Classifications

• • C—CHEMISTRY; METALLURGY
  • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
  • C08G—MACROMOLECULAR COMPOUNDS OBTAINED OTHERWISE THAN BY REACTIONS ONLY INVOLVING UNSATURATED CARBON-TO-CARBON BONDS
  • C08G63/00—Macromolecular compounds obtained by reactions forming a carboxylic ester link in the main chain of the macromolecule
  • C08G63/02—Polyesters derived from hydroxycarboxylic acids or from polycarboxylic acids and polyhydroxy compounds
  • C08G63/06—Polyesters derived from hydroxycarboxylic acids or from polycarboxylic acids and polyhydroxy compounds derived from hydroxycarboxylic acids
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/335—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
  • A61K31/337—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having four-membered rings, e.g. taxol
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
  • A61K31/47—Quinolines; Isoquinolines
  • A61K31/4738—Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems
  • A61K31/4745—Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems condensed with ring systems having nitrogen as a ring hetero atom, e.g. phenantrolines
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/74—Synthetic polymeric materials
  • A61K31/785—Polymers containing nitrogen
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K38/00—Medicinal preparations containing peptides
• • 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
• • 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
  • A61K47/56—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 organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule
  • A61K47/59—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 organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyureas or polyurethanes
  • A61K47/60—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 organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyureas or polyurethanes the organic macromolecular compound being a polyoxyalkylene oligomer, polymer or dendrimer, e.g. PEG, PPG, PEO or polyglycerol
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P35/00—Antineoplastic agents
• • C—CHEMISTRY; METALLURGY
  • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
  • C08G—MACROMOLECULAR COMPOUNDS OBTAINED OTHERWISE THAN BY REACTIONS ONLY INVOLVING UNSATURATED CARBON-TO-CARBON BONDS
  • C08G65/00—Macromolecular compounds obtained by reactions forming an ether link in the main chain of the macromolecule
  • C08G65/02—Macromolecular compounds obtained by reactions forming an ether link in the main chain of the macromolecule from cyclic ethers by opening of the heterocyclic ring
  • C08G65/32—Polymers modified by chemical after-treatment
  • C08G65/329—Polymers modified by chemical after-treatment with organic compounds
  • C08G65/331—Polymers modified by chemical after-treatment with organic compounds containing oxygen
  • C08G65/332—Polymers modified by chemical after-treatment with organic compounds containing oxygen containing carboxyl groups, or halides, or esters thereof
  • C08G65/3328—Polymers modified by chemical after-treatment with organic compounds containing oxygen containing carboxyl groups, or halides, or esters thereof heterocyclic
• • C—CHEMISTRY; METALLURGY
  • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
  • C08G—MACROMOLECULAR COMPOUNDS OBTAINED OTHERWISE THAN BY REACTIONS ONLY INVOLVING UNSATURATED CARBON-TO-CARBON BONDS
  • C08G65/00—Macromolecular compounds obtained by reactions forming an ether link in the main chain of the macromolecule
  • C08G65/02—Macromolecular compounds obtained by reactions forming an ether link in the main chain of the macromolecule from cyclic ethers by opening of the heterocyclic ring
  • C08G65/32—Polymers modified by chemical after-treatment
  • C08G65/329—Polymers modified by chemical after-treatment with organic compounds
  • C08G65/333—Polymers modified by chemical after-treatment with organic compounds containing nitrogen
  • C08G65/33344—Polymers modified by chemical after-treatment with organic compounds containing nitrogen containing carbamate group
• • C—CHEMISTRY; METALLURGY
  • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
  • C08G—MACROMOLECULAR COMPOUNDS OBTAINED OTHERWISE THAN BY REACTIONS ONLY INVOLVING UNSATURATED CARBON-TO-CARBON BONDS
  • C08G79/00—Macromolecular compounds obtained by reactions forming a linkage containing atoms other than silicon, sulfur, nitrogen, oxygen, and carbon with or without the latter elements in the main chain of the macromolecule
  • C08G79/08—Macromolecular compounds obtained by reactions forming a linkage containing atoms other than silicon, sulfur, nitrogen, oxygen, and carbon with or without the latter elements in the main chain of the macromolecule a linkage containing boron
• • C—CHEMISTRY; METALLURGY
  • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
  • C08L—COMPOSITIONS OF MACROMOLECULAR COMPOUNDS
  • C08L67/00—Compositions of polyesters obtained by reactions forming a carboxylic ester link in the main chain; Compositions of derivatives of such polymers
  • C08L67/02—Polyesters derived from dicarboxylic acids and dihydroxy compounds

Definitions

• This disclosure relates generally to multi-arm, water-soluble polymers and their corresponding drug conjugates.
• the disclosure is directed to, among other features, multi-armed polymer conjugates having drug covalently attached to the multi-arm polymer via an alkanoate-linkage.
• pharmaceutical compositions comprising such conjugates, and methods for preparing, formulating, administering, and using such conjugates and related compositions.
• commonly employed drug delivery approaches aimed at solving or at least ameliorating one or more of these challenges include drug encapsulation (such as in a liposome, polymer matrix, or unimolecular micelle), covalent attachment to a water-soluble polymer (i.e., conjugation) such as polyethylene glycol (i.e., PEG or PEGylation), use of gene targeting agents, and the like.
• drug encapsulation such as in a liposome, polymer matrix, or unimolecular micelle
• conjugation such as polyethylene glycol (i.e., PEG or PEGylation)
• PEG or PEGylation polyethylene glycol
• solubilities For instance, water-soluble polymers such as PEG have been covalently attached to artilinic acid to improve its aqueous solubility. See U.S. Patent No. 6,461,603. Similarly, PEG has been covalently attached to triazine-based compounds such as trimelamol to improve their solubility in water and enhance their chemical stability. See International Patent Application Publication No. WO 02/043772. Covalent attachment of PEG to bisindolyl maleimides has been employed to improve poor bioavailability of such compounds due to low aqueous solubility. See International Patent Application Publication No. WO 03/037384). Polymer conjugates of non-steroidal anti-inflammatory drugs (NSAIDs) and of opioid antagonists have also been prepared.
• NSAIDs non-steroidal anti-inflammatory drugs
• Certain drugs such as the alkaloids, are notoriously difficult to solubilize (i.e., formulate).
• alkaloids include the taxanes, such as docetaxel, and the camptothecins, such as irinotecan.
• Camptothecin (often abbreviated as "CPT") is a phytotoxic alkaloid first isolated from the wood and bark of Camptotheca acuminata (Nyssaceae), and has been shown to exhibit antitumor activity.
• the compound has a pentacyclic ring system with an asymmetric center in lactone ring E with a 20 S configuration.
• the pentacyclic ring system includes a pyrrolo[3, 4-b]quinoline (rings A, B and C), a conjugated pyridone (ring D), and a six-membered lactone (ring E) with a 20-hydroxyl group. Due to its insolubility in water, camptothecin was initially evaluated clinically in the form of a water-soluble carboxylate salt having the lactone ring open to form the sodium salt. The sodium salt, although exhibiting much improved water solubility in comparison to camptothecin itself, produced severe toxicity and demonstrated very little in vivo anticancer activity, thus demonstrating the undesirability of this approach.
• irinotecan and other camptothecin derivatives undergo an undesirable hydrolysis of the E-ring lactone under alkaline conditions.
• administration of irinotecan causes a number of troubling side effects, including leukopenia, neutropenia, and diarrhea. Due to its severe diarrheal side-effect, the dose of irinotecan that can be administered in its conventional, unmodified form is extremely limited, thus hampering the efficacy of this drug and others of this type.
• the present disclosure provides a multi-arm polymer conjugate having the following structure,
• R is an organic core radical comprising from about 3 to about 150 carbon atoms;
• Q is a linker;
• POLYi is a water-soluble and non-peptidic polymer segment;
• X is a spacer that is optionally present;
• Ri in each occurrence, is independently selected from the group consisting of H, lower alkyl, and an electron withdrawing group;
• n is an integer in the range from 1 to 7 (e.g., is selected from 1, 2, 3, 4, 5, 6, and 7);
• D is a residue of a small molecule having a molecular weight of less than about 800 daltons; and
• q is 3 or greater.
• D is an anticancer agent.
• variable "R" is an organic core radical possessing from about 3 to about 25 carbon atoms.
• R can be linear or cyclic.
• R is a saturated, aliphatic core.
• Exemplary multi-armed polymer conjugates include those where R, when taken together with Q over each of "q" arms, is a residue of a polyol, a polythiol, or a polyamine.
• R, when taken together with Q over each of "q” arms is a residue of glycerol, trimethylolpropane, pentaerythritol, sorbitol, or an oligomer of glycerol.
• linker, "Q,” is hydrolytically stable.
• Particular embodiments related to Q include the following: in one or more embodiments, Q contains from about 1 to about 10 atoms; in other embodiments, Q is selected from the group consisting of -O-, -S-, -NH-, -C(O)-NH-, and -NH-C(O)-.
• POLYi is a polymer selected from the group consisting of poly(alkylene glycol), poly(olefinic alcohol), poly(vinylpyrrolidone), polyChydroxyalkylmethacrylamide), poly(hydroxyalkylmethacrylate), polysaccharide), poly( ⁇ -hydroxy acid), poly(acrylic acid), poly( vinyl alcohol), polyphosphazene, polyoxazoline, polyCN-acryloylmorpholine), or copolymers or terpolymers thereof.
• POLY 1 is a polyethylene glycol.
• Additional embodiments directed to POLYi include the following: in one or more embodiments, POLY 1 is linear; in yet other embodiments, the weight average molecular weight of POLYi ranges from about 200 to about 30,000 daltons.
• the weight average molecular weight of the conjugate is about 20,000 daltons or greater, e.g., in a molecular weight range of about 20,000 to about 80,000 daltons.
• X has an atom length of from about 1 atom to about 50 atoms. In yet other embodiments, X has an atom length of from about 1 atom to about 25 atoms (e.g., is selected from 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, or a range therein). In further embodiments, X is oxygen ("-O-"). In a particular embodiment when POLYi is a linear polyethylene glycol corresponding to the structure, -(CH 2 CH 2 O) n CH 2 CH 2 -, X is oxygen ("-O-").
• Ri is H. In yet other embodiments, Ri is H for all "n" occurrences. In yet other embodiments, each Ri in each occurrence [i.e., for each of "n" of (-C(H)Ri-)] is independently selected from methyl, ethyl, propyl, n-butyl, isopropyl and isobutyl. In yet other embodiments, each Ri is independently selected from a halide (e.g., fluoride, chloride, bromide, and iodide), a nitrile, -NO 2 , and -CF 3 . In preferred embodiments, Ri is hydrogen. In yet other embodiments, Ri is other than hydrogen only when positioned on the alpha carbon adjacent to the carbonyl. In further embodiments, Ri is methyl when positioned on the alpha carbon.
• halide e.g., fluoride, chloride, bromide, and iodide
• variable "q" particular embodiments directed to “q” include the following.
• the value of q is selected from the group consisting of 3, 4, 5, 6, 7, 8, 9, and 10.
• q is 3 or 4.
• each of "q" polymer arms [-Q-POLYi-X-(CH 2 ) 2 -(CHRi) n C(O)OD] is the same.
• Embodiments directed to the small molecule portion of the conjugate include the following.
• the small molecule possesses a molecular weight ranging from about 250-700 daltons.
• D is a residue of a taxane or a camptothecin.
• D is a residue of paclitaxel or docetaxel.
• D possesses the structure:
• the multi-armed polymer conjugate possesses the structure:
• n ranges from about 40 to about 500.
• the overall weight average molecular weight of the conjugate ranges from about 10,000 to about 80,000.
• a pharmaceutical composition comprising a multi-armed polymer conjugate as described herein combined with a pharmaceutically acceptable carrier.
• the composition when evaluated in a single dose study in rats, exhibits a 2-fold or greater reduction of toxicity when compared to docetaxel.
• the conjugate is characterized by a drug loading of greater than or equal to 92%.
• the multi-armed polymer conjugate which corresponds to Compound Ia shown above, is further characterized by a percentage tumor growth delay (TGD) when measured at maximum tolerated dose (MTD) in any one of a H460, LoVo, or LS174T mouse xenograft model, that is 1.5-fold or more greater than that observed for docetaxel.
• TTD tumor growth delay
• MTD maximum tolerated dose
• a method of delivering a multi-armed polymer conjugate to a mammalian subject in need thereof comprises administering to the mammalian subject a therapeutically effective amount of a multi-armed polymer conjugate as provided herein.
• a method of treating cancer in a mammalian subject comprises administering a therapeutically effective amount of a conjugate as provided herein (where D is an anticancer agent) to a subject diagnosed as having one or more cancerous solid tumors over a duration of time effective to produce an inhibition of growth of said solid tumor(s) in said subject.
• D is an anticancer agent
• the cancerous solid tumor type is selected from the group consisting of colorectal, breast, prostate, and non-small cell lung.
• a method of treating a mammalian subject for a condition responsive to treatment with docetaxel comprises administering to the subject a therapeutically effective amount of a multi-armed polymer conjugate as provided herein.
• R(-Q-POLY,-Y-D) q where R is an organic core radical possessing from about 3 to about 150 carbon atoms, Q is a linker, POLYi is a water-soluble and non-peptidic polymer, Y is a spacer comprising a hydrolyzable linkage, such that upon hydrolysis of said hydrolyzable linkage, D is released, - -
• D is a small molecule, and q is greater than or equal to 3, provided is an improvement comprising Y having the structure,
• X is a spacer as described in further detail herein; Ri is selected from the group consisting of H, lower alkyl, and an electron withdrawing group, and n is an integer from 1 to 5.
• a multi-arm polymer structure having the following structure,
• R is an organic core radical comprising from about 3 to about 150 carbon atoms;
• Q is a linker;
• POLYi is a water-soluble and non-peptidic polymer segment;
• n is an integer from 1 to 7;
• q is 3 or greater;
• W is selected from the group consisting of D, H, and an activated ester, where D is a residue of a small molecule having a molecular weight of less than about 800 daltons.
• W is preferably equal to D at a value of 0.92(q) or greater.
• a method of preparing a multi-arm polymer drug conjugate comprises reacting within the limits of the described chemical processes a multi-arm water-soluble polymer structure having "q" polymer arms, each having a reactive carboxylic acid group or activated ester equivalent at its terminus, with "q" equivalents or greater of a sterically hindered secondary or tertiary alcohol of a small molecule drug under conditions effective to result in conjugation of the small molecule drug to the multi-arm water soluble polymer structure via an ester linkage to form a multi-arm water soluble polymer drug conjugate wherein 92% or greater of said polymer arms have - -
• the conjugate possesses a linker adjacent to the ester linkage in each of the polymer arms, where the linker is preferably absent a functional group capable of a neighboring group interaction with the ester carbonyl to form a five- or six-membered cyclic product capable of displacing the small molecule drug.
• the linker is an alkanoate linker having the structure -(CH 2 ) 2 (CRi H) n C(O)-O-, where Ri in each occurrence is independently selected from H, lower alkyl, and an electron withdrawing group, and n is an integer from 1 to 7.
• the linker prior to the reacting step, is covalently attached to the drug or to each of the polymer arms.
• a multi-arm polymer conjugate or reagent having the following structure:
• the structure possesses one methylene group adjacent to X rather than two, n is equal to one, and Ri is either lower alkyl or an electron withdrawing group.
• 4-arm-PEG- methylpropionic acid is an exemplary structure that is useful in providing such multi-arm polymer conjugates or reagents.
• FIGs. 1A-1C demonstrate an illustrative synthesis of a dipeptide-linked pentaerythritolyl core-containing multi-armed polymer.
• FIGs. 2A and 2B are graphs illustrating the median tumor volume (MTV) over time for mice implanted with LS174T (colorectal) tumors and treated with either docetaxel (Taxotere®) or 4-ARM-PEG 2 o ⁇ -BA-DOC as described in detail in Example 13.
• Fig. 2A provides dose response curves for mice administered different dosages of either docetaxel or 4- ARM-PEG 20K -B A-DOC;
• Fig. 2B is a graphical representation of LS174T median tumor volume over time for mice administered the maximum tolerated dose (MTD) of either docetaxel or 4-ARM-PEG 20K -BA-DOC.
• MTV median tumor volume
• FIGs. 3A and 3B illustrate significantly increased tumor growth delay (TGD) for mice implanted with H460 tumors and treated with either docetaxel (Taxotere®) or 4-ARM-PEG 2OK -BA-DOC as described in detail in Example 13.
• Fig. 3 A provides dose response curves for mice administered different dosages of either docetaxel or or 4-ARM-PEG 2OK -BA-DOC;
• Fig. 3B provides a maximum tolerated dose (MTD) versus control comparison.
• TTD tumor growth delay
• FIGs. 4A and 4B are graphs illustrating the median tumor volume over time for mice implanted with LoVo tumors and treated with either docetaxel (Taxotere®) or 4-ARM-PEG 2 o ⁇ -BA-DOC as described in detail in Example 13.
• Fig. 4A provides dose response curves for mice administered different dosages of either docetaxel or or 4-ARM-PEG 2 o ⁇ -BA-DOC;
• Fig. 4B provides a MTD comparison for mice administered the maximum tolerated dose (MTD) of either docetaxel or 4-ARM-PEG 2 o ⁇ -B A-DOC versus control.
• MTD maximum tolerated dose
• a “functional group” is a group that may be used, under normal conditions of organic synthesis, to form a covalent linkage between the entity to which it is attached and another entity, which typically bears a further functional group.
• the functional group generally includes multiple bond(s) and/or heteroatom(s). Preferred functional groups for use in the polymers of the invention are described below.
• reactive refers to a functional group that reacts readily or at a practical rate under conventional conditions of organic synthesis. This is in contrast to those groups that either do not react or require strong catalysts or impractical reaction conditions in order to react (i.e., a "nonreactive” or "inert” group).
• An "activated derivative" of a carboxylic acid refers to a carboxylic acid derivative which reacts readily with nucleophiles, generally much more readily than the underivatized carboxylic acid.
• Activated carboxylic acids include, for example, acid halides (such as acid chlorides), anhydrides, carbonates, and esters.
• esters include, for example, imidazolyl esters, and benzotriazole esters, and imide esters, such as N-hydroxysuccinimidyl (NHS) esters.
• An activated derivative may be formed in situ by reaction of a carboxylic acid with one of various reagents, e.g.
• a "chemical equivalent" of a functional group is one that possesses essentially the same type of reactivity as the functional group. For instance, one functional group that undergoes an SN2 reaction is considered to be a functional equivalent of another such functional group.
• a "protecting group” is a moiety that prevents or blocks reaction of a particular chemically reactive functional group in a molecule under certain reaction conditions.
• the protecting group will vary depending upon the type of chemically reactive group being protected as well as the reaction conditions to be employed and the presence of additional reactive or protecting groups in the molecule.
• Functional groups that may be protected include, by way of example, carboxylic acid groups, amino groups, hydroxyl groups, thiol groups, carbonyl groups and the like.
• protecting groups for carboxylic acids include esters (such as a/7-methoxybenzyl ester), amides and hydrazides; for amino groups, carbamates (such as tert-butoxycarbonyl) and amides; for hydroxyl groups, ethers and esters; for thiol groups, thioethers and thioesters; for carbonyl groups, acetals and ketals; and the like.
• Such protecting groups are well-known to those skilled in the art and are described, for example, in T.W. Greene and G.M. Wuts, Protecting Groups in Organic Synthesis, Third Edition, Wiley, New York, 1999, and in P.J. Kocienski, Protecting Groups, Third Ed., Thieme Chemistry, 2003, and references cited therein.
• a functional group in "protected form” refers to a functional group bearing a protecting group.
• the term “functional group” or any synonym thereof is meant to encompass protected forms thereof.
• PEG poly(ethylene glycol)
• PEGs for use in the present invention will comprise one of the two following structures: "-(CH 2 CH 2 O) n -" or “-(CH 2 CH 2 O) n- ICH 2 CH 2 -,” depending upon whether or not the terminal oxygen(s) has been displaced, e.g., during a synthetic transformation, or, e.g., the identity of adjacent functional groups.
• the variable (n) typically ranges from 3 to about 3000, and the terminal groups and architecture of the overall PEG may vary.
• PEG or a conjugate comprising a PEG segment further comprises a spacer or a linker as in Compound I above (to be described in greater detail below)
• the atoms comprising the spacer (X) or linker (Q) when covalently attached to a PEG segment, do not result in formation of (i) an oxygen-oxygen bond (-O-O-, a peroxide linkage), or (ii) a nitrogen-oxygen bond (N-O, O-N).
• PEGs for use in the invention include PEGs having a variety of molecular weights, structures or geometries to be described in greater detail below. - -
• Water-soluble in the context of a polymer of the invention or a “water- soluble polymer segment” is any segment or polymer that is soluble in water at room temperature.
• a water-soluble polymer or segment will transmit at least about 75%, more preferably at least about 95% of light, transmitted by the same solution after filtering.
• a water-soluble polymer or segment thereof will preferably be at least about 35% (by weight) soluble in water, more preferably at least about 50% (by weight) soluble in water, still more preferably about 70% (by weight) soluble in water, and still more preferably about 85% (by weight) soluble in water. It is most preferred, however, that the water-soluble polymer or segment is about 95% (by weight) soluble in water or completely soluble in water.
• An "end-capping" or “end-capped” group is an inert group present on a terminus of a polymer such as PEG.
• An end-capping group is one that does not readily undergo chemical transformation under typical synthetic reaction conditions.
• An end capping group is generally an alkoxy group, -OR, where R is an organic radical comprised of 1 -20 carbons and is preferably lower alkyl (e.g., methyl, ethyl) or benzyl.
• R is an organic radical comprised of 1 -20 carbons and is preferably lower alkyl (e.g., methyl, ethyl) or benzyl.
• an end capped PEG will typically comprise the structure "RO-(CH 2 CH 2 O) n -", where R is as defined above.
• the end-capping group can also advantageously comprise a detectable label.
• the amount or location of the polymer and/or the moiety (e.g., active agent) to which the polymer is coupled can be determined by using a suitable detector.
• suitable detector include, without limitation, fluorescers, chemiluminescers, moieties used in enzyme labeling, colorimetric (e.g., dyes), metal ions, radioactive moieties, and the like.
• Non-naturally occurring with respect to a polymer means a polymer that in its entirety is not found in nature.
• a non-naturally occurring polymer may however contain one or more subunits or segments of subunits that are naturally occurring, so long as the overall polymer structure is not found in nature.
• Molecular mass in the context of a water-soluble polymer such as PEG, refers to the nominal average molecular mass of a polymer, typically determined by size exclusion chromatography, light scattering techniques, or intrinsic viscosity determination in water or organic solvents.
• Molecular weight in the context of a water-soluble polymer, such as PEG can be expressed as either a number-average molecular weight or a weight-average molecular weight. Unless otherwise indicated, all references to molecular weight herein refer to the number-average molecular weight. Both molecular weight determinations, number- - - -
• average and weight-average can be measured using gel permeation chromatographic techniques.
• Other methods for measuring molecular weight values can also be used, such as the use of end-group analysis or the measurement of colligative properties (e.g., freezing- point depression, boiling-point elevation, or osmotic pressure) to determine number-average molecular weight or the use of light scattering techniques, ultracentrifugation or viscometry to determine weight-average molecular weight.
• the polymers of the invention are typically polydisperse (i.e., number-average molecular weight and weight-average molecular weight of the polymers are not equal), possessing low polydispersity values such as less than about 1.2, less than about 1.15, less than about 1.10, less than about 1.05, and less than about 1.03.
• references will at times be made to a single water-soluble polymer having either a weight-average molecular weight or number-average molecular weight; such references will be understood to mean that the single-water soluble polymer was obtained from a composition of water-soluble polymers having the stated molecular weight.
• linker is used herein to refer to an atom or a collection of atoms used to link interconnecting moieties, such as an organic radical core and a polymer segment, POLYi.
• a linker moiety may be hydrolytically stable or may include a physiologically hydrolyzable or enzymatically degradable linkage.
• spacer is used herein to refer to an atom or a collection of atoms used to link interconnecting moieties, such as POLYi and a dimethylene group forming part of an alkanoate linkage to small molecule drug, D.
• a spacer moiety may be hydrolytically stable or may include a physiologically hydrolyzable or enzymatically degradable linkage.
• a "hydrolysable" bond is a relatively weak bond that reacts with water (i.e., is hydrolyzed) under physiological conditions.
• the tendency of a bond to hydrolyze in water will depend not only on the general type of linkage connecting two central atoms but also on the substituents attached to these central atoms.
• Illustrative hydrolytically unstable linkages include carboxylate ester, phosphate ester, anhydrides, acetals, ketals, acyloxyalkyl ether, imines, orthoesters, peptides and oligonucleotides.
• An "enzymatically degradable linkage” means a linkage that is subject to degradation by one or more enzymes. Such a linkage requires the action of one or more enzymes to effect degradation.
• a “hydrolytically stable” linkage or bond refers to a chemical bond, typically a covalent bond, that is substantially stable in water, that is to say, does not undergo hydrolysis under physiological conditions to any appreciable extent over an extended period of time.
• hydrolytically stable linkages include but are not limited to the following: carbon-carbon bonds (e.g., in aliphatic chains), ethers, amides, urethanes, and the like.
• a hydrolytically stable linkage is one that exhibits a rate of hydrolysis of less than about 1-2% per day under physiological conditions. Hydrolysis rates of representative chemical bonds can be found in most standard chemistry textbooks.
• Multi-armed in reference to the geometry or overall structure of a polymer refers to polymer having 3 or more polymer-containing "arms" connected to a "core" molecule or structure.
• a multi-armed polymer may possess 3 polymer arms, 4 polymer arms, 5 polymer arms, 6 polymer arms, 7 polymer arms, 8 polymer arms or more, depending upon its configuration and core structure.
• One particular type of highly branched polymer is a dendritic polymer or dendrimer, that, for the purposes of the invention, is considered to possess a structure distinct from that of a multi-armed polymer. That is to say, a multi-armed polymer as referred to herein explicitly excludes dendrimers.
• a multi-armed polymer as provided herein possesses a non-crosslinked core.
• a "dendrimer” is a globular, size monodisperse polymer in which all bonds emerge radially from a central focal point or core with a regular branching pattern and with repeat units that each contribute a branch point.
• Dendrimers are typically formed using a nano-scale, multistep fabrication process. Each step results in a new "generation” that has two or more times the complexity of the previous generation. Dendrimers exhibit certain dendritic state properties such as core encapsulation, making them unique from other types of polymers.
• Branch point refers to a bifurcation point comprising one or more atoms at which a polymer splits or branches from a linear structure into one or more additional polymer arms.
• a multi-arm polymer may have one branch point or multiple branch points, so long as the branches are not regular repeats resulting in a dendrimer.
• Alkyl refers to a hydrocarbon chain, typically ranging from about 1 to 20 atoms in length. Such hydrocarbon chains are preferably but not necessarily saturated and may be branched or straight chain, although typically straight chain is preferred.
• Exemplary alkyl groups include methyl, ethyl, isopropyl, n-butyl, n-pentyl, 2-methyl-l -butyl, 3-pentyl, - -
• alkyl includes cycloalkyl when three or more carbon atoms are referenced.
• “Lower alkyl” refers to an alkyl group containing from 1 to 6 carbon atoms, and may be straight chain or branched, as exemplified by methyl, ethyl, n-butyl, i-butyl, t- butyl.
• Cycloalkyl refers to a saturated or unsaturated cyclic hydrocarbon chain, including bridged, fused, or spiro cyclic compounds, preferably made up of 3 to about 12 carbon atoms, more preferably 3 to about 8.
• Non-interfering substituents are those groups that, when present in a molecule, are typically non-reactive with other functional groups contained within the molecule.
• substituted refers to a moiety (e.g., an alkyl group) substituted with one or more non-interfering substituents, such as, but not limited to: C 3 -C 8 cycloalkyl, e.g., cyclopropyl, cyclobutyl, and the like; halo, e.g., fluoro, chloro, bromo, and iodo; cyano; alkoxy, lower phenyl; substituted phenyl; and the like.
• substituents may be in any orientation (i.e., ortho, meta, or para).
• Alkoxy refers to an -O-R group, wherein R is alkyl or substituted alkyl, preferably C I -C 20 alkyl (e.g., methoxy, ethoxy, propyloxy, etc.), preferably Ci-C 7 .
• alkenyl refers to a branched or unbranched hydrocarbon group of 1 to 15 atoms in length, containing at least one double bond, such as ethenyl (vinyl), 2-propen-l-yl (allyl), isopropenyl, 3-buten-l-yl, and the like.
• alkynyl refers to a branched or unbranched hydrocarbon group of 2 to 15 atoms in length, containing at least one triple bond, ethynyl, 1-propynyl, 3-butyn-l-yl, 1-octyn-l-yl, and so forth.
• Aryl means one or more aromatic rings, each of 5 or 6 core carbon atoms.
• Aryl includes multiple aryl rings that may be fused, as in naphthyl or unfused, as in biphenyl. Aryl rings may also be fused or unfused with one or more cyclic hydrocarbon, heteroaryl, or heterocyclic rings. As used herein, "aryl” includes heteroaryl. [0076] "Heteroaryl” is an aryl group containing from one to four heteroatoms, preferably N, O, or S, or a combination thereof. Heteroaryl rings may also be fused with one or more cyclic hydrocarbon, heterocyclic, aryl, or heteroaryl rings.
• Heterocycle or “heterocyclic” means one or more rings of 5-12 atoms, preferably 5-7 atoms, with or without unsaturation or aromatic character and having at least one ring atom which is not a carbon.
• Preferred heteroatoms include sulfur, oxygen, and nitrogen.
• Substituted heteroaryl is heteroaryl having one or more non-interfering groups as substituents.
• Substituted heterocycle is a heterocycle having one or more side chains formed from non-interfering substituents.
• Electrophile refers to an ion, atom, or collection of atoms that may be ionic, having an electrophilic center, i.e., a center that is electron seeking, capable of reacting with a nucleophile.
• Nucleophile refers to an ion or atom or collection of atoms that may be ionic, having a nucleophilic center, i.e., a center that is seeking an electrophilic center, and capable of reacting with an electrophile.
• Active agent includes any agent, drug, compound, and the like which provides some pharmacologic, often beneficial, effect that can be demonstrated in vivo or in vitro. As used herein, these terms further include any physiologically or pharmacologically active substance that produces a localized or systemic effect in a patient.
• “Pharmaceutically acceptable excipient” or “pharmaceutically acceptable carrier” refers to an excipient that can be included in the compositions of the invention and that causes no significant adverse toxic ⁇ logical effects to the patient.
• “Pharmacologically effective amount,” “physiologically effective amount,” and “therapeutically effective amount” are used interchangeably herein to mean the amount of an active agent present in a pharmaceutical preparation that is needed to provide a desired level of active agent and/or conjugate in the bloodstream or in a target tissue or site in the body. The precise amount will depend upon numerous factors, e.g., the particular active agent, the components and physical characteristics of pharmaceutical preparation, intended patient - -
• Multi-functional in the context of a polymer of the invention means a polymer having 3 or more functional groups, where the functional groups may be the same or different, and are typically present on the polymer termini.
• Multi-functional polymers of the invention will typically contain from about 3-100 functional groups, or from 3-50 functional groups, or from 3-25 functional groups, or from 3-15 functional groups, or from 3 to 10 functional groups, i.e., contains 3, 4, 5, 6, 7, 8, 9 or 10 functional groups.
• the polymer possesses 3 or more polymer arms having at the terminus of each arm a functional group suitable for coupling to an active agent moiety via a hydrolyzable ester linkage.
• such functional groups are the same.
• Difunctional or “bifunctional” as used interchangeable herein means an entity such as a polymer having two functional groups contained therein, typically at the polymer termini. When the functional groups are the same, the entity is said to be homodifunctional or homobifunctional. When the functional groups are different, the polymer is said to be heterodifunctional or heterobifunctional.
• a basic or acidic reactant described herein includes neutral, charged, and any corresponding salt forms thereof.
• Polyolefinic alcohol refers to a polymer comprising an olefin polymer backbone, such as polyethylene, having multiple pendant hydroxyl groups attached to the polymer backbone.
• An exemplary polyolefinic alcohol is polyvinyl alcohol.
• non-peptidic refers to a polymer backbone substantially free of peptide linkages.
• the polymer may include a minor number of peptide linkages spaced along the repeat monomer subunits, such as, for example, no more than about 1 peptide linkage per about 50 monomer units.
• subject refers to a vertebrate, preferably a mammal.
• Mammals include, but are not limited to, murines, rodents, simians, humans, farm animals, sport animals and pets.
• Such subjects are typically suffering from or prone to a condition that can be prevented or treated by administration of a polymer of the invention, typically but not necessarily in the form of a polymer-active agent conjugate as described herein.
• Treatment or "treating" of a particular condition includes: (1) preventing such a condition, i.e. causing the condition not to develop, or to occur with less intensity or to a lesser degree in a subject that may be exposed to or predisposed to the condition but does not yet experience or display the condition, (2) inhibiting the condition, i.e., arresting the development or reversing the condition.
• a "small molecule” may be defined broadly as an organic, inorganic, or organometallic compound typically having a molecular weight of less than about 1000, preferably less than about 800 daltons. Small molecules of the invention encompass oligopeptides and other biomolecules having a molecular weight of less than about 1000.
• a "residue,” for example, of a small molecule refers to the portion or residue of the umodified small molecule up to the covalent linkage resulting from covalent attachment of the small molecule (or an activated or chemically modified form thereof) to a multi-armed polymer as provided herein. For example, upon hydrolysis of the hydrolyzable ester linkage between the small molecule moiety and the multi-armed polymer, the small molecule per se is released.
• a "polyol” is an alcohol containing more than two hydroxyl groups, where the prefix “poly” in this instance refers to a plurality of a certain feature rather than to a - -
• a polythiol is a thiol containing more than two thiol (-SH) groups
• a polyamine is an amine containing more than two amino groups.
• prodrugs refers, in the instant application, to a modified form of a drug, where such modification typically includes a covalent link between the drug and a chemical moiety (e.g., a polymer). A prodrug is converted in vivo to its active drug form, either enzymatically or nonenzymatically.
• Multi-armed polymer conjugates of small molecules have been previously described. See, e.g., U.S. Patent Application Publication Nos. 2005/0112088 and 2007/0197575.
• Certain exemplified embodiments of the multi-armed polymer conjugates described therein contain an amino acid linker such as glycine connecting the active agent, e.g., a camptothecin molecule, to the multi-armed polymer scaffold.
• An amino acid linkage such as glycine is attractive due to its bifunctional nature and facile hydrolysis in vitro and in vivo.
• the ester linkage resulting from the amino acid linker is rapidly hydrolyzed due to the activation of the electron withdrawing nature of the functional group adjacent to the glycine moiety.
• a linker can provide advantageous hydrolysis rates, the inventors have discovered that a neighboring functional group interaction may cause problems under certain circumstances which may make such linkers sub-optimal in the final multi-arm polymer conjugates.
• an azlactone is a compound that is an anhydride of an ⁇ -acylamino acid; the basic ring structure is the 5- oxazolone type, e.g.,
• An azlactone can form, for example, in the presence of a condensing agent, when attempting to form an active ester of a carboxylic acid.
• Azlactones can form in many similar processes. See, e.g., Benoiton et al.
• the azlactone can also form from the active ester via a mechanism similar to that for formation of the azlactone from the acid. Avoidance of azlactone formation, then, in forming desired products in good yields, and corresponding compositions substantially absent impurities such as substantially absent azlactone-containing impurities, is one nonlimiting aim of the conjugates, compositions and methods provided herein. - -
• glycine is first conjugated to a drug containing a hydroxy group. Then, the glycine-derivatized drug is conjugated to an active (e.g., NHS) ester of carboxymethyl PEG (PEG CM), as illustrated in the scheme below.
• active e.g., NHS
• PEG CM carboxymethyl PEG
• a multi-arm polymer such as described herein will, on average, possess drug substituted on each of the polymer arms, so that the multi-arm polymer scaffold is "fully loaded” - to thereby take full advantage of the multi-arm feature of the polymer. See, e.g., Examples 3-5 in comparison to Examples 2, 6, 7, 8, 9, 10, and 12.
• substitution of a given polymer arm of a multi-arm polymer may result from a drug moiety never having become covalently attached to the polymer arm.
• substitution of a given polymer arm of a multi-arm polymer may result from loss of the drug moiety following ester formation.
• a drug moiety e.g. a camptothecin alcohol
• An azlactone is likely to be an intermediate owing to the likely participation of the neighboring urethane group as illustrated below.
• N-hydroxysuccinimide is generally considered to be a much better leaving group than an alcohol (such as that present in, e.g., irinotecan or camptothecin)
• steric hindrance may be a driving force for this process in molecules that have a tertiary alcohol (e.g., irinotecin or camptotecin).
• the terminating group is an azlactone or its hydrolysis product - the glycine-terminated PEG arm.
• An azlactone if formed, represents an impurity since it may react with amine groups of endogenous proteins to form unwanted conjugates in vivo. See U.S. Patent No. 5,321,095.
• conjugates, reagents, and methods described herein possess, among other things, the advantages of increased drug loading while avoiding impurities, hi addition, the instant conjugates demonstate superior in-vivo anti-cancer activity, and reduced toxicity, along with an efficacy that is significantly enhanced over unconjuated drug alone.
• a conjugate as provided herein comprises a multi-arm polymer, i.e., having three or more arms, where the conjugate possesses the following generalized structure,
• R is an organic core radical comprising from about 3 to about 150 carbon atoms; Q is a linker; POLY 1 is a water-soluble and non-peptidic polymer segment; X is a spacer that is optionally present; R 1 , in each occurrence, is independently selected from the group consisting of H, lower alkyl, and an electron withdrawing group; n is an integer from 1 to 7; D is a residue of a small molecule, preferably a small molecule drug, having a molecular weight of less than about 800 daltons; and q is 3 or greater. Each arm of the multi-armed polymer is independent from the other.
• each of the "q" arms of the multi-armed polymer may be composed of a different Q, POLY 1 , X, Rj, n and so forth.
• a generalized structure corresponds to: R[(-Q I -POLY I A -X I - (CH 2 ) 2 (CR 1A H) nl C(O)-O-D 1 )(-Q 2 -POLY 1 B-X 2 -(CH 2 ) 2 (CR 1 BH) n2 C(O)-O-D 2 )(-Q 3 -POLY lc - X 3 -(CH 2 ) 2 (CR A H) ⁇ 2 C(O)-O-D 3 ) ...], and so forth for each of the arms emanating from the central organic core radical.
• each arm of the multi-armed prodrug is the same, with certain exceptions to be addressed in greater detail below.
• the multi-armed polymer contains the feature of an alkanoate segment, an alkanoate segment within the -X-(CH 2 ) 2 (CRi H) n C(O)-O- D moiety.
• the alkanoate is of a length and nature sufficient to prevent or reduce neighboring group participation (e.g., from the linker group, "X").
• An alpha or beta alkyl group or the like e.g., when Ri is alkyl
• use of the alkanoate linker is effective to result in exemplary multi-arm polymer drug conjugates having high drug loading efficiencies.
• conjugate similarly extends to the corresponding multi-armed polymer reagent, e.g., where D as presented in Compound I as a residue of a small molecule, D can be substituted for, for example, H or a functional group corresponding to an activated ester.
• R is an organic core radical possessing from about 3 to about
• R contains from about 3 to about 50 carbon atoms, and even more preferably, R contains from about 3 to about 10 carbon atoms. That is to say, R, in one embodiment, may possess a number of carbon atoms selected from the group consisting of 3, 4, 5, 6, 7, 8, 9, and 10.
• the organic core may optionally contain one or more heteroatoms (e.g., O, S, or N), depending of course on the particular core molecule employed.
• R may be linear or cyclic, and typically, emanating therefrom are at least 3 independent polymer arms, at least one of which possesses an active agent moiety covalently attached thereto.
• Preferred organic core molecules are saturated aliphatics.
• q corresponds to the number of polymer arms emanating from “R.”
• one or more of the polymer arms may not have an active agent covalently attached thereto, but rather may have a relatively unreactive or unreacted functional group at its terminus, typically resulting from a synthesis that has failed to go to completion or due to hydrolysis.
• D is absent and the individual structure of at least one of the polymer arms is in its precursor form (or is a derivative thereof), i.e., having at its terminus not an active agent, D, but rather, a functional group.
• one particularly advantageous feature of the multi-armed conjugates provided herein is their degree of drug loading on each of the water-soluble polymer arms of the multi-armed polymer.
• the degree of drug loading of the multi-armed polymer is greater than about 92%.
• the average drug loading (within a composition of multi-armed polymers) will preferably be 0.92(q) or greater.
• a multi- armed polymer conjugate as provided herein will possess a degree of drug loading (within a composition of multi-armed polymers) of at least 93%, 94%, 95%, 96%, 97%, 98% or even 99% or greater.
• the central core organic radical, R corresponds to a discrete molecule that provides a number of polymer attachment sites approximately equal to the desired number of water-soluble and non-peptidic polymer arms.
• the central core molecule of the multi-arm polymer structure is the residue of a polyol, polythiol, or a polyamine bearing at least three hydroxyl, thiol, or amino groups available for polymer attachment.
• a "polyol” is a molecule comprising a plurality (3 or more) of available hydroxyl groups.
• a "polythiol” is a molecule that possesses a plurality (3 or more) thiol groups.
• a "polyamine” is a molecule comprising a plurality (3 or more) available amino groups.
• the precursor polyol, polyamine or polythiol, (prior to covalent attachment of POLYi) will typically contain 3 to about 25 hydroxyl, or amino groups or thiol groups, respectively, preferably from 3 to about 10 hydroxyl, amino groups or thiol groups, (i.e., 3, 4, 5, 6, 7, 8, 9, 10), most preferably, will contain from 3 to about 8 (e.g., 3, 4, 5, 6, 7, or 8) hydroxyl, amino groups or thiol groups suitable for covalent attachment of POLYi.
• the polyol, polyamine or polythiol may also include other protected or unprotected functional groups.
• preferred cores are those having a length of from about 1 to about 20 intervening core atoms, such as carbon atoms, between each hydroxyl or amino group, preferably from about 1 to about 5.
• intervening core atoms and lengths -CH 2 -, for example, is considered as having a length of one intervening atom, although the methylene group itself contains three atoms total, since the Hs are substituents on the carbon, and -CH 2 CH 2 -, for instance, is considered as having a length of two carbon atoms, etc.
• polyol or polyamine precursor depends on the desired number of polymer arms in the final conjugate.
• a polyol or polyamine core molecule having 4 functional groups, Q is suitable for preparing a prodrug in accordance with Compound I having four polymer arms extending therefrom and covalently attached to active agent.
• the precursor polyol or polyamine core will typically possess a structure
• R-(OH) p or R-(NH 2 ) p prior to functionalization with a polymer corresponds to the value of q in Compound I, since each functional group, typically -OH or -NH 2 , in the parent core organic molecule, if sterically accessible and reactive, is covalently attached to a polymer arm, POLYi.
• the variable "Q" when taken together with R typically represents a residue of the core organic radical as described herein. That is to say, when describing preferred organic core molecules, particularly by name, the core molecules are described in their precursor form, rather than in their radical form after removal of, for example, a proton.
• the organic core radical is derived from pentaerythritol
• the precursor polyol possesses the structure C(CH 2 OH) 4
• the organic core radical, together with Q corresponds to C(CH 2 O-) 4j where Q is O.
• the core is non-crosslinked, and when taken together with POLYi excludes star-type polymers.
• Illustrative polyols that are preferred for use as the polymer core include aliphatic polyols having from 1 to 10 carbon atoms and from 3 to 10 hydroxyl groups, including for example, trihydroxyalkanes, tetrahydroxyalkanes, polyhydroxy alkyl ethers, polyhydroxyalkyl polyethers, and the like.
• Cycloaliphatic polyols include straight chained or closed-ring sugars and sugar alcohols, such as mannitol, sorbitol, inositol, xylitol, quebrachitol, threitol, arabitol, erythritol, adonitol, dulcitol, facose, ribose, arabinose, xylose, lyxose, rhamnose, galactose, glucose, fructose, sorbose, mannose, pyranose, altrose, talose, tagitose, pyranosides, sucrose, lactose, maltose, and the like.
• sugar alcohols such as mannitol, sorbitol, inositol, xylitol, quebrachitol, threitol, arabitol, erythritol, adonitol,
• aliphatic polyols include derivatives of glucose, ribose, mannose, galactose, and related stereoisomers.
• Aromatic polyols may also be used, such as l,l,l-tris(4'-hydroxyphenyl) alkanes, such as l,l,l-tris(4-hydroxyphenyl)ethane, 2,6-bis(hydroxyalkyl)cresols, and the like.
• Other core polyols that may be used include polyhydroxycrown ethers, cyclodextrins, dextrins and other carbohydrates (e.g., monosaccharides, oligosaccharides, and polysaccharides, starches and amylase).
• Preferred polyols include glycerol, trimethylolpropane, pentaerythritol, dipentaerythritol, tripentaerythritol, ethoxylated forms of glycerol, trimethylolpropane, pentaerythritol, dipentaerythritol, tripentaerythritol.
• preferred are reducing sugars such as sorbitol and glycerol oligomers, such as diglycerol, triglycerol, hexaglycerol and the like.
• a 21 -arm polymer can be synthesized using hydroxypropyl- ⁇ -cyclodextrin, which has 21 available hydroxyl groups. Additionally, a polyglycerol having an average of 24 hydroxyl groups is commercially available.
• Exemplary polyamines include aliphatic polyamines such as diethylene triamine, N,N',N"-trimethyldiethylene triamine, pentamethyl diethylene triamine, triethylene tetramine, tetraethylene pentamine, pentaethylene hexamine, dipropylene triamine, tripropylene tetramine, bis-(3-aminopropyl)-amine, bis-(3-aminopropyl)-methylamine, and N,N-dimethyl-dipropylene-triamine.
• Naturally occurring polyamines that can be used in the present invention include putrescine, spermidine, and spermine.
• polymer arm has drug covalently attached thereto.
• organic radicals shown below, derived from polyols include the oxygens, which, in the context of Compound I, for the arms that are polymer arms, are considered as Q. It is not necessary that all hydroxyls in, for example, a polyol-derived organic radical, form part of a polymer arm.
• Q is shown as O, but can equally be considered as corresponding to S, -NH-, or -NH-C(O)-.
• the last two exemplary core structures illustrate two-polyol cores interconnected by a bifunctional linker such as the representative disulfide or dipeptide shown.
• V-A m 0-40, preferably 0-10, or 0-5 (e.g., 0, 1, 2, 3, 4, 5) - -
• a multi-armed polymer regent for preparing a multi-armed polymer drug may be synthetically prepared.
• any of a number of suitable polyol core materials can be purchased from a chemical supplier such as Aldrich (St. Louis, MO).
• Certain highly derivatized polyols are also available, e.g., a polyglycerol having an average of 24 hydro xyl groups, from Hyperpolymers GmbH.
• the terminal hydroxyls of the polyol are first converted to their anionic form, using, for example, a strong base, to provide a site suitable for initiating polymerization, followed by direct polymerization of monomer subunits, e.g., ethylene oxide, onto the core. Chain building is allowed to continue until a desired length of polymer chain is reached in each of the arms, followed by terminating the reaction, e.g., by quenching.
• an activated multi-armed polymer reagent can be synthetically prepared by first providing a desired polyol core material, and reacting the polyol under suitable conditions with a heterobifunctional PEG mesylate of a desired length, where the non-mesylate PEG terminus is optionally protected to prevent reaction with the - -
• the resulting multi-armed polymer is then suitable for additional transformations or direct coupling to an active agent, following deprotection if necessary.
• Multi-armed polymer reagents based on polyamino cores can be prepared, for example, by direct coupling to a polymer reagent activated with an acylating agent such as an NHS ester, a succinimidyl carbonate, a BTC ester or the like, to provide multi-armed polymer precursors having an amide linker, Q.
• a core molecule having multiple amino groups can be coupled with an aldehyde terminated polymer, such as a PEG, by reductive amination (using, for example, a reducing agent such as sodium cyanoborohydride) to provide a multi-armed polymer precursor having an internal amine linker, Q.
• POLYi or between POLYi and the alkanoate moiety, result from the reaction of various reactive groups contained within R and POLYj.
• Illustrative linking chemistry useful for preparing the polymer conjugates of the invention can be found, for example, in Wong, S. H., (1991), “Chemistry of Protein Conjugation and Crosslinking” , CRC Press, Boca Raton, FL and in Brinkley, M. (1992) "A Brief Survey of Methods for Preparing Protein Conjugates with Dyes, Haptens, and Crosslinking Reagents", in Bioconjug. Chem., 3, 2013.
• the alkanoate portion of the multi-armed polymer conjugate provides a hydrolytically degradable bond (i.e., an ester linkage) to the small molecule active agent, so that the active agent is released over time from the multi-armed polymer core.
• the multi-arm polymeric conjugates provided herein (as well as the corresponding reactive polymer precursor molecules, and so forth) comprise a linker segment, Q, and optionally, a spacer segment, X.
• exemplary spacers or linkers can include segments such as those independently selected from the group consisting of -O-, -S-, -NH-, -C(O)-, -O-C(O)-, -C(O)-O-, -C(O)-NH-, -NH-C(O)-NH-, -0-C(O)-NH-, -C(S)-, -CH 2 -, -CH 2 -CH 2 -, -CH 2 -CH 2 -CH 2 -, -CH 2 -CH 2 -CH 2 -, -CH 2 -CH 2 -CH 2 -, -O-CH 2 -, -CH 2 -O-, -0-CH 2 -CH 2 -, -
• a simple cycloalkylene group e.g. 1,3- or 1,4- cyclohexylene
• a series of atoms is not a spacer moiety when the series of atoms is immediately adjacent to a water-soluble polymer segment and the series of atoms is but another monomer, such that the proposed spacer moiety would represent a mere extension of the polymer chain.
• a spacer or linker as described herein may also comprise a combination of any two or more of the above groups, in any orientation.
• Q is a linker, preferably one that is hydrolytically stable.
• Q contains at least one heteratom such as O, or S, or NH, where the atom proximal to R in Q, when taken together with R, typically represents a residue of the core organic radical R.
• Q contains from 1 to about 10 atoms, or from 1 to about 5 atoms.
• Q typically contains one of the following numbers of atoms: 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10.
• Illustrative and preferred Qs include O, S, -NH-, and -NH-C(O)-.
• Q is oxygen, meaning that the organic core molecule is a polyol. - -
• X is a spacer that connects POLYi with the dimethylene group of the alkanoate segment.
• the spacer has an atom length of from about 1 atom to about 50 atoms, or more preferably from about 1 atoms to about 25 atoms, or even more preferably from about 1 atom to about 10 atoms.
• the spacer is of an atom length selected from the group consisting of 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10. When considering atom chain length, only atoms contributing to the overall distance are considered.
• Spacer X may be hydrolytically stable or hydrolytically degradable.
• POLYi is a polyethylene glycol, e.g., in several of the exemplary alkanoate conjugates and corresponding multi-arm polymer reagents provided in the accompanying Examples, X is oxygen.
• X may correspond to oxygen or - O-, such that the final structure including the "X' oxygen, may, for simplification, appear in shorthand fashion as -(CH 2 CH 2 O) n -.
• X possesses the structure: Y-Z, where Y is a spacer fragment covalently attached to Z, a hydrolytically degradable linkage.
• Z itself may not constitute a hydrolytically degradable linkage, however, when taken together with Y, or at least a portion of Y, forms a linkage that is hydrolytically degradable.
• X, Y has the structure:
• each R x and R y in each occurrence, is independently H or an organic radical selected from the group consisting of alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, and substituted aryl, a ranges from O to 12 (i.e., can be O, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12), b ranges from 0 to 12 (i.e., can be 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 1 1, or 12), K is selected from -C(O)-, -C(O)NH-, -NH-C(O)-, -O-, -S-, O-C(O)-, C(O)-O-, 0-C(O)-O-, 0-C(O)-, 0-C(O)-, 0-C(O)-, 0-C(O)-, 0-C(O)-, 0-C(O)-,
• K and of Z will depend upon the values of each of a, b, and c, such that none of the following linkages result in the overall structure of spacer X: -O-O-, NH-O-, NH-NH-.
• X, Y has the structure: -(CR x R y ) 3 -K-
• c is selected from the group consisting of 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10.
• R x and R y in each occurrence are independently H or lower alkyl.
• R x and R y are in each occurrence H.
• "a" ranges from 0 to 5, i.e., is selected from 0, 1, 2, 3, 4, or 5.
• b ranges from 0 to 5, i.e., is selected from 0, 1, 2, 3, 4, or 5.
• c ranges from 0 to 10.
• K is -C(O)-NH. Any of the embodiments described herein is meant to apply not only to generalized Compound I, but also extend to particular combinations of embodiments.
• Spacer X when present, may also correspond to an amino acid, di- or tri-acid or the like, or a peptide or oligopeptide, in particular due to the presence of the alkanoate group which is sufficient to prevent any neighboring group interactions from occurring.
• Suitable amino acids include amino acids such as alanine, valine, leucine, isoleucine, glycine, threonine, serine, cysteine, methionine, tyrosine, phenylalanine, tryptophan, aspartic acid, glutamic acid, lysine, arginine, histidine, proline, and the like, as well as non-naturally occurring amino acids.
• a preferred spacer, when present, is oxygen (-O-).
• POLYi represents a water-soluble and non-peptidic polymer.
• each polymer arm of Compound I is independently selected, although preferably, each polymer arm will comprise the same polymer. That is to say, most preferably, each POLYi in each arm of the multi-armed polymer conjugate is the same.
• each of the arms, i.e., each "(-Q-POLYi-X-D)" of Compound I is also identical. Any of a variety of polymers that are non-peptidic and water-soluble can be used to form a conjugate in accordance with the present invention.
• suitable polymers include, but are not limited to, poly(alkylene glycols), copolymers of ethylene glycol and propylene glycol, poly(olefinic alcohol), poly(vinylpyrrolidone), poly(hydroxyalkylmethacrylamide), poly(hydroxyalkylmethacrylate), polysaccharides), poly( ⁇ -hydroxy acid), poly(acrylic acid), polyvinyl alcohol), polyphosphazene, polyoxazoline, poly(N-acryloylmorpholine), such as - -
• POLYi is a polyethylene glycol or PEG.
• POLYi can be in any of a number of geometries or forms, including linear chains, branched, forked, etc., although preferably POLYi is linear (i.e., in each arm of the overall multi-arm structure) or forked.
• a preferred structure for a multi-armed polymer prodrug having a "forked" polymer configuration is as follows:
• F represents a forking group, and the remaining variables are as previously described.
• the fork point in the forking group, F comprises or is (-CH), although it may also be a nitrogen atom (N).
• each polymer arm is forked to possess two active agent moieties releasably covalently attached thereto, rather than one.
• POLYi When POLYi is PEG, its structure typically comprises -(CH 2 CH 2 O) n -, which may also be represented as -(CH 2 CH 2 O) n CH 2 CH 2 -, where n may range from about 5 to about 400, preferably from about 10 to about 350, or from about 20 to about 300.
• POLYi is linear polyethylene glycol.
• each polymer arm typically has a molecular weight corresponding to one of the following: 200, 250, 300, 400, 500, 600, 700, 800, 900, 1000, 1500, 2000, 3000, 4000, 5000, 6000, 7000, 7500, 8000, 9000, 10000, 12,000, 15000, 17,500, 18,000, 19,000, 20,000 daltons or greater.
• Overall molecular weights for the multi-armed polymer configurations described herein that is to say, the - - -
• molecular weight of the multi-armed polymer as a whole generally correspond to one of the following: 800, 1000, 1200, 1600, 2000, 2400, 2800, 3200, 3600, 4000, 5000, 6000, 8000, 10,000, 12,000, 15,000, 16,000, 20,000, 24,000, 25,000, 28,000, 30,000, 32,000, 36,000, 40,000, 45,000, 48,000, 50,000, 60,000, 80,000 or 100,000 or greater.
• the overall molecular weight for a multi-armed polymer of the invention ranges from about 800 to about 80,000 daltons, or from about 900 to about 70,000 daltons.
• Other preferred molecular weight ranges for a multi-armed polymer of the invention are from about 1,000 to about 40,000 daltons, or from about 5,000 to about 30,000 daltons, or even from about 20,000 to about 80,000 daltons for higher molecular weight embodiments of the present conjugates.
• the multi-armed polymer conjugates provided herein comprise, in q polymer arms, an alkanoate segment.
• the alkanoate segment is provided to both conjugate to and then ultimately release the drug.
• the alkanoate structure is designed to prevent the occurrence of possible neighboring group interactions that can lead to less than optimal drug loading and the formation of undesirable impurities in multi-armed polymer conjugate compositions. This is provided by both the length of the alkanoate segment and by the particular atoms and functional groups contained therein.
• Each of q polymer arms as illustrated in Compound I terminates in an alkanoate segment, in which the small molecule drug (or -hydrogen or active ester functionality) is covalently attached to the polymer arm via an ester linkage (forming part of the alkanoate).
• the alkanoate segment corresponds to: -(CH 2 ) 2 -(CHRi) n C(O)-O-D, where Ri is, in each occurrence, independently H, lower alkyl, alkylene, or an electron withdrawing group, and n is an integer from 1 to about 7.
• the carbon in the position alpha, beta, gamma, etc., to the carbonyl may be independently substituted, e.g., with a lower alkyl, alkylene, or electron withdrawing group.
• a substituent such as a methyl or like group, in the alpha position, and to a lesser extent in the beta or gamma position, can provide steric hindrance to allow greater control or selectivity of the reagent, such that its reactivity with nucleophilic groups such as those present on drug molecules (e.g., alcohols, thiols) is diminished.
• nucleophilic groups such as those present on drug molecules (e.g., alcohols, thiols) is diminished.
• Such a substituent may provide additional control of the hydrolytic stability of multi-armed conjugate. See, e.g., U.S. Patent No.
• R 1 may be, for example, H, or an alkyl group containing from 1 to about 6 carbon atoms.
• the lower alkyl group may be straight chain or branched, as exemplified by methyl, ethyl, propyl, i-propyl, n-butyl, i-butyl, sec-butyl, t-butyl, pentyl, i-pentyl, and the like. If an alkylene group is substituted on, e.g., the alpha position, and tied back to, e.g., the delta position, the structure has an alkanoate group that is cyclic in nature, as shown below.
• R 1 may be an electron withdrawing group (EWG) such as a halide (e.g., F, Cl, Br, or I), a nitrile, -NO 2 , CF 3 , -SO 3 , or any other EWG commonly known in the art.
• EWG electron withdrawing group
• a halide e.g., F, Cl, Br, or I
• nitrile e.g., CF 3 , -SO 3
• n typically has a value selected from 1, 2, 3, 4, 5, 6, and 7.
• portion -(CHRi) n - may correspond to any one of -CHR 1-1 -CHR 1 -
• each R 1 in each chain is independently selected.
• each R 1 in each of the foregoing is hydrogen.
• each Ri is hydrogen with the exception of the R 1 in the position alpha or adjacent to the carbonyl, in which case, this particular R 1 alone is lower alkyl.
• each R 1 is hydrogen with the exception of the R 1 in the position alpha or adjacent to the carbonyl, in which case, this particular R 1 alone is an EWG as described above.
• D represents the residue of a small molecule active agent
• q (the number of polymer arms) ranges from about 3 to about 50. Illustrative ranges are from about 3 to about 10, from about 11 to about 25, from about 26 to 40, or from about 41 to about 50. Preferably, q ranges from about 3 to about 25. More preferably, q is from 3 to about 10, e.g., q possesses a value of 3, 4, 5, 6, 7, 8, 9, or 10. In a preferred embodiment, q is four.
• the active agent residue, D contains at least one hydroxyl functional group suitable for covalent attachment to the multi-armed polymer described herein to form a hydrolyzable ester linkage, such that upon hydrolysis, the active agent is released in its unmodified form.
• a multi-armed polymer conjugate is characterized as having from about 3 to about 25 active agent molecules covalently attached thereto. More particularly, the conjugate possesses 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 active agent molecules covalently attached thereto. In a further embodiment, the conjugate of the invention has from about 3 to about 8 active agent molecules covalently attached to the water-soluble polymer.
• the number of polymer arms will correspond to the number of active agents covalently attached to the water-soluble polymer. That is to say, in the case of a polymer having a certain number of polymer arms (e.g,.
• a composition comprising the subject multi-armed polymer conjugate is characterized by a degree of drug loading of 92 percent or greater. That is to say, for a composition containing a multi-armed polymer conjugate having q polymer arms, the composition is characterized as having a drug loading on average per species of 0.92(q) or greater.
• composition is characterized by a drug loading on average per species satisfying or or more of the following: 0.92(q) or greater; 0.93(q) or greater; 0.94(q) or greater; 0.95(q) or greater; 0.96(q) or greater; 0.97(q) or greater; 0.98(q) or greater; 0.99(q) or greater; and l(q).
• a conjugate of the invention is characterized as a water-soluble polymer having pendant active agent moieties covalently attached thereto, each preferably covalently attached by a degradable linkage such as the alkanoate linkage described herein.
• the structure of the polymer prodrug conjugate is described generally as POLYi(-X-(CH 2 ) 2 (CR 1 H) n C(O)-O-D) q , where each drug residue is covalently attached to POLYi via the alkanoate linker, and the variables POLYi, X, Ri, n, D, and q are as set forth above, and the polymer, typically a linear polymer, possesses "q" active agent residues attached thereto, typically at discrete lengths along the polymer chain, via spacer X, which is connected to the alkanoate linker-drug moiety.
• the active agent moiety or residue is a small molecule possessing a molecular weight of less than about 1000.
• the small molecule drug possesses a molecular weight of less than about 800, or even less than about 750.
• the small molecule drug possesses a molecular weight of less than about 500 or, in some instances, even less than about 300. - -
• Preferred active agent moieties are anticancer agents.
• Particularly preferred are oncolytics bearing at least one hydroxyl group (i.e., suitable for forming the alkanoate attachment).
• Particularly preferred are alkaloid cytotoxic agents such as the taxanes and camptothecins, as well as the vinca alkaloids vincristine, vinorelbine, vinblastine, and viddesine
• D is a taxane or taxane derivative such as paclitaxel or docetaxel.
• taxane includes all compounds within the taxane family of terpenes.
• taxol (paclitaxel), 3 '-substituted tert-butoxy-carbonyl-amine derivatives (taxoteres) and the like as well as other analogs available from, for example, Sigma-Aldrich are within the scope of the present disclosure.
• One particularly preferred D is docetaxel, where the H at the 2' position is absent in the final multi-armed polymer conjugate:
• taxanes such as docetaxel, where attachment to the multi-armed alkanoate scaffold may be at any -OH position within the taxane skeleton.
• camptothecins Yet another preferred class of active agents is the camptothecins.
• a camptothecin for use in the invention corresponds to the structure,
• R 6 is H or OR', wherein R' is alkyl, alkenyl, cycloalkyl, haloalkyl, or hydroxyalkyl;
• L is the site of attachment to the multi-armed polymer conjugate.
• L is shown at the 20 ring position above, the site of attachment may be at any suitable position within the camptothecin structure.
• camptothecin compound includes the plant alkaloid
• camptothecin derivatives include, but are not limited to, 9-nitro-20(S)-camptothecin, 9-amino-20(S)-camptothecin, 9-methyl-camptothecin, 9-chloro-camptothecin, 9-flouro-camptothecin, 7-ethyl camptothecin, 10-methyl- camptothecin, 10-chloro-camptothecin, 10-bromo-camptothecin, 10-fluoro-camptothecin, 9-methoxy-camptothecin, 11 -fluoro-camptothecin, 7-ethyl- 10-hydroxy camptothecin (SN38), 10,11 -methylenedioxy camptothecin, and 10,1 1 -ethylenedioxy camptothecin, and 7-(4-methylpiperazinomethylene)-10,l
• the plant alkaloid camptothecin can be obtained by purification of the natural extract, or may be obtained from the Stehlin Foundation for Cancer Research (Houston, Texas). Substituted camptothecins can be obtained using methods - -
• 9-nitro- camptothecin may be obtained from SuperGen, Inc. (San Ramon, Calif.), and 9-amino- camptothecin may be obtained from marc Pharmaceuticals (San Diego, Calif). Camptothecin and various analogues and derivatives may also be obtained from standard fine chemical supply houses, such as Sigma Chemicals.
• R 6 is H or OR 1 , wherein R 1 is alkyl, alkenyl, cycloalkyl, haloalkyl, or hydroxyalkyl.
• substituting groups include hydroxyl, amino, substituted amino, halo, alkoxy, alkyl, cyano, nitro, hydroxycarbonyl, alkoxycarbonyl, alkylcarbonyloxy, alkylcarbonylamino, aryl (e.g., phenyl), heterocycle, and glycosyl groups.
• D is irinotecan, where the H on the 20-position hydroxyl is absent in the final multi-armed prodrug conjugate. - -
• D is SN-38.
• the active agent may fall into one of a number of structural classes, including but not limited to small molecules, oligopeptides, polypeptides or protein mimetics, fragments, or analogues, steroids, nucleotides, oligonucleotides, electrolytes, and the like, and typically contains as least one free hydroxyl group, or the like (i.e., "handle") suitable for covalent attachment to the multi-armed polymer.
• structural classes including but not limited to small molecules, oligopeptides, polypeptides or protein mimetics, fragments, or analogues, steroids, nucleotides, oligonucleotides, electrolytes, and the like, and typically contains as least one free hydroxyl group, or the like (i.e., "handle") suitable for covalent attachment to the multi-armed polymer.
• the drug is modified by introduction of a suitable "handle,” preferably by conversion of one of its existing functional groups to a functional group suitable for formation of the herein described alkanoate linkage.
• a suitable "handle” preferably by conversion of one of its existing functional groups to a functional group suitable for formation of the herein described alkanoate linkage.
• such a modification should not adversely impact the therapeutic effect or activity of the active agent to a significant degree. That is to say, any modification of an active agent to facilitate its attachment to a multi-armed polymer of the invention should result in no greater than about a 30% reduction of its bioactivity relative to the known parent active agent prior to modification. More preferably, any modification of an active agent to facilitate its attachment to a multi-armed polymer of the invention preferably results in a reduction of its activity relative to the known parent active agent prior to modification of no greater than about 25%, 20%, 15%, 10% or 5%.
• exemplary drugs are meant to encompass, where applicable, analogues, agonists, antagonists, inhibitors, isomers, polymorphs, and pharmaceutically acceptable salt forms thereof.
• compositions/populations of prodrug conjugates [0175] Compositions/populations of prodrug conjugates
• a composition comprising a multi-arm polymer conjugate as described herein may contain a species of the prodrug having one of more of its polymer arms absent drug, D.
• a species of the prodrug having one of more of its polymer arms absent drug, D.
• D drug
• the degree (i.e., percentage) of drug loading for the final conjugate is advantageously high, typically at 92% or greater, e.g., from about 92% to 100% loading.
• a composition of the invention may, in certain instances, comprise a multi-arm polymer conjugate generally characterized as R(-Qi-POLY r X 1 -(CH 2 ) 2 (CR ⁇ H) n C(O)-O-D) q , where one or more polymer arms are absent drug.
• the resulting conjugate may, and preferably will, possess drug covalently attached to each polymer arm, or alternatively, may lack drug, D.
• the variable D is a small molecule, where D 1 indicates the presence of D and D 0 indicates its absence. So, for example, a composition may comprise:
• composition of the invention may comprise one or more multi-armed polymer conjugate species having the structure:
• compositions are those in which, when characterized overall, possess a value of m that is 0.92(q) or greater. Ideally, in the instance of quantitative substitution of active agent, s equals zero and m equals q.
• the idealized value of the number of covalently attached drug molecules per multi-armed polymer is four, and an average number of drug molecules per multi-armed polymer ranges from about 92% to about 100% of the idealized value. This corresponds to an average number of D per multi-arm polymer conjugate ranging from about 3.68 to 4.0.
• compositions having either an idealized number of drug molecules attached to the polymer core ("q") or those having a combination of ("q") and ("q-1 ") drug molecules attached to the polymer core.
• a preferred multi-armed polymer prodrug composition in accordance with the invention may comprise one or more of the following conjugate species:
• O-Doc corresponds to: - -
• a composition of the invention is characterized by having an average number of drug molecules per multi-armed polymer that corresponds essentially to its idealized value (i.e., is essentially 100% of its idealized value).
• the substitution value for the four-armed polymer conjugate was approximately 98-100%.
• Example 11 Additional characterization of extent of drug loading is provided in Example 11 (see, e.g., Table 1). As can be seen from the comparative data provided in Example 11, average drug loading values for glycine-linked and carboxymethylene-linked multi-armed conjugates were significantly lower, averaging from about 75% to about 80% of their idealized values, indicating the value of the instant alkanoate-linked multi-armed polymer conjugates and their improvement over earlier described multi-armed polymer conjugates.
• Example 12 The preparation of additional exemplary multi-armed polymer conjugates having an alkanoate linker is described in Example 12.
• Such conjugates possess the following features: a pentaerythritolyl core (e.g., where R-Q corresponds to pentaerythritolyl), a water-soluble and non-peptidic polymer segment, POLYi , that is PEG, - -
• Multi-armed reactive polymers such as those for preparing a conjugate of the invention can be readily prepared from commercially available starting materials in view of the guidance presented herein, coupled with what is known in the art of chemical synthesis.
• Hydroxyl-terminated multi-armed PEGs having either a pentaerythritol core or a glycerol core are available from NOF Corporation. Such multi-armed PEGs can be used directly for preparing the conjugates provided herein, by functionalization to prepare the corresponding alkanoic acids for coupling to hydroxyls present on an active agent. See, e.g., Example 1, which describes formation of 4-ARM-PEG-Butanoic Acid, followed by conjugation as described in Example 2. In the approach described, the multi-arm 4- ARM- PEG-OH starting material is reacted with a protected bromobutanoic acid in the presence of a strong base to form the desired multi-armed PEG alkanoic acid reagent.
• DIC diisopropylcarbodiimide
• Condensing agent e.g , DIC Drug-OH
• the drug is functionalized to contain the alkanoic acid moiety, followed by covalent attachment to the multi-armed polymer to provide a conjugate as described herein.
• This method is illustrated below using a PEG BTC active ester to ultimately yield a urethane bond between the linker and the PEG segment.
• the prodrug product may be further purified.
• Methods of purification and isolation include precipitation followed by filtration and drying, as well as chromatography. Suitable chromatographic methods include gel filtration chromatography, ion exchange chromatography, and Biotage Flash chromatography.
• the invention provides pharmaceutical formulations or compositions, both for veterinary and for human medical use, which comprise one or more multi-armed polymer conjugates of the invention or a pharmaceutically acceptable salt thereof, with one or more pharmaceutically acceptable carriers, and optionally any other therapeutic ingredients, stabilizers, or the like.
• the carrier(s) must be pharmaceutically acceptable in the sense of being compatible with the other ingredients of the formulation and not unduly deleterious to the recipient thereof.
• compositions of the invention may also include polymeric excipients/additives or carriers, e.g., polyvinylpyrrolidones, derivatized celluloses such as hydroxymethylcellulose, hydroxyethylcellulose, and hydroxypropylmethylcellulose, Ficolls (a polymeric sugar), hydroxyethylstarch (HES), dextrates (e.g., cyclodextrins, such as 2-hydroxypropyl- ⁇ -cyclodextrin and sulfobutylether- ⁇ -cyclodextrin), polyethylene glycols, and pectin.
• polymeric excipients/additives or carriers e.g., polyvinylpyrrolidones, derivatized celluloses such as hydroxymethylcellulose, hydroxyethylcellulose, and hydroxypropylmethylcellulose, Ficolls (a polymeric sugar), hydroxyethylstarch (HES), dextrates (e.g., cycl
• compositions may further include diluents, buffers, binders, disintegrants, thickeners, lubricants, preservatives (including antioxidants), flavoring agents, taste-masking agents, inorganic salts (e.g., sodium chloride), antimicrobial agents (e.g., benzalkonium chloride), sweeteners, antistatic agents, surfactants (e.g., polysorbates such as "TWEEN 20" and “TWEEN 80,” and pluronics such as F68 and F88, available from BASF), sorbitan esters, lipids (e.g., phospholipids such as lecithin and other phosphatidylcholines, phosphatidylethanolamines, fatty acids and fatty esters, steroids (e.g., cholesterol)), and chelating agents (e.g., EDTA, zinc and other such suitable cations).
• diluents e.g., buffers, binders, disintegrants, thicken
• compositions according to the invention are listed in “Remington: The Science & Practice of Pharmacy,” 19 th ed., Williams & Williams, (1995), and in the “Physician's Desk Reference,” 52 nd ed., Medical Economics, Montvale, NJ (1998), and in “Handbook of Pharmaceutical Excipients,” Third Ed., Ed. A.H. Kibbe, Pharmaceutical Press, 2000.
• the prodrugs of the invention may be formulated in compositions including those suitable for oral, rectal, topical, nasal, ophthalmic, or parenteral (including intraperitoneal, intravenous, subcutaneous, or intramuscular injection) administration.
• the compositions may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art of pharmacy. All methods include the step of bringing the active agent or compound (i.e., the prodrug) into association with a carrier that constitutes one or more accessory ingredients.
• compositions are prepared by bringing the active compound into association with a liquid carrier to form a solution or a suspension, or alternatively, bringing the active compound into association with formulation components suitable for forming a solid, optionally a particulate product, and then, if warranted, shaping the product into a desired delivery form.
• Solid formulations of the invention when particulate, will typically comprise particles with sizes ranging from about 1 nanometer to about 500 microns. In general, for solid formulations intended for intravenous administration, particles will typically range from about 1 nm to about 10 microns in diameter. Particularly preferred are sterile, lyophilized compositions that are reconstituted in an aqueous vehicle prior to injection.
• a preferred formulation is a solid formulation comprising the multi-arm polymer conjugate where the active agent, D, is docetaxel.
• the solid formulation is typically diluted with 5% dextrose injection or 0.9% sodium chloride injection prior to intravenous infusion.
• the amount of multi-armed polymer conjugate in the formulation will vary depending upon the specific active agent employed, its activity, the molecular weight of the conjugate, and other factors such as dosage form, target patient population, and other considerations, and will generally be readily determined by one skilled in the art.
• the amount of conjugate in the formulation will be that amount necessary to deliver a therapeutically effective amount of the compound, e.g., an alkaloid anticancer agent, to a patient in need thereof to achieve at least one of the therapeutic effects associated with the compound, e.g., for treatment of cancer. In practice, this will vary widely depending upon the particular conjugate, its activity, the severity of the condition to be treated, the patient population, the stability of the formulation, and the like.
• compositions will generally contain anywhere from about 1% by weight to about 99% by weight conjugate, typically from about 2% to about 95% by weight conjugate, and more typically from about 5% to 85% by weight conjugate, and will also depend upon the relative amounts of excipients/additives contained in the composition. More specifically, the composition will typically contain at least about - -
• compositions of the present invention suitable for oral administration may be provided as discrete units such as capsules, cachets, tablets, lozenges, and the like, each containing a predetermined amount of the conjugate as a powder or granules; or a suspension in an aqueous liquor or non-aqueous liquid such as a syrup, an elixir, an emulsion, a draught, and the like.
• Formulations suitable for parenteral administration conveniently comprise a sterile aqueous preparation of the prodrug conjugate, which can be formulated to be isotonic with the blood of the recipient.
• Nasal spray formulations comprise purified aqueous solutions of the multi- armed polymer conjugate with preservative agents and isotonic agents. Such formulations are preferably adjusted to a pH and isotonic state compatible with the nasal mucous membranes.
• Formulations for rectal administration may be presented as a suppository with a suitable carrier such as cocoa butter, or hydrogenated fats or hydrogenated fatty carboxylic acids.
• Ophthalmic formulations are prepared by a similar method to the nasal spray, except that the pH and isotonic factors are preferably adjusted to match that of the eye.
• Topical formulations comprise the multi-armed polymer conjugate dissolved or suspended in one or more media such as mineral oil, petroleum, polyhydroxy alcohols or other bases used for topical formulations.
• media such as mineral oil, petroleum, polyhydroxy alcohols or other bases used for topical formulations.
• the addition of other accessory ingredients as noted above may be desirable.
• compositions are also provided which are suitable for administration as an aerosol, e.g., by inhalation. These formulations comprise a solution or suspension of the desired multi-armed polymer conjugate or a salt thereof.
• the desired formulation may be placed in a small chamber and nebulized. Nebulization may be accomplished by compressed air or by ultrasonic energy to form a plurality of liquid droplets or solid particles comprising the conjugates or salts thereof.
• Example 14 describes administration of 4-ARM-PEG 20 K-
• Example 15 demonstrates similar results in dogs. Specifically, Example 15 demonstrates a long 4-ARM-PEG 2 o ⁇ -BA-docetaxel terminal half-life of 31 hours. Plasma docetaxel C max and AUC are about 110- and 7-fold lower, respectively, following administration of equivalent 4-ARM-PEG 2 o ⁇ -BA-docetaxel and docetaxel doses. Moreover, the plasma docetaxel half-life following administration of 4- ARM-PEG 20K -B A-docetaxel is estimated to be about 8-fold longer than that observed following docetaxel administration (199 vs. 25 hours).
• the multi-armed polymer prodrugs provided herein can be used to treat or prevent any condition responsive to the unmodified active agent in any animal, particularly in mammals, including humans.
• the multi-arm polymer conjugates of the invention are particularly useful as anticancer agents, i.e., have been shown to be effective in significantly reducing the growth of certain solid tumors as evidenced by representative in- vivo studies provided herein. That is to say, when the small molecule drug is an anticancer agent such as a camptothecin compound or other oncolytic such as docetaxel, the conjugates provided herein may be used to treat cancer.
• Types of cancer suitable for treatment by administering a multi-armed polymer alkanoate conjugates as provided herein include breast cancer, ovarian cancer, colon cancer, colorectal cancer, prostate cancer, gastric cancer, malignant melanoma, small cell lung cancer, non-small cell lung cancer, thyroid cancers, kidney cancer, cancer of the bile duct, brain cancer, cancer of the head and neck, lymphomas, leukemias, rhabdomyosarcoma, neuroblastoma, and the like.
• the multi-arm polymer conjugates of the invention are particularly effective in targeting and accumulating in solid tumors.
• the multi-arm polymer conjugates are also useful in the treatment of HIV and other viruses.
• the multi-arm polymer conjugate may also provide improved anti-tumor activity in patients with refractory cancer, i.e., cancer that has not responded to various other treatments. Also, an added advantage of administering the multi-arm polymer conjugate is the likelihood of reduced patient myelosuppression when compared to administration of un-modifed active agent.
• Methods of treatment comprise administering to a mammal in need thereof a therapeutically effective amount of a composition or formulation containing a multi-arm polymer conjugate as provided herein.
• a therapeutically effective dosage amount of any specific multi-arm polymer conjugate will vary from conjugate to conjugate, patient to patient, and will depend upon factors such as the condition of the patient, the activity of the particular active agent employed, the route of delivery, and condition being treated.
• camptothecin-type active agents dosages from about 0.5 to about 100 mg camptothecin/kg body weight, preferably from about 10.0 to about 60 mg/kg, are preferred.
• dosages from about 5 to about 500 mg/m 2 preferably from about 25 to about 125 mg/m 2 are preferred, based upon the amount of the taxane moiety.
• even less of the multi-arm polymer conjugate may be therapeutically effective.
• the range set above is illustrative and those skilled in the art will determine optimal dosing of the multi-arm polymer conjugate based on clinical experience and the particular treatment indication.
• Methods of treatment also include administering a therapeutically effective amount of a composition or formulation comprising a multi-arm polymer conjugate of an anticancer agent, e.g., a camptothecin or taxane compound as described herein, in conjunction with a second anticancer agent.
• a multi-arm polymer prodrug of a camptothecin or docetaxel type compound may be administered in conjuction with chemotherapeutics such as 5-fluorouracil or leucovorin xeloda, or with agents such as avastin, Erbitux® (cetuximab), or VectibixTM (panitumumab).
• therapy may include administration of a multi-arm polymer conjugate as described herein, optionally in combination with xeloda, paclitaxel, docetaxel, or abraxane.
• therapy may include, along with administration of a multi-arm polymer conjugate of the invention, administration of cis-platin, carboplatin, gemcitabine, alimpta, and docetaxel (the latter in the instance in which the multi-arm polymer conjugate itself does not comprise docetaxel).
• a multi-armed polymer camptothecin-containing conjugate as described herein is administered in combination with 5-fluorouracil and folinic acid, as described in U.S. Patent No. 6,403,569.
• the multi-arm polymer conjugate of the invention may be administered once or several times a day, preferably once a day or less.
• Illustrative dosing schedules include once per week, once every two weeks, or once every three weeks. In the instance of a maintenance dose, dosing may take place even less frequently than once every three weeks, such as once monthly.
• the duration of the treatment may be once per day for a period of from two to three weeks and may continue for a period of months or even years.
• the daily dose can be administered either by a single dose in the form of an individual dosage unit or several smaller dosage units or by multiple administration of subdivided dosages at certain intervals.
• the multi-arm polymer conjugates provided herein exhibit improved efficacy, improved tolerability and reduced vehicle-associated toxicity when compared to administration of the corresponding unmodified small molecule drug, absent the multi-arm polymer alkanoate scaffold. - -
• Supporting examples illustrate the anti -tumor activity of a representative multi-armed polymer alkanoate conjugate in various in-vivo mouse xenograft models for various types of cancer.
• 4- ARM-PEG 20K -B A-DOC exhibits greater anti -tumor activity than docetaxel per se in H460 and LS174T mouse xenograft models. Partial regressions were observed in two of the three cell lines examined for 4-ARM-PEG 2OK -BA-DOC, while no regressions were observed for docetaxel.
• the percentage tumor growth delay (TGD) for 4-ARM-PEG 20K -BA-DOC was 2.5-, 2.0-, and 1.6-fold-greater than for docetaxel in H460, LoVo, and LS174T xenograft models, respectively - all pointing to the vastly superior features of the multi-armed conjugates provided herein.
• SSDDSS--PPAAGGEE sodium dodecyl sulfate-polyacrylamide gel electrophoresis
• Docetaxel (Taxotere®) was purchased from Hangzhou HETD Pharm & Chem
• PEG 30 K-OH, and 4-ARM-PEG 40K -OH were obtained from NOF Corporation (Japan).
• 4- ARM-PEG 20K -OH possesses the following structure: C-(CH 2 O-(CH 2 CH 2 O) n H) 4, as shown structurally below:
• variable "n" in each arm represents the number of monomer subunits corresponding to a PEG average molecular weight of 2.5, 5, 7.5, or 10 kilodaltons, such that the shorthand abbreviation for the 4-arm structure indicates an overall average molecular weight for the polymer portion of the molecule of 10, 20, 30, or 40 kilodaltons, respectively.
• the solvent was distilled off under reduced pressure and the residue was dissolved in distilled water (1,000 ml).
• the pH of the solution was adjusted to 2 with 5% phosphoric acid and the solution was stirred for 15 minutes at room temperature.
• the pH was readjusted to 12 by addition of 1 M sodium hydroxide, and the solution was stirred for two hours keeping the pH at 12 by periodic addition of IM sodium hydroxide.
• the pH was adjusted to 3 by addition of 5% phosphoric acid and the product was extracted with dichloromethane.
• Example 1 docetaxel (1.0 g, 0.0012 moles), and p-toluenosulfonic acid 4-dimethylaminopyridine salt (0.15 g, 0.00051 moles) in 60 ml of anhydrous dichloromethane, N,N'-diisopropylcarbodiimide (0.63 g, 0.005 mole) was added and the mixture was stirred overnight at room temperature under an argon atmosphere. The solvent was distilled off under reduced pressure. The residue was dissolved in dichloromethane (7.5 - -
• CM-GLY 5.Og, 0.0010 equivalents
• docetaxel 1.0 g, 0.0012 moles
• p-toluenosulfonic acid 4-dimethylaminopyridine salt 1.5 g, 0.0051 moles
• 60 ml of anhydrous dichloromethane N,N'-diisopropylcarbodiimide
• the solvent was distilled off under reduced pressure.
• the residue was dissolved in dichloromethane (7.5 ml) and added to a 1 : 1 mixture of isopropyl alcohol and diethyl ether (100 ml).
• the precipitated product was filtered off and dried under reduced pressure. The precipitation was repeated giving 3.7 g of white solid product.
• 4-ARM-PEGio ⁇ -CM-glycine-linked docetaxel conjugates were prepared in a similar fashion as described above, with the exception of their molecular weights, the average molecular mass of starting pentaerythitol based 4-ARM-PEG-OH was 10 kDa.
• the crude product was dissolved in 1500 ml deionized water and the resulting solution was filtered through active carbon (50 g) and desalting column composed from Amberlite IR 120 plus (500 ml) and Amberlite IR 67. Sodium chloride (30Og) was added and the product was extracted with dichloromethane (500, 300, and 200 ml). The extract was dried (MgSO 4 ) and the solvent was distilled off under reduced pressure.
• Tetra( ethylene glycol) mono- ⁇ - methylpropionitrile 54 g was dissolved in concentrated hydrochloric acid (180 ml) and the resulting solution was stirred for 20 hours at - -
• Tetra(ethylene glycol) mono- ⁇ -methylpropionamide 45 g was dissolved in potassium hydroxide solution (concentration 6.67%, 450 ml) and the resulting solution was stirred 70 h at room temperature. Next the pH of the reaction mixture was adjusted to 7.5 with 10% phosphoric acid at temperature 7-8 0 C. Water was distilled under reduced pressure and the product was extracted from solid residue with anhydrous ethyl alcohol (300 ml). Then ethyl alcohol was distilled from the extract. The crude product was dissolved in deionized water (50 ml) and impurities were extracted with dichloromethane (4 x 100 ml).
• Tetra( ethylene glycol) mono- ⁇ -methylpropionic acid 25 g was dissolved in anhydrous methyl alcohol (350 ml), concentrated sulfuric acid (6.5 ml) was added and the solution was stirred for three hours at room temperature. The pH of the reaction mixture was - -
• the pH of the solution was adjusted to 12.1 with IM sodium hydroxide, and the solution was stirred for five hours keeping the pH at 12.1 by periodic addition of IM sodium hydroxide. Thereafter, NaCl (10 g) was added and the pH was adjusted to 3 by addition of 10% phosphoric acid and the product - -
• the dried product was dissolved in anhydrous toluene (500 ml) and 1.0 M solution of potassium t ⁇ rt-butoxide in tert-butanol (30 ml, 0.030 moles) and l-(5- bromopentyl)-4-methyl-2,6,7-trioxabicyclo[2,2,2]octane (7.8 g, 0.028 moles) were added and the mixture was stirred overnight at 72 0 C under argon atmosphere. The solvent was distilled off under reduced pressure and the residue was dissolved in distilled water (400 ml). The pH of the solution was adjusted to 2 with 10% phosphoric acid and the solution was stirred for 15 minutes at room temperature.
• the dried product was dissolved in anhydrous toluene (400 ml) and 1.0 M solution of potassium tert-butoxide in tert-butanol (12 ml, 0.012 moles) and l-(7-bromoheptyl)-4-methyl-2,6,7-trioxabicyclo[2,2,2]octane (3.7 g, 0.012 moles) were added and the mixture was stirred overnight at 72 0 C under argon atmosphere. The solvent was distilled off under reduced pressure and the residue was dissolved in distilled water (300 ml). The pH of the solution was adjusted to 2 with 10% phosphoric acid and the solution was stirred for 45 minutes at room temperature.
• the dried product was dissolved in anhydrous toluene (400 ml) and 1.0 M solution of potassium t ⁇ rt-butoxide in tert-butanol (12 ml, 0.012 moles) and l-(9-bromononyl)-4-methyl-2,6,7-trioxabicyclo[2,2,2]octane (4.0 g, 0.012 moles) were added and the mixture was stirred overnight at 72 0 C under argon atmosphere. The solvent was distilled off under reduced pressure and the residue was dissolved in distilled water (300 ml). The pH of the solution was adjusted to 2 with 10% phosphoric acid and the solution was stirred for 45 minutes at room temperature.
• the dried product was dissolved in anhydrous toluene (37.5 ml) and 1.0 M solution of potassium tert-butoxide in tert-butanol (9 ml, 0.0090 moles) and l-(4- bromo-2-butyl)-4-methyl-2,6,7-trioxabicyclo[2,2,2]octane (2.3 g, 0.0083 moles) were added and the mixture was stirred overnight at 70 0 C under argon atmosphere. The solvent was distilled off under reduced pressure and the residue was dissolved in distilled water (100 ml). The pH of the solution was adjusted to 2 with 10% phosphoric acid and the solution was stirred for 15 minutes at room temperature.
• Example 1 4-ARM-PEG 20 ⁇ - ⁇ -methylpropionic acid (4-ARM-PEG 20 K-MPA), 4-ARM- PEG 20K -hexanoic acid (4-ARM-PEG 20K -HA), 4-ARM-PEG 20 ⁇ -octanoic acid (4-ARM- PEG 20K -OA), and 4-ARM-PEG 20K -decanoic acid (4-ARM-PEG 2OK -DA).
• the following multi-armed butanoic acids were also prepared: 4- ARM-PEG 10 ⁇ -butanoic acid (4- ARM- PEGioK -BA), 4-ARM-PEG 30K -butanoic acid (4-ARM-PEG 30K -BA), and 4-ARM-PEG 40K - butanoic acid (4-ARM-PEG 40K -BA).
• 4-ARM-PEG 10 ⁇ -butanoic acid (4- ARM- PEGioK -BA)
• 4-ARM-PEG 30K -butanoic acid 4-ARM-PEG 30K -butanoic acid
• 4-ARM-PEG 40K - butanoic acid 4-ARM-PEG 40K - butanoic acid
• the solvent was distilled off under reduced pressure and the residue was dissolved in distilled water (600 ml).
• the pH of the solution was adjusted to 2 with 5% phosphoric acid and the solution was stirred for 15 minutes at room temperature.
• the pH was readjusted to 12 by addition of 1 M sodium hydroxide, and the solution was stirred for two hours keeping the pH at 12 by periodic addition of IM sodium hydroxide.
• the pH was adjusted to 3 by addition of 5% phosphoric acid and the product was extracted with dichloromethane.
• the solvent was distilled off under reduced pressure and the residue was dissolved in distilled water (600 ml).
• the pH of the solution was adjusted to 2 with 5% phosphoric acid and the solution was stirred for 15 minutes at room temperature.
• the pH was readjusted to 12 by addition of IM sodium hydroxide, and the solution was stirred for two hours keeping the pH at 12 by periodic addition of IM sodium hydroxide.
• the pH was adjusted to 3 by addition of 5% phosphoric acid and the product was extracted with dichloromethane.
• H460, LS174T and LoVo tumors were established in female athymic nude mice. Groups of 10 mice received a total of three single doses of 4-ARM-PEG 2 o ⁇ -BA-DOC or docetaxel administered every 7 days (q7dx3) at several doses up to a maximum tolerated dose (MTD). Control groups received no treatment after tumor implant. Animals were weighed daily for the first five days and twice weekly thereafter. Tumor volumes were measured twice weekly after the first drug injection.
• Tumor endpoint volume was 1500 mm 3 for LS174T, 1000 mm 3 for LoVo, and
• Anti-tumor activity was measured as changes in tumor volume, time to reach endpoint, and complete or partial tumor regression. - -
• TGD Tumor Growth Delay
• a tumor whose volume was reduced to 50% or less for three consecutive measurements compared to its volume on Day 1 was considered to be in partial regression. Complete regression was defined as volume equal to or greater than 13.5 mm 3 for three consecutive measurements.
• Acceptable toxicity was defined as a group mean body weight (BW) loss of less than 20% during the study and not more than one treatment-related death among ten treated animals. Any dosing regimen that resulted in greater toxicity was considered above the maximum tolerated dose (MTD).
• BW body weight
• Non-small cell lung cancer model ( ⁇ 460): 4-ARM-PEG 20K -BA-DOC treatment resulted in a statistically significant (p ⁇ 0.05), dose-related increase in tumor growth delay (TGD) in H460 tumor bearing mice at MTD (33 mg/kg 4-ARM-PEG 20 ⁇ -BA-DOC, 25 mg/kg docetaxel) with % TGD values of 122% and 48% in 4- ARM-PEG 20K -B A-DOC and docetaxel treated groups, respectively. See Figs. 3A (all dosage groups) and 3B (control and MTD groups only) as well as Table 2A below. Decreases in body weight were comparable between 4-ARM-PEG 20K -BA-DOC and docetaxel at MTD (14.2% and 15.5%, respectively).
• Tumor growth delay is based on a study endpoint of either 2000 mm 3 or 57-days.
• Colon (LS 174T) cancer model TGD with 4-ARM-PEG 20 ⁇ -BA-DOC treatment in LS174T tumor bearing mice was dose-related and resulted in three partial regressions (PR) at MTD; no partial regressions were observed with docetaxel.
• 4-ARM-PEG 20 ⁇ -BA-DOC demonstrated a significantly (p ⁇ 0.0001) greater TGD than docetaxel; 266 % vs. 166% at MTD (40 mg/kg 4-ARM-PEG 20 ⁇ -BA-DOC, 30 mg/kg docetaxel).
• 4-ARM-PEG 20K -BA-DOC demonstrated a 250% TGD and one partial regression while 30 mg/kg docetaxel resulted in 166% TGD and no regressions. Decreases in body weight were comparable between 4-ARM-PEG 20 ⁇ -BA-DOC and docetaxel at MTD (18.8% and 16.6%, respectively.
• Colon (LoVo) cancer model 4-ARM-PEG 20K -BA-DOC treatment in LoVo tumor bearing mice resulted in similar dose-related improvements in TGD.
• Body weight changes for 4-ARM-PEG 20 ⁇ -BA-DOC treatment were generally less than or similar to those for docetaxel at the same equivalent dose.
• 40 mg/kg 4-ARM-PEG 2 o ⁇ -BA-DOC was in excess of the MTD due to a body weight decrease of 22.6% and resulted in a 148% TGD with two PRs.
• Docetaxel and 4-ARM-PEG 2 o ⁇ -BA-docetaxel Pharmacokinetic Parameters in Male Rats after Single IV Doses of 5 mg/kg Docetaxel, or 5, 10, 15 mg/kg 4-ARM-PEG 20K -BA-docetaxel
• Cmax and AUC values increased in a dose-related and generally dose-proportional manner.
• 4-ARM-PEG 20K -BA-docetaxel 4-ARM-PEG 20 ⁇ -BA-docetaxel treatment resulted in about a 6-fold lower C max but similar AUC.
• Standard non-compartmental analysis did not allow accurate estimation of the long docetaxel terminal half-life after administration of 4-ARM-PEG 2 o ⁇ -BA-docetaxel, due in part to the sustained presence of docetaxel and the variability associated with concentrations in the slowest disposition phase occurring near the lower limit of quantification (1 ng/mL).
• a population pharmacokinetic approach was employed. The population pharmacokinetic analysis estimated a terminal half life for docetaxel of 168 hr after administration of 4- ARM- PEG 20 ⁇ -BA-docetaxel and 40 hr after administration of docetaxel.
• 4-ARM-PEG 20 ⁇ -BA-docetaxel when administered to rats has a low clearance and low volume of distribution, resulting in a long 4- ARM- PEG 20 K-B A-docetaxel terminal half life of 65 hr.
• Plasma docetaxel C max is approximately 6- fold lower after administration of equivalent 4- ARM-PEG 20K -B A-docetaxel and docetaxel doses, while AUC is similar.
• Plasma docetaxel half-life is estimated to be about 4-fold longer following 4-ARM-PEG 20 ⁇ -BA-docetaxel administration than that observed following docetaxel administration (168 vs. 40 hr) resulting in sustained systemic docetaxel exposure.
• 4-ARM-PEG 20K -B A-docetaxel or 0.75 mg/kg (15 mg/m 2 ) docetaxel 4-ARM-PEG 20 ⁇ -BA-docetaxel and docetaxel were - -
• Docetaxel C max values are reached between 0.88-12 hr after the 4-ARM-PEG 20 ⁇ -BA-docetaxel dose, indicating that a portion of docetaxel is released quickly.
• 4- ARM-PEG 20K -B A-docetaxel has a low clearance and low volume of distribution, resulting in a long 4-ARM-PEG 2 o ⁇ -BA-docetaxel terminal half- life of 31 hr.
• Plasma docetaxel C max and AUC are about 1 10- and 7-fold lower, respectively, following administration of equivalent 4-ARM-PEG 20 ⁇ -BA-docetaxel and docetaxel doses.
• Lower docetaxel AUC after 4-ARM-PEG 20 ⁇ -BA-docetaxel is likely due to incomplete capture of AUC because of a relatively short sampling period (168 hours) in the presence of a 199-hourr apparent half-life.
• Plasma docetaxel half-life following 4-ARM-PEG 2 o ⁇ -BA- docetaxel administration is estimated to be about 8-fold longer than that observed following docetaxel administration (199 vs. 25 hours) confirming the sustained systemic docetaxel exposure observed in rats.
• Example 14 rats were sampled in groups of 15 using alternating, overlapping sparse sampling schemes across groups to encompass the total duration of sampling. All of these factors contributed to the occurrence of sparse data within a given animal's terminal concentration-time profile.
• Plasma docetaxel concentrations following docetaxel or 4-ARM-PEG 20 ⁇ -BA-docetaxel administration, and plasma 4-ARM-PEG 20 ⁇ -BA-docetaxel concentrations following 4-ARM- PEG 20K -B A-docetaxel administration were fit with a model specifying zero-order input of the dose over a defined infusion period and biexponential disposition (Monolix PK Model 26).
• Docetaxel concentration-time data after 4-ARM-PEG 20 ⁇ -BA-docetaxel were fit with a model having first order input, to reflect metabolism of 4-ARM-PEG 20K -B A-docetaxel to the active docetaxel metabolite, and biexponential disposition (Monolix PK Model 31).
• the parameter of interest for this investigation was the population terminal disposition rate constant, ⁇ z to supplement the results described above.
• Plasma docetaxel concentration-time profiles in rats after administration of docetaxel or 4-ARM-PEG 20 ⁇ -BA-docetaxel were well fit with the respective models. It was possible to obtain a population estimate for ⁇ z for all 4 treatment groups. The results show that docetaxel concentrations in the terminal disposition phase following administration of all doses of 4- ARM-PEG 20K -B A-docetaxel are more sustained than those following administration of docetaxel.
• the population mean (SE) ⁇ z estimates for docetaxel following administration of docetaxel and 4-ARM-PEG 20 ⁇ -BA-docetaxel to rats are 0.0174 (0.0018) hr "1 and 0.00412 (0.001) hr "1 , respectively, with corresponding tl/2ju values of 40 and 168 h.
• Plasma docetaxel concentration-time profiles in dogs after administration of docetaxel or 4-ARM-PEG 20 ⁇ -BA-docetaxel were well fit with the respective models. It was possible to obtain a population estimate for ⁇ z for all 4 treatment groups.
• the population mean (SE) ⁇ z estimates for docetaxel following administration of docetaxel and 4- ARM-PEG 20K -B A-docetaxel to dogs are 0.0276 (0.0022) hr '1 and 0.00349 (0.0021) hr "1 , respectively, with corresponding tl/2 ⁇ z values of 25 and 199 hr.
• the population mean (SE) ⁇ z estimates for 4-ARM-PEG 20 ⁇ -BA-docetaxel and docetaxel following administration of 4- ARM-PEG 20K -B A-docetaxel to dogs are 0.0141 (0.00041) h "1 and 0.00627 (0.00086) h '1 , respectively, with corresponding tl/2 ⁇ z values of 49 and 110 hr.
• ⁇ Conjugate 4- ARM-P EG 20K -B A-docetaxel [0392] Values for docetaxel tl/2 ⁇ z after 4-ARM-PEG 20K -BA-docetaxel are 4- to 8- fold greater than those after docetaxel in rats and dogs, providing evidence of the desired characteristics of prolonged docetaxel half-life and extended exposure.
• Plasma docetaxel concentrations fell below the limit of quantitation (1 ng/mL) by 72 hr after administration of docetaxel, while they remained above 5 ng/mL for up to 168 hr after administration of 4-ARM-PEG 20K -B A-docetax el. These results demonstrate sustained systemic exposure to docetaxel after 4-ARM-PEG 20 ⁇ -BA-docetaxel administration in a third animal species. Both lots of 4- ARM-PEG 20K -B A-docetaxel resulted in comparable plasma and tumor docetaxel concentration-time profiles. - -
• Plasma and tumor 4-ARM-PEG 20 ⁇ -BA-docetaxel and docetaxel exposure data are summarized in Table 8.
• ⁇ Conjugate 4-ARM-PEG 20K -BA-docetaxel
• Plasma docetaxel Cmax was reached in 0.5 hr post-dose (first timepoint measured) independent of treatment. Tumor docetaxel Cmax was reached by 4 hr post docetaxel dose and 12 hr post 4- ARM-PEG 20K -B A-docetax el dose. Plasma docetaxel Cmax was reduced about 14-fold after administration of 4- ARM-PEG 20K -B A-docetaxel, but the sustained plasma drug concentrations after 4-ARM-PEG 20 ⁇ -BA-docetaxel resulted in similar mean docetaxel AUC values after 4-ARM-PEG 20 ⁇ -BA-docetaxel for both treatments.
• BA-docetaxel correlated with a significantly longer H460 tumor growth delay for 4- ARM- PEG 20K -BA-docetaxel vs. docetaxel (122 vs. 48%).
• PEG 20 ⁇ -BA-docetaxel is mediated by increased and sustained tumor docetaxel exposure.
• the objective of the study was to assess the stability of 4- ARM-P EG 20K -B A- docetaxel in mouse, rat, dog, and human plasma.
• 4-ARM-PEG 20 ⁇ -BA-docetaxel was spiked (50 ⁇ g/mL; 60 ⁇ M) into heparinized, pooled male mouse, rat, and dog plasma; mixed sex pooled human plasma; and phosphate buffered saline. Triplicate samples were incubated at 37 0 C for 0, 15, 30, 60, 120, and 240 min. Aliquots were removed at each timepoint and analyzed for disappearance of 4- ARM-PEG 2OK -B A-docetaxel and appearance of docetaxel using the validated dog plasma analytical method.
• Table 9 summarizes the disappearance of 4- ARM-PEG 20K -B A-docetaxel and appearance of docetaxel at the end of the 240-minute incubation period.
• Docetaxel is released from 4-ARM-PEG 20 ⁇ -BA-docetaxel after incubation in mouse, rat, dog, and human plasma.
• the release of docetaxel is notably faster in rodent plasma than in non-rodent plasma, suggesting that rodents are less reliable than the dog as predictors of human metabolism of 4- ARM-PEG 20K -B A-docetaxel.
• a dose of 12.5 mg/kg (docetaxel equivalents) for all agents was administered first to groups of 5 male and 5 female rats. If the mortality was 10% or less at 48 hours after dosing, a dose of 20 mg/kg of the test agent was administered to the next groups of 5 male and 5 female rats. If mortality from the 12.5 mg/kg dose was greater than 10%, the second dose was subsequently modified. The third dose was administered based on the results from the first two doses and was adjusted accordingly on the basis of the mortality results obtained.
• Clinical observations were performed 15 minutes, 30 minutes, 1, 2, 3, and 4 hours after dosing and once post-noon observation on the day of test article administration. The observations were continued twice daily, once in the morning and in the afternoon on the remaining 14 day observation period.

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