an antibody provides another method of producing a cleavable or non-cleavable antibody maytansinoid conjugate.
[88] Processes for the manufacture of such pharmaceutical compositions involve buffer exchanging the bulk pharmaceutical into appropriate formulation buffer by chromatography or diafiltration and then adding appropriate excipients in desired amount, either as solution or as solid. Final adjustment of protein concentration and/or pH may also be performed to achieve the desired composition.
[89] The immunocoηjugates of the invention are administered to the patient in the form of a pharmaceutical formulation described in this application and a pharmaceutically acceptable carrier, excipient or diluent therefore. As used, "pharmaceutically acceptable" refers to those agents that are useful in the treatment or diagnosis of mammals, preferably human. The preferred mode of administration is parenterally, particularly by the intravenous, intramuscular, subcutaneous, intraperitoneal, or intralymphatic route. See, e.g. Remington's Pharmaceutical Sciences, 16th ed., 1980, Mack Publishing Company, edited by Osol et al. Such compositions may include proteins, such as serum proteins, for example, human serum albumin, buffers or buffering substances such as phosphates, other salts, or electrolytes, and the like. Suitable diluents may include, for example, sterile water, isotonic saline, dilute aqueous dextrose, a polyhydric alcohol or mixtures of such alcohols, for example, glycerin, propylene glycol, polyethylene glycol and the like. The formulations may contain preservatives such as phenethyl alcohol, methyl and propyl parabens, and the like. If desired, the formulation can include 0.05 to about 0.20 percent by weight of an antioxidant.
[90] Administration may be via any route known to be effective by the physician of ordinary skill. Parenteral administration is preferred. Preferred parenteral routes for administering the formulations of the present invention include intravenous, intramuscular, subcutaneous, intraperitoneal, intraarterial. Intravenous, intraperitoneal, intramuscular, and subcutaneous routes of administration of the compounds used in the present invention are more preferred parenteral routes of administration. Intravenous, intraperitoneal, and subcutaneous routes of administration of the formulations of the present invention yet more highly preferred.
[91] Administration via certain parenteral routes may involve introducing the formulations of the present invention into the body of a patient through a needle or a catheter. Optionally, such administration may be propelled by a sterile syringe or some other mechanical device such as a continuous infusion system. A formulation provided by the present invention may be administered using a syringe, injector, pump, or any other device or by gravity recognized in the art for parenteral administration. The formulation can be administered parenterally, in sterile liquid dosage forms. These formulation may be administered intravenously as a bolus or rapid infusion, which can, in addition to their desired therapeutic, diagnostic or medicinal effect, cause the release of immunoconjugate.
[92] The immunoconjugates of the invention are effective over a wide dosage range depending on factors such as the disease state to be treated or the biological effect to be modified, the manner in which the immunoconjugate is administered, the age, weight and condition of the patient as well as other factors to be determined by the treating physician. Thus, the amount administered to any given patient can be determined on an individual basis.
[93] The amount of a formulation of the present invention that is administered to treat a patient may depend on a number of factors, among which are included, without limitation, the patient's sex, weight and age, the underlying causes of the condition or disease to be treated, the route of administration and bioavailability, the persistence of the administered immunoconjugate in the body, the formulation, and the potency of the immunoconjugate. Where administration is intermittent, the amount per administration should also take into account the interval between doses, and the bioavailability of the immunoconjugate from the formulation. Administration of the formulation of the present invention could be continuous. It is within the skill of the ordinary physician to titrate the dose and infusion rate or frequency of administration of the formulation of the present invention to achieve the desired clinical result.
[94] The dosage administered will, of course, vary depending upon known factors such as the pharmacodynamic characteristics of the particular agent, and its mode and route of administration; age, health, and weight of the recipient; nature and extent of symptoms, kind of concurrent treatment, frequency of treatment, and the effect desired. Usually a daily dosage of therapeutically-significant-compound can be about 0.1 to 100 milligrams per kilogram of body weight.
[95] Dosage forms suitable for internal administration contain from about 1 milligram to about 500 milligrams of therapeutically-significant-compound per unit. In these pharmaceutical compositions the therapeutically-significant-compound ordinarily will be present in an amount of about 0.05-2% by weight in a liquid formulation and 2- 50% in the lyophilized formulation prior to reconstitution based on the total weight of the composition.
[96] The present invention also provides for a lyophilized powder of the above- described formulation. Preferably, the lyophilized formulation comprises one or more additional components, such as a lyoprotectant and/or a bulking agent. The lyophilized powder can be reconstituted with water to create a reconstituted solution. The present formulation can be lyophilized and reconstituted as described in U.S. Patent Application No. 2004/0,241,174 Al, which description is hereby incorporated by reference, and which describes lyophilized formulations comprising immunoconjugates.
[97] Prior to reconstitution of the lyophilized composition, the relative amounts of each component comprising the inventive lyophilized composition can be described in terms of mg of excipient (e.g., buffer, surfactant, bulking agent, cryoprotectant) per mg of conjugate. [98] While any suitable buffering agent described herein can be used in connection with the inventive lyophilized composition, the lyophilized composition preferably comprises a sodium succinate buffer. The buffering agent can be present in the inventive lyophilized composition in any suitable amount. In particular, the lyophilized composition desirably comprises about 0.1 mg to about 2 mg of the buffering agent per mg of the conjugate (e.g., about 0.1 mg to about 0.5 mg buffering agent per mg of the conjugate, about 0.5 mg to about 1 mg buffering agent per mg of the conjugate, or about 1 mg to about 2 mg buffering agent per mg of the conjugate). Most preferably, the lyophilized composition comprises about 0.3 mg sodium succinate buffer per mg of the conjugate.
[99] The lyophilized composition desirably comprises about 0.005 mg to about
0.1 mg of polysorbate per mg of the conjugate, and preferably about 0.005 mg to about 0.01 mg polysorbate per mg of the conjugate, 0.01 mg to about 0.05 mg polysorbate per mg of the conjugate, or about 0.05 mg polysorbate to about 0.1 mg polysorbate per mg of the conjugate. When the polysorbate is polysorbate 20, the lyophilized composition preferably comprises about 0.02 mg polysorbate 20 per mg of the conjugate.
[100] In order to prevent degradation of the active ingredients of the composition during freezing and drying, the inventive lyophilized composition further comprises a cryoprotectant, preferably an amorphous cryoprotectant. The term "cryoprotectant," as used herein, refers to an excipient that protects unstable molecules during freezing. Suitable cryoprotectants for use in the lyophilized composition are known to those skilled in the art, and include, for example, glycerol, dimethyl sulfoxide (DMSO), polyethylene glycol (PEG), dextran, glucose, trehalose, and sucrose. Most preferably, the cryoprotectant is sucrose. The cryoprotectant may be present in the inventive lyophilized composition in any suitable amount. The lyophilized composition desirably comprises about 0.5 mg to about 5 mg, for example, about 0.5 mg to about 2 mg of the cryoprotectant per mg of the conjugate, about 0.8 mg cryoprotectant per mg of the conjugate, about 2 mg cryoprotectant per mg of the conjugate, or about 4 mg cryoprotectant per mg of the conjugate. When the cryoprotectant is sucrose, the lyophilized composition preferably comprises about 0.5 mg to about 2 mg (e.g., about 1 mg) sucrose per mg of the conjugate. [101] The lyophilized composition can further contain a bulking agent, preferably a crystallizable bulking agent. Bulking agents typically are used in the art to provide structure and weight to the "cake" produced as a result of lyophilization. Any suitable bulking agent known in the art may be used in connection with the inventive lyophilized composition. Suitable bulking agents include, for example, mannitol, dextran, and glycine. The bulking agent used in the inventive composition most preferably is glycine. The lyophilized composition can contain any suitable amount of the bulking agent, but preferably the lyophilized composition comprises about 2 mg to about 20 mg of the bulking agent per mg of the conjugate, and preferably about 2 mg to about 10 mg bulking agent per mg of the conjugate, about 5 mg to about 10 mg bulking agent per mg of the conjugate, about 10 mg to about 15 mg bulking agent per mg of the conjugate, or about 15 mg to about 20 mg bulking agent per mg of the conjugate. When the bulking agent is glycine, the lyophilized composition preferably comprises about 3.8 mg glycine per mg of the conjugate.
[102] Thus, in accordance with the invention, the contents of a lyophilized composition that is to be reconstituted to contain 5 mg/mL of conjugate (e.g., preferably a conjugate comprising huN901 chemically coupled to DMl) preferably comprises (i) about 0.3 mg sodium succinate buffer per mg of the conjugate, (ii) about 0.02 mg polysorbate 20 per mg of the conjugate, (iii) about 1 mg sucrose per mg of the conjugate, and (iv) about 3.8 mg glycine per mg of the conjugate. Once reconstituted with water, such a lyophilized composition preferably has a pH of about 5.5. Moreover, when the lyophilized composition is reconstituted with water, the descriptions of the relative concentrations of the excipients set forth above in connection with the liquid formulation are applicable to the aforesaid lyophilized composition.
[103] Lyophilization methods are well known in the art and are described in, for example, Wang, W., Int. J. Pharm., 203, 1-60 (2000). For example, the inventive lyophilized composition can be produced using a lyophilization cycle comprising the following steps: (1) pre-cooling at a shelf temperature of 4° C. and ambient chamber pressure for 2.5 hours, (2) freezing at a shelf temperature of -50° C. and ambient chamber pressure for 14 hours, (3) glycine recrystallization at a shelf temperature of -20° C. and ambient chamber pressure for 6 hours, (4) re-freezing at a shelf temperature of -50° C. and ambient chamber pressure for 16 hours, (5) primary drying at a shelf temperature of - 13° C. and 100 mTorr of pressure for 24 hours, (6) secondary drying at a shelf temperature of 24° C. and 100 mTorr of pressure for 10 hours, and (7) stopper phase at a shelf temperature of 24° C. and ambient chamber pressure. The lyophilized composition, however, is not limited to compositions produced by the above-described method. Indeed, any suitable lyophilization method can be used to produce the lyophilized composition, and it will be apparent to those skilled in the art that the chosen lyophilization parameters (e.g., drying times) will vary depending on a variety of factors, including the volume of the solution to be lyophilized.
[104] In another embodiment, the present invention is directed to a kit for preparing an aqueous formulation, which kit contains both a first container containing a lyophilized powder and a second container containing an aqueous formulation comprising a reconstitution stabilizer. The concentration of the lyophilized powder in the solution, the solution volume which is charged into each container, and the capacity of the containers are all interrelated parameters which can be suitably modified, depending upon the desired concentration of active principle in the end dosage unit. Thus, these parameters may vary within wide ranges.
[105] All patents, publications, and other references cited herein are expressly incorporated by reference in their entireties.
[106] The present invention is further described by the following examples, which are illustrative of the process and should not be construed as limiting the invention. The process parameters given below can be adopted and adapted by the skilled person to suit the particular need.
EXAMPLE 1
[107] This example shows the effect of the following formulation excipients on the visual appearance of formulated MAb-DMl conjugate samples.
[108] Samples of huN901 -SPP-DMl were set up at 1.0 mg/mL in 10 mM phosphate buffer pH 6.5 with 140 mM NaCl with each of the excipients listed below. Excipients were added directly to huN901 -SPP-DMl sample on a w/w % basis (weight of excipient / weight of solution). Immediately following addition of the excipient, the formulations were filtered, and appearance and particle counting tests were performed. Samples were then stored at 40C for the time of the study, and were tested again at 2 week and 1 month time points. For appearance, the samples were tested by examining at least 1.0 mL of solution against a white background for clarity and against a black background under white light for the presence or absence of visible particles. The results are reported as presence or absence of visible particles. Subvisible particles with the size above 5 μm were also measured with an HIAC particle counter calibrated to measure particle size between 2 and 100 μm.
Appearance:
Excipient Initial 2 Weeks 1 Month
5% sucrose Clear Clear Clear
10% sucrose Clear Clear Clear
0.1% tween20 Clear Clear Clear
0.8% tween20 Clear Particles Clear
1 % cyclodextrin Clear Clear Clear
1 % dextrose Clear Clear Particles
5% glycerol Clear Clear Particles
2% PEG6000 Clear Clear Particles
5% mannitol Clear Particles Particles filtertered control* Clear Clear Particles
*filtered shortly before initial time point Particle counting (counts > 5 μm per mL):
Figure imgf000034_0001
Positive effects of sucrose, TWEEN-20™, beta-cyclodextrin, dextrose, glycerol, mannitol and polyethylene glycol (PEG) were observed. EXAMPLE 2
[109] This example shows the effect of amino acids on stability of huN901-SPP-
DMl with respect to conjugate aggregation.
[110] Samples of huN901 -SPP-DMl were set up at 5.0 mg/mL in the following buffers and stored at 2-8 and 25° C for 12 months. Conjugate aggregate content was tested with a chromatographic assay at 1, 3, 6 and 12-month time points.
(1) 10 mM sodium phosphate, 140 mM NaCl, pH 6.5.
(2) 10 mM sodium citrate, 135 mM NaCl, 0.01 % polysorbate 20, pH 5.5.
(3) 10 mM sodium citrate, 130 mM histidine, 0.01 % polysorbate 20, pH 5.5
(4) 10 mM sodium citrate, 110 mM glycine, 80 mM NaCl, 0.01 % polysorbate 20, pH 5.5.
Figure imgf000035_0001
[111] Example 1 shows that histidine improves the formulation with regard to preventing conjugate aggregate formation. Glycine also has benefits.
EXAMPLE 3
[112] This example shows the effect of histidine on the stability of huMy9-6-
SPDB-DM4 conjugate in terms of conjugate aggregate.
[113] The huMy9-6-SPDB-DM4 conjugate was formulated at 5.0 mg/mL in:
( 1 ) 10 mM sodium citrate, 135 mM NaCl, pH 5.5
(2) 150 mM histidine/histidine chloride, pH 5.5 [114] Samples were incubated at 2-8°C and 250C for 6 months, after which they were tested for aggregate of conjugate by a chromatographic assay.
Formulation TO 2-8 °C, 6 mon 25 °C, 6 mon
Composition 1 3.5 4. 0 8 .2
Composition 2 3.2 3. 2 7 .1
[115] The data shows the beneficial effects of histidine on preventing formation of aggregate.
EXAMPLE 4
[116] This example shows the effect of buffering agent, sugar and amino acid on the stability of huC242-SPDB-DM4 with respect to conjugate aggregate.
[117] Samples of huC242-SPDB-DM4 at 5.0 mg/mL in:
(1) 10 mM sodium citrate, 135mM NaCl, pH 5.5
(2) 10 mM sodium citrate, 5% sucrose, 130 mM glycine, 0.1% polysorbate 80, pH 5.5
(3) 10 mM histidine/histidine chloride, 5% sucrose, 130 mM glycine, pH 5.5
[118] Testing for conjugate monomer and aggregate contents were performed at
T0, and after 3 months of storage at 2-8°C and 25°C.
Figure imgf000036_0001
[119] The data shows that sucrose and glycine, together in the above combination, improves the formulation with regards to protection against conjugate aggregation. The greatest improvement is observed when the sucrose and glycine combination is used with histidine.
EXAMPLE 5
[120] This example shows the effect of various formulations containing sucrose with and without glycine on aggregate content of huN901-SPP-DMl conjugate. [121] Samples of huN901 -SPP-DMl at 5.0 mg/mL concentration in each of the following liquid formulations were tested for monomer and aggregate contents.
(1) 10 mM sodium citrate, 135 mM NaCl, 0.01 % polysorbate 20, pH 5.5
(2) 10 mM sodium citrate, 60 mM NaCl, 5 % sucrose, pH 5.5
(3) 10 mM sodium citrate, 60 mM NaCl, 0.01 % polysorbate 20, 5 % sucrose, pH 5.5
(4) 10 mM sodium phosphate, 140 mM NaCl pH 6.5
(5) 10 mM sodium succinate, 0.25 M glycine, 0.01 % polysorbate 20, 0.5 % sucrose, pH 5.5
[122] Samples stored at 250C were tested for aggregate contents at 3, 6 and 12 month time points.
Figure imgf000037_0001
[123] In all cases formulations containing sucrose have lower aggregate content than ones without sucrose. The formulation containing glycine (composition 5) had the best stability in this example.
EXAMPLE 6
[124] This example shows the effect of polysorbate 80 on particle formation induced by agitation. This stress condition (agitation) is expected to mimic stresses encountered during shipping and handling of liquid conjugate, as opposed to stresses encountered during static storage (which are addressed in Example 1).
[ 125] Samples of huC242-SPDB-DM4 were set up at 1 mg/mL in the following buffers and placed in USP Type 1 glass vials (5mL in a 1OmL vial) which were sealed with Flurotec® Stoppers. The vials were shaken for 48 hours at 100 rpm at room temperature, using a Lab-Line Orbital Shaker.
(1) 10 mM sodium citrate, 135 mM sodium chloride, pH 5.5
(2) 10 mM histidine, 5% sucrose, 130 mM glycine, pH 5.5
(3) 10 mM histidine, 5% sucrose, 130 mM glycine, 0.1% polysorbate 80, pH 5.5
(4) 10 mM histidine, 1% sucrose, 250 mM glycine, pH 5.5
(5) 10 mM histidine, 1% sucrose, 250 mM glycine, 0.1% polysorbate 80, pH 5.5
(6) 10 mM histidine, 280 mM glycine, pH 5.5
(7) 10 mM histidine, 280 mM glycine, 0.1% polysorbate 80, pH 5.5
(8) 10 mM histidine, 10% sucrose, pH 5.5
(9) 10 mM histidine, 10% sucrose, 0.1% polysorbate 80, pH 5.5
[120] After shaking for 48 hours all vials were visually inspected. Those that contained polysorbate 80 (Compositions 3, 5, 7 and 9) remained clear, whereas all those that did not contain polysorbate 80 (1, 2, 4, 6 and 8) were cloudy. These data demonstrate the beneficial effect of polysorbate 80 in reducing particles due to agitation, such as might be encountered during shipping and handling of liquid conjugate.

Claims

CLAIMSWe claim:
1. An immunoconjugate formulation comprising:
(a) an immunoconjugate; and
(b) one or more excipients selected from the group consisting of sucrose, polysorbate 20, polysorbate 80, cyclodextrin, dextrose, glycerol, polyethylene glycol, mannitol, sodium chloride, and an amino acid, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6.
2. The formulation of claim 1, wherein the formulation comprises one or more excipients selected from the group consisting of:
(i) 0.1-12% sucrose,
(ii) 0.005-1.0% polysorbate 20,
(iii) 0.5-2% beta-cyclodextrin,
(iv) 2-8% glycerol,
(v) l-5% PEG6000,
(vi) 2-8% mannitol,
(vii) 0.005-1.0% polysorbate 80,
(viii) 5-20 mM histidine,
(ix) 100-300 mM glycine, and
(x) 50-300 mM sodium chloride.
3. The formulation of claim 2, wherein the formulation comprises one or more excipients selected from the group consisting of:
(i) 5-10% sucrose,
(ii) 0.005 - 0.2 % polysorbate 20,
(iii) 0.5-1% beta-cyclodextrin,
(iv) 2-5% glycerol,
(v) 2-3% PEG6000,
(vi) 3-5% mannitol, (vii) 0.005 - 0.2 % polysorbate 80, (viii) 10-15 raM histidine, (ix) 130-250 mM glycine, and (x) 100-200 mM sodium chloride.
4. The formulation of claim 1, wherein the buffered aqueous solution contains one or more of histidine, succinate, citrate, phosphate, and acetate.
5. The formulation of claim 4, wherein the pH is from 5.0 to 7.0.
6. The formulation of claim 5, wherein the pH is from 5.0 to 6.0.
7. The formulation of claim 1, wherein the immunoconjugate comprises a humanized antibody selected from the group consisting of huMy9-6, huC242, huN901, DS6, trastuzumab, bivatuzumab, sibrotuzumab, and rituximab.
8. The formulation of claim 1, wherein the immunoconjugate comprises a cytotoxic drug selected from the group consisting of a maytansinoid, a taxane, and a CC-1065.
9. An immunoconjugate formulation comprising:
(a) an immunoconjugate; and
(b) one or more excipients selected from the group consisting of histidine, sucrose, glycine and sodium chloride, wherein the formulation is a buffered aqueous solution having a pH of 4.5 to 7.6.
10. The formulation of claim 9, wherein the formulation comprises one or more excipients selected from 5-200 mM histidine, 100-200 mM glycine, and 2-8% sucrose.
11. The formulation of claim 10, wherein the excipient is 5- 100 mM histidine or 100- 15O mM glycine.
12. The formulation of claim 9, wherein the formulation contains 2-8% sucrose and 100-15O mM glycine.
13. The formulation of claim 12, wherein the formulation contains 10 mM histidine, 5% sucrose and 130 mM glycine.
14. The formulation of claim 9, wherein the buffered aqueous solution contains one or more of histidine, succinate, citrate, phosphate, and acetate.
15. The formulation of claim 14, wherein the pH is from 5.0 to 7.0.
16. The formulation of claim 15, wherein the pH is from 5.0 to 6.0.
17. The formulation of claim 9, further comprising polysorbate 20 and/or polysorbate 80.
18. The formulation of claim 9, wherein the immunoconjugate comprises a humanized antibody selected from the group consisting of huMy9-6, huC242, huN901, DS6, trastuzumab, bivatuzumab, sibrotuzumab, and rituximab.
19. The formulation of claim 9, wherein the immunoconjugate comprises a cytotoxic drug selected from the group consisting of a maytansinoid, a taxane, and a CC- 1065.
20. An immunoconjugate formulation consisting essentially of:
(a) huN901-DMl immunoconjugate at a concentration of from 0.5-10 mg/ml;
(b) 5-15 mM histidine and/or 5-15 mM succinate;
(c) 0.1-10 % sucrose and/or 100-300 mM glycine;
(d) 0.005-0.2% polysorbate 80 and/or 0.005-0.2% polysorbate 20, wherein the formulation is an aqueous buffered solution having a pH of from 5-6.
21. An immunoconjugate formulation consisting essentially of: (a) huC242-DM4 immunoconjugate at a concentration of from 0.5-10 mg/nil;
(b) 5-15 niM histidine;
(c) 0.1-10 % sucrose and/or 100-300 mM glycine;
(d) 0.005-0.2% polysorbate 80 and/or 0.005-0.2% polysorbate 20; wherein the formulation is an aqueous buffered solution having a pH of from 5-6.
PCT/US2006/030295 2005-08-03 2006-08-02 Immunoconjugate formulations Ceased WO2007019232A2 (en)

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BRPI0614100-5A BRPI0614100A2 (en) 2005-08-03 2006-08-02 liquid immunoconjugate formulations
CA 2615122 CA2615122A1 (en) 2005-08-03 2006-08-02 Immunoconjugate formulations
NZ564843A NZ564843A (en) 2005-08-03 2006-08-02 Immunoconjugate formulations comprising an immunoconjugate and an excipient in a buffered aqueous solution
EA200800233A EA014513B1 (en) 2005-08-03 2006-08-02 Immunoconjugate formulations
MX2008001492A MX336033B (en) 2005-08-03 2006-08-02 Immunoconjugate formulations.
EP06800717A EP1917030A4 (en) 2005-08-03 2006-08-02 Immunoconjugate formulations
JP2008525189A JP2009503105A (en) 2005-08-03 2006-08-02 Immune complex preparation
AU2006278573A AU2006278573A1 (en) 2005-08-03 2006-08-02 Immunoconjugate formulations
CN200680028557.XA CN101237881B (en) 2005-08-03 2006-08-02 Immunoconjugate formulations
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