WO2014080251A1 - Hydrophilic linkers and their uses for conjugation of drugs to cell binding molecules - Google Patents
Hydrophilic linkers and their uses for conjugation of drugs to cell binding molecules Download PDFInfo
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- WO2014080251A1 WO2014080251A1 PCT/IB2012/056700 IB2012056700W WO2014080251A1 WO 2014080251 A1 WO2014080251 A1 WO 2014080251A1 IB 2012056700 W IB2012056700 W IB 2012056700W WO 2014080251 A1 WO2014080251 A1 WO 2014080251A1
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- 0 CC(C)*(c1ccc(CNC(NCCP(O)(SC)=O)=O)cc1)=C Chemical compound CC(C)*(c1ccc(CNC(NCCP(O)(SC)=O)=O)cc1)=C 0.000 description 2
- KYLFCTQKLDYSQE-UHFFFAOYSA-N CC(CCS(CCS(CCC(OC)=O)(=O)=O)(=N)=[U])Br Chemical compound CC(CCS(CCS(CCC(OC)=O)(=O)=O)(=N)=[U])Br KYLFCTQKLDYSQE-UHFFFAOYSA-N 0.000 description 1
- ZCHUFLVNHJHUIJ-UHFFFAOYSA-N CNc1ccc(COC(NCCS(O)(S(C)C)=O)=O)cc1 Chemical compound CNc1ccc(COC(NCCS(O)(S(C)C)=O)=O)cc1 ZCHUFLVNHJHUIJ-UHFFFAOYSA-N 0.000 description 1
- MTQHWSBCVAXEKF-UHFFFAOYSA-N OC(CCC1=O)N1OC(CCP(CCP(CCN(CC=C1)C1=O)(O)=O)(O)=O)=O Chemical compound OC(CCC1=O)N1OC(CCP(CCP(CCN(CC=C1)C1=O)(O)=O)(O)=O)=O MTQHWSBCVAXEKF-UHFFFAOYSA-N 0.000 description 1
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- C07F9/02—Phosphorus compounds
- C07F9/547—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom
- C07F9/553—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom having one nitrogen atom as the only ring hetero atom
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- 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
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
- A61K31/445—Non condensed piperidines, e.g. piperocaine
- A61K31/4523—Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems
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- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
- A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
- A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
- A61K47/6889—Conjugates wherein the antibody being the modifying agent and wherein the linker, binder or spacer confers particular properties to the conjugates, e.g. peptidic enzyme-labile linkers or acid-labile linkers, providing for an acid-labile immuno conjugate wherein the drug may be released from its antibody conjugated part in an acidic, e.g. tumoural or environment
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- C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
- C07D401/12—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a chain containing hetero atoms as chain links
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- C07F9/02—Phosphorus compounds
- C07F9/28—Phosphorus compounds with one or more P—C bonds
- C07F9/30—Phosphinic acids R2P(=O)(OH); Thiophosphinic acids, i.e. R2P(=X)(XH) (X = S, Se)
- C07F9/301—Acyclic saturated acids which can have further substituents on alkyl
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- C07F9/28—Phosphorus compounds with one or more P—C bonds
- C07F9/30—Phosphinic acids R2P(=O)(OH); Thiophosphinic acids, i.e. R2P(=X)(XH) (X = S, Se)
- C07F9/302—Acyclic unsaturated acids
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- C07F9/28—Phosphorus compounds with one or more P—C bonds
- C07F9/30—Phosphinic acids R2P(=O)(OH); Thiophosphinic acids, i.e. R2P(=X)(XH) (X = S, Se)
- C07F9/32—Esters thereof
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- C07F9/6561—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom containing systems of two or more relevant hetero rings condensed among themselves or condensed with a common carbocyclic ring or ring system, with or without other non-condensed hetero rings
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Definitions
- the present invention relates to the preparation of novel hydrophilic linkers used for the conjugation of a drug, in particular, a cytotoxic agent to a biological molecule.
- the present invention also relates to methods of making cell-binding agent-drug (cytotoxic agent) conjugates comprising either modification of drugs with these hydrophilic linkers first, followed by reaction with cell-binding agents; or modification of cell-binding agents 10 with these hydrophilic linkers first, followed by reaction with drugs.
- anticancer drugs such as Albumin-based drug carriers; Carbohydrate-enhanced
- Vitamins e.g. folates as carriers; Nanoparticle carriers,; Liposome carriers, e. g.
- pegylated liposomes enclosed in a polyethylene glycol bilayer
- An ideal drug delivery vehicle must be non-toxic, biocompatible, non-immunogenic, and biodegradable (Scott, R; Crabbe, D; et al (2008) Expert Opin. Drug Deli. 5, 459) and avoid recognition by the host's defense mechanisms (Saltzman, W.; Torchilin, V. (2008). "Drug delivery systems” Access Science. McGraw-Hill Co.).
- the link between the delivery vehicles, in particular, antibodies and the cell-killing agent plays a critical role in the development of targeted drug delivery systems, as the nature of the linker significantly affects the potency, selectivity and the pharmacokinetics of the resulting conjugates (Zhao, R.;
- linkers had been used for preparation of cell binding agent-drug conjugates that have entered the clinic: (a) acid-labile linkers, exploiting the acidic endosomal and lysosomal intracellular microenvironment; (b) linkers cleavable by lysosomal proteases; (c) chemically stable thioether linkers that release a lysyl adduct after proteolytic degradation of the antibody inside the cell; and (d) disulfide - containing linkers, which are cleaved upon exposure to an intracellular thiol (Zhao, R.; Wilhelm, S. et al, 2011 J. Med. Chem. 36, 5404).
- the cell-binding agents are first modified with a bifunctional agent such as SPDP (N-succinimidyl 3-(2-pyridyldithio) propionate), or SMCC (succinimidyl-4-(N- maleimidomethyl)cyclohexane-l-carboxylate), or SPDB (N-succinimidyl 4-(2- pyridyldithio)butanoate), to introduce an active disulfide or a maleimido moiety.
- a thiol-containing cytotoxic drug provides a conjugate in which the cell-binding agent, such as a monoclonal antibody, and drug are linked via disulfide bonds or thioether bonds
- the use of the cell binding molecule-drug conjugates, such as antibody- drug conjugates (ADCs), in developing therapies for a wide variety of cancers has been limited both by the availability of specific targeting agents (carriers) as well as the conjugation methodologies which result in the formation of protein aggregates when the amount of the drugs that are conjugated to the carrier (i.e., the drug loading) is increased.
- the tendency for cytotoxic drug conjugates to aggregate is especially problematic when the conjugation reactions are performed with the hydrophobic linkers.
- higher drug loading increases the inherent potency of the conjugate, it is desirable to have as much drug loaded on the carrier as is consistent with retaining the affinity of the carrier protein.
- aggregated protein which may be nonspecifically toxic and immunogenic, and therefore must be removed for therapeutic applications, makes the scale -up process for the production of these conjugates more difficult and decreases the yield of the products.
- the present invention provides hydrophilic linkers containing phosphinate, sulfonyl, and/or sulfoxide groups to link drugs to a cell-binding agent (e.g., an antibody).
- a cell-binding agent e.g., an antibody
- the preferred formula of the cell binding molecule - hydrophilic linker- drug conjugates can be represented as: Cb-(-L-Drug) n , wherein Cb is a cell-binding agent, L is a hydrophilic linker, Drug is a drug molecule, and n is an integer from 1 to 20.
- the advantages in applying the hydrophilic linker in the cell molecule-drug conjugate are: a), reducing the aggregation of the conjugates in water based media; b).
- the hydrophilic linker is represented by formula (I) wherein Y can react with a cell-binding agent and Z can react with a cytotoxic drug: Wherein:
- Y represents a functional group that enables reaction with a cell-binding agent
- n and n are integer from 0 to 5, but not 0 at the same time;
- Z represents a functional group that enables linkage of a cytotoxic drug via a disulfide, thioether, thioester, peptide, hydrazone, ether, ester, carbamate, carbonate, amine (secondary, tertiary, or quartary), imine, cycloheteroalkyane, heteroaromatic, alkoxime or amide bond;
- Ri, P 2 , P 3 , PM, P5 and P 6 are the same or different and are H, linear alkyl having from 1-6 carbon atoms, branched or cyclic alkyl having from 3 to 6 carbon atoms, linear, branched or cyclic alkenyl or alkynyl, or 1-6 carbon atoms of esters, ether, amide, or polyethyleneoxy unit of formula (OCH 2 CH 2 ) p , wherein p is an integer from 0 to about 1000, or combination thereof.
- R 2 , R 3 and R 4 are respectively a chain of atoms selected from C, N, O, S, Si, and P that covalently connects the cell-surface binding ligand, the phosphinate or sulfonyl group, the conjugated drug and among themselves (Ri, R 2 , R 3 and R 4 ).
- the atoms used in forming the hydrophilic linker may be combined in all chemically relevant ways, such as forming alkylene, alkenylene, and alkynylene, ethers, polyoxyalkylene, esters, amines, imines, polyamines, hydrazines, hydrazones, amides, ureas, semicarbazides, carbazides, alkoxyamines, alkoxylamines, urethanes, amino acids, peptides,
- M is H, or Na, or K, or N + RiR 2 R 3 or a pharmaceutical salt.
- Ri, R 2 and R 3 are described above.
- this invention provides a cell-binding agent-drug conjugate of formula (II), in which the cell-binding agent, Cb, and the drug, Drug, have reacted at the two end ( ⁇ )
- Cb represents a cell-binding agent
- Drug represents the drug linked to the cell-binding agent via the hydrophilic linker by a disulfide, thioether, thioester, peptide, hydrazone, ether, ester, carbamate, carbonate, cycloheteroalkyane, heteroaromatic, alkoxime or amide bond;
- the present invention provides a modified cell-binding agent of formula (III), in which the cell-binding agent, Cb, has reacted with the hydrophilic linker, which s : (III)
- the present invention provides a modified drug of formula (IV), in which the drug, Drug, has reacted with the hydrophilic linker, which still has Y, a group c : (IV)
- the present invention further relates to a method of making a cell-binding molecule-drug conjugate of formula (II), wherein the drug is linked to a cell-binding agent via the hydrophilic linker.
- the present invention also relates to a method of making a modified cell-binding molecule of formula (III), wherein the cell-binding molecule is reacted with the hydrophilic linker.
- the present invention also relates to a method of making a modified drug of formula (IV), wherein the drug is reacted with the hydrophilic linker.
- Figure 1 shows the synthesis of diphosphinate-containing cross-linking reagents that contain a pyridyldisulfide group and a reactive carboxylic acid ester, and the linker used for the conjugation of an antibody.
- Ammonium phosphinate are first converted into bis(trimethylsilyl) phosphonite, followed by Michael addition with an acrylate and then substitution reaction with excess amount of 1,2-dibromo ethane to form (2-bromoethyl)(3- ethoxy-3-oxopropyl)phosphinic acid (4).
- the bromoethyl phosphinic acid moiety (5) was then substituted with bis(trimethylsilyl) phosphonite (2) and 1 ,2-dibromo ethane to generate (2-bromoethyl)(2-(ethoxy(3-ethoxy-3-oxopropyl)phosphoryl)ethyl)phosphinic acid (8), whose bromide group was then replaced by potassium ethyl xanthogenate, followed by basic hydrolysis and a substitution reaction with an excess of 2,2'- dithiobispyridine, as well as condensation reaction of the acid 10 with N-hydroxysuccimide (NHS) in an acid medium using the carbodiimide coupling agent EDC to give the diphosphinate linker (11).
- the linker 11 can be used for the conjugation of drugs to a cell binding molecule (such as antibody).
- Figure 2 shows the synthesis of a triphosphinate-containing linker 18 that contains a pyridyldisulfide group and a reactive carboxylic acid ester.
- the linker can be used for the conjugation of a drug to cell binding molecule via a disulfide bond.
- Figures 3 shows the synthesis of tetraphosphinate-containing cross linkers 23 that contain a reactive carboxylic acid ester and a pyridyldisulfide group, enabling linkage of a drug to a cell binding molecule via a disulfide bond.
- Figure 4 shows the synthesis of diphosphinate-containing cross-linker 26 that contain a maleimido group and a reactive carboxylic acid ester enabling linkage of a drug to a cell binding molecule via a thioether bond
- Figures 5 shows the synthesis of monophosphinate, diphosphinate, triphosphinate and tetraphosphinate-containing linkers that contain a pyridyldisulfide group and a reactive carboxylic acid ester via substitution of ethyl 2-bromoacetate with bis(trimethylsilyl) phosphonite (2).
- Figure 6 shows the synthesis of linking reagents that contain a vinylsulfonyl (55), a monosulfonyl (61) and disulfonyl (69) groups.
- Figures 7 shows the synthesis of mono-, and di-sulfonyl linkers
- Figure 8 shows the synthesis of mono-sulfonyl linkers containing polyethylene glycols.
- Figure 9 shows the synthesis of di-sulfonyl linkers containing polyethylene glycols.
- the linker can be used for the conjugation of an antibody or a protein via a disulfide bond.
- Figure 10 shows the synthesis of a hydrophilic linker containing a phosphinic acid and a sulfonyl group.
- Figure 11 shows the synthesis of a hydrophilic linker containing contain a phosphinate, a sulfonyl and a ketone groups that can be used for the conjugation of a drug to an antibody or a protein via a hydrazone bond.
- Figure 12 shows the synthesis of hydrophilic linkers that contain a disulfonyl, polyethylene glycols, a much hindered pyridyldisulfide and a reactive carboxylic acid ester groups via substitution of l,3-dibromo-3-methylbutane.
- the linker is used for the conjugation of drugs to an antibody or a protein via a hinder disulfide bond.
- Figure 13 shows the synthesis of hydrophilic linkers containing a phosphinate and a sulfonyl groups that are used for the conjugation of drugs to a cell binding molecule either via a triazole or via a thiolether bond.
- Figures 14 shows synthesis of hydrophilic linkers that contain a disulfonyl, phosphinate, a pyridyldisulfide group, a polyethylene glycol (PEG) chain and a reactive carboxylic acid ester.
- the linkers are used for the conjugation of a cell binding molecule via cell thioether bond
- Figures 15 shows synthesis of hydrophilic linkers that contain a disulfonyl, phosphinate, an alkoxylamino and a maleimido substituents, enabling ketone or aldehyde- containing drug to link to an antibody via a thioether and an alkoxime bond.
- Figure 16 shows the synthesis of disulfonyl-containing linkers that contains an alkoxylamino and a maleimido substituent, enabling ketone or aldehyde- containing drug to link to an antibody via a thioether and an alkoxime bond.
- Figure 17 shows the synthesis of sulfoxide-containing and disulf oxide-containing linkers that are used for the conjugation of drugs to a cell binding molecule via a disulfide bond.
- Figures 18 show the synthesis of a disulfonyl-containing linker (221) that used for conjugation of amine-containing cytotoxic drugs to an antibody via the Val-Cit-PABC linkage.
- Figure 19 (19-a ⁇ 19-z) shows the antibody-drug conjugate (ADC) structures of the typical cytotoxic agents (the analogs of tubulysins, calicheamicins, maytansinoids, auristatins, doxorubicin, daunorubicin, CC-1065, pyrrolobenzodiazepine dimmers) via the hydrophilic linkers of this patent.
- ADC antibody-drug conjugate
- Figure 20 shows the use of a hydrophilic linker (86) in modifying a cell-binding agent (antiHer2 antibody) and following by production of a cell-binding agent-drug (TZ03) conjugate containing the hydrophilic linker.
- Figure 21 shows 5 days in vito assays of the cytotoxicity of the antiCD22-TZ041 (tubulysin analog) conjugate with different drug load ratios via a hydrophilic linker (86).
- Alkyl means an aliphatic hydrocarbon group which may be straight or branched having 1 to 8 carbon atoms in the chain or cyclic. "Branched” means that one or much lower alkyl groups such as methyl, ethyl or propyl are attached to a linear alkyl chain.
- Exemplary alkyl groups include methyl, ethyl, n-propyl, /-propyl, «-butyl, Z-butyl, «-pentyl, 3-pentyl, octyl, nonyl, decyl, cyclopentyl, cyclohexyl, 2,2-dimethylbutyl, 2,3- dimethylbutyl, 2,2-dimethylpentyl, 2,3-dimethylpentyl, 3,3-dimethylpentyl, 2,3,4- trimethylpentyl, 3-methylhexyl, 2,2-dimethylhexyl, 2,4-dimethylhexyl, 2,5-dimethylhexyl, 3,5-dimethylhexyl, 2,4-dimethylpentyl, 2-methylheptyl, 3-methylheptyl, n-heptyl, isoheptyl, n-octyl, and isooctyl.
- a d-Cs alkyl group can be unsubstituted or substituted with one or more groups including, but not limited to, -Ci ⁇ C 8 alkyl, -0-(Ci ⁇ C 8 alkyl), - aryl, -C(0)R', -OC(0)R', -C(0)OR', -C(0)NH 2 , -C(0)NHR', -C(0)N(R') 2 -NHC(0)R', - S(0) 2 R', -S(0)R', -OH, -halogen (F, CI, Br or I), -N 3 , -NH 2 , -NH(R'), -N(R') 2 and -CN; where each R' is independently selected from -Ci ⁇ Cs alkyl and aryl.
- C3 ⁇ Cs carbocycle means a 3-, 4-, 5-, 6-, 7- or 8-membered saturated or unsaturated non-aromatic carbocyclic ring.
- Representative C3 ⁇ Cs carbocycles include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclopentadienyl, cyclohexyl, cyclohexenyl, 1,3-cyclohexadienyl, 1 ,4-cyclohexadienyl, cycloheptyl, 1,3- cycloheptadienyl, 1,3,5-cycloheptatrienyl, cyclooctyl, and cyclooctadienyl.
- a C3 ⁇ Cs carbocycle group can be unsubstituted or substituted with one or more groups including, but not limited to, -Ci ⁇ C 8 alkyl, -0-( Ci ⁇ C 8 alkyl), -aryl, -C(0)R', -OC(0)R', -C(0)OR', - C(0)NH 2 , -C(0)NHR', -C(0)N(R') 2 -NHC(0)R', -S(0) 2 R', -S(0)R', -OH, -halogen, -N 3 , - NH 2 , -NH(R'), -N(R') 2 and -CN; where each R' is independently selected from -Ci ⁇ C 8 alkyl and aryl.
- Cs-Cs carbocyclo refers to a C3 ⁇ Cs carbocycle group defined above wherein one of hydrogen atoms on the carbocycle is replaced with a bond.
- Heterocycle refers to an aromatic or non-aromatic C3 ⁇ Ci 4 carbocycle in which one to four of the ring carbon atoms are independently replaced with a heteroatom from the group of O, N, S Se, and P.
- Preferable heteroatoms are oxygen, nitrogen and sulphur.
- Suitable heterocyclics are also disclosed in The Handbook of Chemistry and Physics, 76 th Edition, CRC Press, Inc., 1995-1996, p. 2-25 to 2-26, the disclosure of which is hereby incorporated by reference.
- Preferred non aromatic heterocyclic include, but are not limited to pyrrolidinyl, pyrazolidinyl, imidazolidinyl, oxiranyl, tetrahydrofuranyl, dioxolanyl, tetrahydro-pyranyl, dioxanyl, dioxolanyl, piperidyl, piperazinyl, morpholinyl, pyranyl, imidazolinyl, pyrrolinyl, pyrazolinyl, thiazolidinyl, tetrahydrothiopyranyl, dithianyl, thiomorpholinyl, dihydro- pyranyl, tetrahydropyranyl, dihydropyranyl, tetrahydro-pyridyl, dihydropyridyl, tetrahydropyrinidinyl, dihydrothiopyranyl, azepanyl, as well as the fused systems resulting from the condensation
- Alkyl refers also to the corresponding "alkylene”, “cycloalkylene”, “alkenylene”,
- alkynylene "arylene”, “heteroarylene” , “heterocyclene” and the likes which are formed by the removal of two hydrogen atoms.
- Halogen atom refers to fluorine, chlorine, bromine or iodine atom; preferably bromine and chlorine atom.
- “Pharmaceutically” or “pharmaceutically acceptable” refer to molecular entities and compositions that do not produce an adverse, allergic or other untoward reaction when administered to an animal, or a human, as appropriate.
- “Pharmaceutically acceptable excipient” includes any carriers, diluents, adjuvants, or vehicles, such as preserving or antioxidant agents, fillers, disintegrating agents, wetting agents, emulsifying agents, suspending agents, solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents and the like.
- preserving or antioxidant agents such as preserving or antioxidant agents, fillers, disintegrating agents, wetting agents, emulsifying agents, suspending agents, solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents and the like.
- the use of such media and agents for pharmaceutical active substances is well known in the art. Except insofar as any conventional media or agent is incompatible with the active ingredient, its use in the therapeutic compositions is contemplated. Supplementary active ingredients can also be incorporated into the compositions as suitable therapeutic combinations.
- pharmaceutically acceptable salts refer to derivatives of the disclosed compounds wherein the parent compound is modified by making acid or base salts thereof.
- the pharmaceutically acceptable salts include the conventional non-toxic salts or the quaternary ammonium salts of the parent compound formed, for example, from non-toxic inorganic or organic acids.
- such conventional non-toxic salts include those derived from inorganic acids such as hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric, nitric and the like; and the salts prepared from organic acids such as acetic, propionic, succinic, tartaric, citric, methanesulfonic, benzenesulfonic, glucoronic, glutamic, benzoic, salicylic, toluenesulfonic, oxalic, fumaric, maleic, lactic and the like.
- Further addition salts include ammonium salts such as tromethamine, meglumine, epolamine, etc., metal salts such as sodium, potassium, calcium, zinc or magnesium.
- the pharmaceutical salts of the present invention can be synthesized from the parent compound which contains a basic or acidic moiety by conventional chemical methods.
- such salts can be prepared via reaction the free acidic or basic forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two.
- non-aqueous media like ether, ethyl acetate, ethanol, isopropanol, or acetonitrile are preferred. Lists of suitable salts are found in Remington's Pharmaceutical Sciences, 17 th ed., Mack Publishing Company, Easton, PA, 1985, p. 1418, the disclosure of which is hereby incorporated by reference.
- novel conjugates disclosed herein use hydrophilic cross-linkers. Examples of some suitable cross-linkers and their synthesis are shown in Figures 1 to 18.
- hydrophilic cross linkers possess three elements: a) substituents that are either phosphinate, or sulfonyl or sulfoxide groups, or mixed of these groups, b) a group, such as a N-hydroxysuccimimide ester, maleimido group, haloacetyl group, and hydrazide, capable of reaction with a cell-binding agent, and c) a group, such as but not limited to, a disulfide, maleimide, haloacetyl, aldehyde, ketone, azide, amine, alkoxylamino and hydrazide, capable of reaction with a drug.
- the hydrophilic substituents can be introduced by methods described herein.
- the phosphinate substituents they can be introduced by first treating a commercially available ammonium phosphinate with an acrylate via Michael addition and followed by substitution of excess amount of dibromo alkane to a phosphinate group.
- the sulfonyl and sulfoxide substituents they can be introduced by first generation of thioether components, followed by oxidization of these components. More detail synthesis of the hydrophilic linkers and their uses for the preparation of cell binding ligand-drug conjugates of this invention are disclosed in the figures 1-19.
- Y represents a functional group that enables reaction with a cell-binding agent
- n and n are integer from 0 to 5, but not 0 at the same time;
- Z represents a functional group that enables linkage of a cytotoxic drug via a disulfide, thioether, thioester, peptide, hydrazone, ether, ester, carbamate, carbonate, amine (secondary, tertiary, or quartary), imine, cycloheteroalkyane, heteroaromatic, alkoxime or amide bond;
- Ri, P2, P3, P4, P5 and P6 are the same or different and are H, linear alkyl having from 1 -6 carbon atoms, branched or cyclic alkyl having from 3 to 6 carbon atoms, linear, branched or cyclic alkenyl or alkynyl, or 1-6 carbon atoms of esters, ether, amide, or polyethyleneoxy unit of formula (OCH 2 CH 2 ) p , wherein p is an integer from 0 to about 1000, or combination thereof.
- Ri, R 2 , R3, and R4 can be respectively a chain of atoms selected from C, ⁇ , O, S, Si, and P that covalently connects the cell-surface binding ligand, the phosphinate or sulfonyl or sulfoxide group, the conjugated drug and themselves (Ri, R 2, R 3 and R 4 ).
- the atoms used in forming the hydrophilic linker may be combined in all chemically relevant ways, such as forming alkylene, alkenylene, and alkynylene, ethers, polyoxyalkylene, esters, amines, imines, polyamines, hydrazines, hydrazones, amides, ureas, semicarbazides, carbazides, alkoxyamines, alkoxylamines, urethanes, amino acids, acyloxylamines, hydroxamic acids, and many others.
- the atoms forming the linker (L) may be either saturated or unsaturated, or may be radicals, or may be cyclized upon each other to form divalent cyclic structures, including cyclo alkanes, cyclic ethers, cyclic amines, arylenes, heteroarylenes, and the like in the linker.
- M is H, or Na, or K, or N + RiR 2 R 3 or a pharmaceutical salt.
- Ri, R 2 and R 3 are described above.
- Examples of the functional group, Y, that enables reaction with a cell-binding agent include amine reacting agents such as but not limited to N-hydroxysuccinmide esters, p- nitrophenyl esters, dinitrophenyl esters, pentafluorophenyl esters; thiol reactive agents such as but not limited to pyridyldisulfides, nitropyridyldisulfides, maleimides, haloacetates and carboxylic acid chlorides.
- amine reacting agents such as but not limited to N-hydroxysuccinmide esters, p- nitrophenyl esters, dinitrophenyl esters, pentafluorophenyl esters
- thiol reactive agents such as but not limited to pyridyldisulfides, nitropyridyldisulfides, maleimides, haloacetates and carboxylic acid chlorides.
- Examples of the functional group, Z, which enables linkage of a cytotoxic drug include groups that enable linkage via an either disulfide, or thioether, thioester, peptide, hydrazone, ester, carbamate, carbanate, alkoxime or amide bond.
- Such functional groups include, but are not limited to, thiol, disulfide, amino, carboxy, aldehydes, maleimido, haloacetyl, hydrazines, and hydroxy.
- Huisgen 1,3-dipolar cycloaddition of azides to alkynes is shown, for example, in Figures 13.
- the synthesis of hydrophilic cross linkers of formula (I) bearing a hydrazide or ketone moieties enabling linkage via acid-labile bonds is shown, for example, in Figures 11, 16and 18.
- the synthesis of hydrophilic cross linkers of formula (I) bearing an alkoxylamino moiety enabling linkage via alkoxime bonds is shown, for example, in Figure 15 andl6.
- the synthesis of dipeptide -containing cross linkers of the formula (I) is shown, for example, in Figure 18.
- the conjugates of the present invention can be represented by the following formula, Cb-(-L-Drug) n , wherein Cb is a cell-binding agent, L is a hydrophilic linker, Drug is a drug molecule, and n is an integer from 1 to 20.
- the hydrophilic linker L may be composed of one or more linker components.
- exemplary linker components include 6-maleimidocaproyl ("MC"), maleimidopropanoyl ("MP”), valine-citrulline (“val-cit” or “vc”), alanine-phenylalanine (“ala-phe” or “af”), p- aminobenzyloxycarbonyl (“PAB”), 4-thiopentanoate (“SPP”), 4-(N- maleimidomethyl)cyclohexane- 1 carboxylate (“MCC”), (4-acetyl)aminobenzoate
- SIAB 4-thio-butyrate
- SPDB 4-thio-2-hydroxysulfonyl-butyrate
- EO ethyleneoxy -CH 2 CH 2 0— as one or more repeating units
- PEO repeating units
- linkers are: -maleimidocaproyl containing
- Cb represents a cell-binding agent
- Drug represents the drug linked to the cell-binding agent via the hydrophilic linkers of this invention by a disulfide, thioether, thioester, peptide, hydrazone, ether, ester, carbamate, carbonate, heterocyclic ring, amine, imine, alkoxime or amide bond; q is 1 ⁇ 20; Q, T, m, n, Ri, R 2 , R3, R4, R5 , R6 and M are described the same previously in formula (I).
- the drug can be any of many small molecule drugs, including, but not limited to, tubulysins, calicheamicins, auristatins, maytansinoids, CC- 1065 analogs, morpholinos doxorubicins, taxanes, cryptophycins, epothilones, and benzodiazepine dimers (e.g., dimmers of pyrrolobenzodiazepine (PBD) or tomaymycin), indolinobenzodiazepines, imidazobenzothiadiazepines, or oxazolidinobenzodiazepines).
- PBD pyrrolobenzodiazepine
- indolinobenzodiazepines imidazobenzothiadiazepines
- oxazolidinobenzodiazepines oxazolidinobenzodiazepines
- the cell-binding agent can be first modified with the hydrophilic linkers of the present invention to introduce reactive disulfide groups, maleimido, haloacetyl, azide, 1-yne, ketone, or hydrazide groups.
- Synthesis of the cell- binding agent-drug conjugates linked via disulfide bonds is achieved by a disulfide exchange between the disulfide bond in the modified cell-binding agent and a drug containing a free thiol group.
- Synthesis of the cell-binding agent-drug conjugates linked via thioether is achieved by reaction of the maleimido or haloacetyl or ethylsulfonyl modified cell-binding agent and a drug containing a free thiol group.
- Synthesis of conjugates bearing an acid labile hydrazone link can be achieved by reaction of a carbonyl group with the hydrazide moiety in the linker, by methods known in the art (see, for example, P. Hamann et al., Hinman, L. M., et al, Cancer Res. 53, 3336-334, 1993; B. Laguzza et al., J.Med. Chem., 32; 548-555, 1959; P. Trail et al., Cancer Res., 57; 100-105, 1997).
- the drug can be modified with the hydrophilic linkers of the present invention to give a modified drug of formula (IV) bearing functionality capable of reacting with a cell binding agent.
- a thiol-containing drug can be reacted with the hydrophilic linker of formula (I) bearing a maleimdo or a haloacetyl or an ethylsulfonyl substituent at neutral pH in aqueous buffer to give a drug connected to the hydrophilic linker via a thioether link.
- a thiol-containing drug can undergo disulfide exchange with a hydrophilic linker bearing a pyrdiyldithio moiety to give a modified drug attached via a disulfide bond to the hydrophilic cross linker.
- a drug bearing a hydroxyl group or a thiol group can be reacted with a hydrophilic linker bearing a halogen of this invention, in the presence of a mild base, to give a modified drug bearing an ether or thiol ether link.
- a hydroxyl group containing drug can be condensed with a hydrophilic cross linker of formula (I) bearing a carboxyl group, in the presence of a dehydrating agent, such as EDC or dicyclohexylcarbodimide, to give an ester link.
- a dehydrating agent such as EDC or dicyclohexylcarbodimide
- An amino group containing drug can similarly undergo condensation with a carboxyl group on the hydrophilic linker of formula (I) to give an amide bond.
- the conjugate may be purified by standard biochemical means, such as gel filtration on a Sephadex G25 or Sephacryl S300 column, adsorption chromatography, and ion exchange or by dialysis.
- standard biochemical means such as gel filtration on a Sephadex G25 or Sephacryl S300 column, adsorption chromatography, and ion exchange or by dialysis.
- the cell-binding agent-drug conjugates can be purified by chromatography such as by HPLC, medium pressure column chromatography or ion exchange chromatography.
- the cell-binding agent modified by reaction with linkers of the present invention are:
- substituents are as described above for the hydrophilic linkers and the cell-binding agent drug conjugates.
- Z is a disulfide substituent, a maleimido, haloacetyl group, or an N-hydroxysuccinimide ester
- Cb linked with Ri is through thioether, amide, or disulfide bond.
- the modified cell-binding agent can be prepared via a reaction of the cell-binding agent with the hydrophilic linkers by methods known in the art for other cross-linkers (U.S. Patent Nos. 5,846,545, 5,585,499, 5,475,092, 5,414,064, 5,208,020, and 4,563,304; Carlsson, J. et al. Biochem. J. (1978) 173, 723-737(1978); Goff, D. A.,
- the reaction between the cell-binding agent and the cross-linker can be conducted in aqueous solution.
- the cross-linking reagent is dissolved in aqueous buffer, optionally containing a small amount (typically ⁇ 10% by volume) of a polar organic solvent that is miscible with water, for example different alcohols, such as methanol, ethanol, and propanol, acetone, acetonitrile, tetrahydrofuran (THF), 1 ,4-dioxane, dimethyl formamide (DMF), dimethyl acetamide (DMA), or dimethylsulf oxide (DMSO) at a high concentration, for example 1-100 mM, and then an appropriate aliquot is added to the buffered aqueous solution of the cell-binding agent.
- An appropriate aliquot is an amount of solution that introduces 1-10 cross-linking groups per cell-binding agent, preferably 1-5 groups, and the volume to be added should not exceed 10 %, preferably 5 %, and most preferably 0-3 % of the volume of the cell-binding agent solution.
- the aqueous solutions for the cell-binding agents are buffered between pH 6 and 9, preferably between 6.5 and 7.5 and can contain any non-nucleophilic buffer salts useful for these pH ranges.
- Typical buffers include phosphate, triethanolamine HC1, HEPES, and MOPS buffers, which can contain additional components, such as cyclodextrins, sucrose and salts, for examples, NaCl and KC1.
- the reaction is incubated at a temperature of from 4 °C to 40 °C, preferably at ambient temperature.
- the progress of the reaction can be monitored by measuring the increase in the absorption at 320 nm or another appropriate wavelength.
- isolation of the modified cell- binding agent can be performed in a routine way, using for example gel filtration chromatography, or adsorptive chromatography.
- Figure 20 shows the results from the modification of the cell-binding agent, the her2 antibody, with a chydrophilic cross-linker of the present invention.
- the time course of linker/antibody (L/A) incorporation is shown, for example, along with the drugs/antibody (D/A) linked.
- the hydrophilic cross-linkers described herein have diverse functional groups that can react with any cell-binding agent that possesses a suitable substituent.
- cell-binding agents bearing an amino or hydroxyl substituent can react with cross linkers bearing an N-hydroxysuccinimide (NHS) ester
- cell-binding agents bearing a thiol substituent can react with cross linkers bearing a maleimido or haloacetyl group
- cell- binding agents bearing a carbonyl substituent can react with cross linkers bearing a hydrazide or a hydroxylamine.
- cytotoxic drugs modified by reaction with cross-linkers of the present invention are (IV)
- Y is a disulfide substituent, a maleimido, haloacetyl group, or an N-hydroxysuccinimide ester.
- the modified drugs can be prepared by reacting the drug with the cross linkers of the present invention to give a modified drug of formula (IV) bearing a functionality capable of reacting with a cell binding agent.
- a thiol-containing drug can be reacted with the cross linker of formula (I) bearing a maleimdo substituent at neutral pH in aqueous buffer to give a drug connected to the hydrophilic linker via thioether linkage.
- a thiol-containing drug can undergo disulfide exchange with a hydrophilic linker bearing a pyrdiyldithio moiety to give a modified drug attached via a disulfide bond to the hydrophilic cross linker.
- a drug bearing a hydroxyl group can be reacted with a cross linker bearing a halogen, in the presence of a mild base, to give a modified drug bearing an ether link.
- a hydroxyl group containing drug can be condensed with a cross linker of formula (I) bearing a carboxyl group, in the presence of a dehydrating agent, such as EDC or dicyclohexylcarbodimide (DCC), to give an ester link.
- a drug bearing a thiol group can be reacted with a cross linker bearing a malimido or a vinylsulfonyl, or a haloacetyl group, to give a modified drug bearing thioether link.
- An amino group containing drug can similarly undergo condensation with a carboxyl group on the hydrophilic cross linker of formula (I) to give an amide bond.
- the modified drug can be purified by standard methods such as column chromatography over silica gel or alumina, crystallization, preparatory thin layer chromatography, ion exchange chromatography or HPLC.
- the cell-binding molecule that comprises the conjugates and the modified cell- binding agents of the present invention may be of any kind presently known, or that become known, molecule that binds to, complexes with or reacts with a moiety of a cell population sought to be therapeutically or otherwise biologically modified.
- the cell binding agents include, but are not limited to, large molecular weight proteins such as, for example, full-length antibodies (polyclonal antibodies, monoclonal antibodies, dimers, multimers, multispecific antibodies (e.g., bispecific antibodies); single chain antibodies; fragments of antibodies such as Fab, Fab', F(ab') 2 , F Vj [Parham, J.
- Immunol. 131, 2895-2902 (1983)] fragments produced by a Fab expression library, anti- idiotypic (anti-Id) antibodies, CDR's, and epitope-binding fragments of any of the above which immuno-specifically bind to cancer cell antigens, viral antigens, microbial antigens or a protein generated by the immune system that is capable of recognizing, binding to a specific antigen or exhibiting the desired biological activity (Miller et al (2003) J.
- interferons such as type I, II, III
- peptides such as lymphokines such as IL-2, IL-3, IL-4, IL-6, GM-CSF, interferon-gamma (IFN- ⁇ ); hormones such as insulin, TRH (thyrotropin releasing hormones), MSH (melanocyte-stimulating hormone), steroid hormones, such as androgens and estrogens, melanocyte-stimulating hormone
- MSH growth factors and colony-stimulating factors
- EGF epidermal growth factors
- GM-CSF granulocyte-macrophage colony-stimulating factor
- TGF transforming growth factors
- IGF-I, IGF-II insulin and insulin like growth factors
- GEF vaccinia growth factors
- FGFs fibroblast growth factors
- platelet-derived growth factors interleukin and cytokines, such as interleukin-2 (IL-2), interleukin-6 (IL-6), leukemia inhibitory factors, granulocyte- macrophage colony- stimulating factor (GM-CSF); vitamins, such as folate; apo
- PSMA prostate-specific membrane antigen
- TKI small molecular tyrosine kinase inhibitors
- nanoparticles Liong, et al, ACS Nano, 2008, 19, 1309-12; Medarova, et al, Nat. Med. 2007, 13, 372-7; Javier, et al, Bioconjugate Chem. 2008, 19, 1309-12); liposomes (Medinai, et al, Curr. Phar. Des. 2004, 10, 2981-9); viral capsides (Flenniken, et al, Viruses Nanotechnol. 2009, 327, 71-93).
- monoclonal antibodies are preferred as a cell-surface binding agent if an appropriate one is available.
- antibodies may be murine, human, humanized, chimeric, or derived from other species.
- Particularly monoclonal antibodies are produced by immunizing mice, rats, hamsters or any other mammal with the antigen of interest such as the intact target cell, antigens isolated from the target cell, whole virus, attenuated whole virus, and viral proteins.
- Splenocytes are typically fused with myeloma cells using polyethylene glycol (PEG) 6000.
- Fused hybrids are selected by their sensitivity to HAT (hypoxanthine-aminopterin-thymine).
- Hybridomas producing a monoclonal antibody useful in practicing this invention are identified by their ability to immunoreact specified receptors or inhibit receptor activity on target cells.
- a monoclonal antibody used in the present invention can be produced by initiating a monoclonal hybridoma culture comprising a nutrient medium containing a hybridoma that secretes antibody molecules of the appropriate antigen specificity.
- the culture is maintained under conditions and for a time period sufficient for the hybridoma to secrete the antibody molecules into the medium.
- the antibody-containing medium is then collected.
- the antibody molecules can then be further isolated by well-known techniques, such as using protein-A affinity chromatography; anion, cation, hydrophobic, or size exclusive chromatographies (particularly by affinity for the specific antigen after Protein A, and sizing column chromatography); centrifugation, differential solubility, or by any other standard technique for the purification of proteins.
- DMEM Dulbecco's minimal essential medium
- antibody-producing cell lines can also be created by techniques other than fusion, such as direct transformation of B lymphocytes with oncogenic DNA, or transfection with an oncovirus, such as Epstein-Barr virus (EBV, also called human herpesvirus 4 (HHV-4)) or Kaposi's sarcoma-associated herpesvirus (KSHV).
- EBV Epstein-Barr virus
- HHV-4 human herpesvirus 4
- KSHV Kaposi's sarcoma-associated herpesvirus
- a monoclonal antibody may also be produced via an anti-receptor peptide or peptides containing the carboxyl terminal as described well-known in the art. See Niman et al., Proc. Natl. Acad. Sci. USA, 80: 4949-4953 (1983); Geysen et al., Proc. Natl. Acad. Sci. USA, 82: 178-182 (1985); Lei et al. Biochemistry 34(20): 6675-6688, (1995).
- the anti-receptor peptide or a peptide analog is used either alone or conjugated to an immunogenic carrier, as the immunogen for producing anti-receptor peptide monoclonal antibodies.
- phage display technology which can be used to select a range of human antibodies binding specifically to the antigen using methods of affinity enrichment. Phage display has been thoroughly described in the literature and the construction and screening of phage display libraries are well known in the art, see, e.g., Dente et al, Gene. 148(1):7-13 (1994); Little et al, Biotechnol Adv.
- Monoclonal antibodies derived by hybridoma technique from another species than human, such as mouse, can be humanized to avoid human anti-mouse antibodies when infused into humans.
- humanization of antibodies are complementarity-determining region grafting and resurfacing. These methods have been extensively described, see e.g. U.S. Pat. Nos. 5,859,205 and 6,797,492; Liu et al, Immunol Rev. 222:9-27 (2008); Almagro et al, Front Biosci. 13: 1619-33 (2008); Lazar et al, Mol Immunol. 44(8): 1986-98 (2007); Li et al, Proc. Natl. Acad. Sci. U S A. 103(10):3557-62 (2006) each incorporated herein by reference.
- Fully human antibodies can also be prepared by immunizing transgenic mice, rabbits, monkeys, or other mammals, carrying large portions of the human immunoglobulin heavy and light chains, with an immunogen.
- mice examples include the Xenomouse. (Abgenix, Inc.), the HuMAb-Mouse
- Antibodies immunospecific for a malignant cell antigen can also be obtained commercially or produced by any method known to one of skill in the art such as, e.g., chemical synthesis or recombinant expression techniques.
- the nucleotide sequence encoding antibodies immunospecific for a malignant cell antigen can be obtained commercially, e.g., from the GenBank database or a database like it, the literature publications, or by routine cloning and sequencing.
- a peptide or protein that bind/block/target or in some other way interact with the epitopes or corresponding receptors on a targeted cell can be used as a binding molecule.
- These peptides or proteins could be any random peptide or proteins that have an affinity for the epitopes or corresponding receptors and they don't necessarily have to be of the immunoglobulin family.
- These peptides can be isolated by similar techniques as for phage display antibodies (Szardenings, J Recept Signal Transduct Res.
- peptides from such random peptide libraries can be similar to antibodies and antibody fragments.
- the binding molecules of peptides or proteins may be conjugated on or linked to a large molecules or materials, such as, but is not limited, an albumin, a polymer, a liposome, a nano particle, as long as such attachment permits the peptide or protein to retain its antigen binding specificity.
- antibodies used for conjugation of drugs via the hydrophilic linkers of this prevention for treating cancer, autoimmune disease, and infectious disease include, but are not limited to, 3F8 (anti-GD2), Abagovomab (anti CA-125), Abciximab (anti CD41 (integrin alpha-lib), Adalimumab (anti-TNF-a), Adecatumumab (anti-EpCAM, CD326), Afelimomab (anti-TNF-a); Afutuzumab (anti-CD20), Alacizumab pegol (anti-VEGFR2), ALD518 (anti-IL-6), Alemtuzumab (Campath, MabCampath, anti- CD52), Altumomab (anti-CEA), Anatumomab (anti-TAG-72), Anrukinzumab (IMA-638, anti-IL-13),
- Apolizumab (anti-HLA-DR), Arcitumomab (anti-CEA), Aselizumab (anti-L-selectin (CD62L), Atlizumab (tocilizumab, Actemra, RoActemra, anti-IL-6 receptor),
- Atorolimumab anti-Rhesus factor
- Bapineuzumab anti-beta amyloid
- Basiliximab Simulect, antiCD25 (a chain of IL-2 receptor), Bavituximab (anti-phosphatidylserine), Bectumomab (LymphoScan, anti-CD22), Belimumab (Benlysta, LymphoStat-B, anti- BAFF), Benralizumab (anti-CD125), Bertilimumab (anti-CCLl l (eotaxin-1)), Besilesomab (Scintimun, anti-CEA-related antigen), Bevacizumab (Avastin, anti-VEGF-A), Biciromab (FibriScint, anti-fibrin II beta chain), Bivatuzumab (anti-CD44 v6), Blinatumomab (BiTE, anti-CD19), Brentuxima
- Clenoliximab (anti-CD4), Clivatuzumab (anti-MUCl), Conatumumab (anti-TR AIL-R2) , CR6261 (anti-Influenza A hemagglutinin), Dacetuzumab (anti-CD40), Daclizumab (Zenapax, anti-CD25 (a chain of IL-2 receptor)), Daratumumab (anti-CD38 (cyclic ADP ribose hydrolase), Denosumab (Prolia, anti-RANKL), Detumomab (anti-B -lymphoma cell), Dorlimomab, Dorlixizumab, Ecromeximab (anti-GD3 ganglioside), Eculizumab (Soliris, anti-C5), Edobacomab (anti-endo toxin), Edrecolomab (Panorex, MA 7-1A, anti-
- EpCAM EpCAM
- Efalizumab Raptiva, anti-LFA-1 (CDl la), Efungumab (Mycograb, anti-Hsp90), Elotuzumab (anti-SLAMF7), Elsilimomab (anti-IL-6), Enlimomab pegol (anti-ICAM-1 (CD54)), Epitumomab (anti-episialin), Epratuzumab (anti-CD22), Erlizumab (anti-ITGB2 (CD18)), Ertumaxomab (Rexomun, anti-HER2/neu, CD3), Etaracizumab (Abegrin, anti- integrin ⁇ ⁇ 3), Exbivirumab ( anti-hepatitis B surface antigen), Fanolesomab (NeutroSpec, anti-CD15), Faralimomab (anti-interferon receptor), Farletuzumab (anti-folate receptor 1), Felvizumab (
- Girentuximab anti-carbonic anhydrase 9
- Glembatumumab CR011, anti-GPNMB
- Golimumab (Simponi, anti-TNF-a), Gomiliximab (anti-CD23 (IgE receptor)), Ibalizumab (anti-CD4), Ibritumomab (anti-CD20), Igovomab (Indimacis-125, anti-CA-125),
- Imciromab Myoscint, anti-cardiac myosin
- Infliximab Remicade, anti-TNF-a
- Intetumumab (anti-CD51), Inolimomab (anti-CD25 (a chain of IL-2 receptor)),
- Inotuzumab (anti-CD22), Ipilimumab (anti-CD152), Iratumumab (anti- CD30
- TNFRSF8 Keliximab
- CEA-Cide Labetuzumab
- Lebrikizumab Lebrikizumab
- Anti-NCA-90 granulocyte antigen
- Lerdelimumab anti- TGF beta 2
- Lexatumumab anti-TRAIL-R2
- Libivirumab anti-hepatitis B surface antigen
- Lintuzumab anti-CD33
- Lucatumumab anti-CD40
- Lumiliximab anti- CD23 (IgE receptor
- Mapatumumab anti-TRAIL-Rl
- Maslimomab anti- T-cell receptor
- Matuzumab anti-EGFR
- Mepolizumab Bosatria, anti-IL-5
- Metelimumab anti-TGF beta 1
- Milatuzumab anti-CD74
- Minretumomab anti-TAG
- Ticilimumab (Tremelimumab, (anti-CTLA-4), Tigatuzumab (anti-TRAIL-R2), TNX-650 (anti-IL-13), Tocilizumab (Atlizumab, Actemra, RoActemra, (anti-IL-6 receptor), Toralizumab (anti-CD 154 (CD40L)), Tositumomab (anti-CD20), Trastuzumab (Herceptin, (anti-HER2/neu), Tremelimumab (anti-CTLA-4), Tucotuzumab celmoleukin (anti- EpCAM), Tuvirumab (anti-hepatitis B virus), Urtoxazumab (anti- Escherichia coli), Ustekinumab (Stelara, anti-IL-12, IL-23), Vapaliximab (anti-AOC3 (VAP-1)),
- Vedolizumab (anti-integrin ⁇ 4 ⁇ ), Veltuzumab (anti-CD20), Vepalimomab (anti-AOC3 (VAP-1), Visilizumab (Nuvion, anti-CD3), Vitaxin (anti-vascular integrin avb3),
- Volociximab anti-integrin ⁇ ⁇
- Votumumab HuaSPECT, anti-tumor antigen
- CTAA16.88 Zalutumumab (HuMax-EGFr, (anti-EGFR), Zanolimumab (HuMax-CD4, anti-CD4), Ziralimumab (anti-CD147 (basigin)), Zolimomab (anti-CD5), Etanercept
- CYT- 356 Oncoltad®, for prostate cancers
- HNK20 OraVax Inc. for respiratory syncytial virus
- ImmuRAIT from Immunomedics for NHL
- Lym-1 anti-HLA-DRlO, Peregrine Pharm.
- MAK-195F anti-TNF (tumor necrosis factor; TNFA, TNF-alpha; TNFSF2), from Abbott / Knoll for Sepsis toxic shock
- MEDI-500 [T10B9, anti-CD3, TRo$ (T cell receptor alpha/beta), complex, from Medlmmune Inc for Graft-versus-host disease]
- RING SCAN anti-TAG 72 (tumour associated glycoprotein 72), from Neoprobe Corp.
- LymphoCide Immunomedics, NJ
- Smart ID10 Protein Design Labs
- Oncolym Techniclone Inc, CA
- Allomune BioTransplant, CA
- anti-VEGF Geneentech, CA
- CEAcide Immunomedics, NJ
- IMC-1C11 ImClone Systems, NJ
- Cetuximab ImClone, NJ
- antibodies as binding ligands include, but are not limited to, are antibodies against the following antigens: Aminopeptidase N (CD13), Annexin Al, B7-H3 (CD276, various cancers), CA125 (ovarian), CA15-3 (carcinomas), CA19-9 (carcinomas), L6 (carcinomas), Lewis Y (carcinomas), Lewis X (carcinomas), alpha fetoprotein
- CD2 Hodgkin's disease, NHL lymphoma, multiple myeloma
- CD3 epsilon T cell lymphoma, lung, breast, gastric, ovarian cancers, autoimmune diseases, malignant ascites
- CD19 B cell malignancies
- CD20 non-Hodgkin's lymphoma
- CD22 leukemia, lymphoma, multiple myeloma, SLE
- CD30 Hodgkin's lymphoma
- CD33 leukemia, autoimmune diseases
- CD38 multiple myeloma
- CD40 lymphoma, multiple myeloma, leukemia (CLL)
- CD51 Metalstatic melanoma, sarcoma
- CD52 leukemia
- CEACAM5 carcinoembryonic antigen; CEA, CD66e
- CEA CD66e
- DLL4 A-like-4
- EGFR Epidermal Growth Factor Receptor, various cancers
- CTLA4 melanoma
- CXCR4 CD 184, Heme-oncology, solid tumors
- Endoglin CD 105, solid tumors
- EPCAM epidermal cell adhesion molecule, bladder, head, neck, colon, NHL prostate, and ovarian cancers
- ERBB2 Epidermal Growth Factor
- Receptor 2 lung, breast, prostate cancers
- FCGR1 autoimmune diseases
- FOLR farnesol receptor
- GD2 ganglioside cancers
- G-28 a cell surface antigen glyvolipid, melanoma
- GD3 idiotype cancers
- Heat shock proteins cancers
- HER1 lung, stomach cancers
- HER2 breast2
- HLA-DR10 HLA-DRB
- HLA-DRB HLA-DRB
- human chorionic gonadotropin carcinoma
- IGF1R insulin-like growth factor 1 receptor, solid tumors, blood cancers
- IL-6R interleukin 6 receptor, multiple myeloma, RA, Castleman's disease, IL6 dependent tumors
- Integrins ⁇ 3, ⁇ 5 ⁇ 1, ⁇ 6 ⁇ 4, ⁇ 11 ⁇ 3, ⁇ 5 ⁇ 5, ⁇ 5, for various cancers
- MAGE-1 carcinomas
- MAGE-2 carcinomas
- MAGE-3 carcinomas
- MAGE 4 carcinomas
- anti-transferrin receptor carcinomas
- p97 melanoma
- MS4A1 membrane-spanning 4-domains subfamily A member 1, Non-Hodgkin's B cell lymphoma, leukemia
- MUC1 or MUC1-KLH breast, ovarian, cervix, bronchus and gastrointestinal cancer
- MUC16 CA125
- CEA colonrectal
- gplOO melanoma
- MARTI melanoma
- the cell-binding -drug conjugates via the hydrophilic likers of this invention are used for the treatment of cancers.
- the cancers include, but are not limited, Adrenocortical Carcinoma, Anal Cancer, Bladder Cancer, Brain Tumor (Adult, Brain Stem Glioma, Childhood, Cerebellar Astrocytoma, Cerebral Astrocytoma, Ependymoma, Medulloblastoma, Supratentorial Primitive Neuroectodermal and Pineal Tumors, Visual Pathway and Hypothalamic Glioma), Breast Cancer, Carcinoid Tumor, Gastrointestinal, Carcinoma of Unknown Primary, Cervical Cancer, Colon Cancer, Endometrial Cancer, Esophageal Cancer, Extrahepatic Bile Duct Cancer, Ewings Family of Tumors (PNET), Extracranial Germ Cell Tumor, Eye Cancer, Intraocular Melanoma, Gallbladder Cancer, Gastric Cancer (
- the cell-binding-drug conjugates via the hydrophilic likers of this invention are used in accordance with the compositions and methods for the treatment or prevention of an autoimmune disease.
- the autoimmune diseases include, but are not limited, Achlorhydra Autoimmune Active Chronic Hepatitis, Acute Disseminated Encephalomyelitis, Acute hemorrhagic leukoencephalitis, Addison's Disease, Agammaglobulinemia, Alopecia areata, Amyotrophic Lateral Sclerosis,
- Antisynthetase syndrome Arthritis, Atopic allergy, Atopic Dermatitis, Autoimmune Aplastic Anemia, Autoimmune cardiomyopathy, Autoimmune hemolytic anemia,
- Autoimmune hepatitis Autoimmune inner ear disease, Autoimmune lymphoproliferative syndrome, Autoimmune peripheral neuropathy, Autoimmune pancreatitis, Autoimmune polyendocrine syndrome Types I, II, & III, Autoimmune progesterone dermatitis,
- Autoimmune thrombocytopenic purpura Autoimmune thrombocytopenic purpura, Autoimmune uveitis, Balo disease/Balo concentric sclerosis, Bechets Syndrome, Berger's disease, Bickerstaff s encephalitis, Blau syndrome, Bullous Pemphigoid, Castleman's disease, Chagas disease, Chronic Fatigue Immune Dysfunction Syndrome, Chronic inflammatory demyelinating polyneuropathy, Chronic recurrent multifocal ostomyelitis, Chronic lyme disease, Chronic obstructive pulmonary disease, Churg-Strauss syndrome, Cicatricial Pemphigoid, Coeliac Disease, Cogan syndrome, Cold agglutinin disease, Complement component 2 deficiency, Cranial arteritis, CREST syndrome, Crohns Disease (a type of idiopathic inflammatory bowel diseases), Cushing's Syndrome, Cutaneous leukocytoclastic angiitis, Dego'
- Parsonnage-Turner syndrome Pars planitis, Pemphigus, Pemphigus vulgaris, Pernicious anaemia, Perivenous encephalomyelitis, POEMS syndrome, Polyarteritis nodosa,
- Polymyalgia rheumatica Polymyositis, Primary biliary cirrhosis, Primary sclerosing cholangitis, Progressive inflammatory neuropathy, Psoriasis, Psoriatic Arthritis, Pyoderma gangrenosum, Pure red cell aplasia, Rasmussen's encephalitis, Raynaud phenomenon, Relapsing polychondritis, Reiter's syndrome, Restless leg syndrome, Retroperitoneal fibrosis, Rheumatoid arthritis, Rheumatoid fever, Sarcoidosis, Schizophrenia, Schmidt syndrome, Schnitzler syndrome, Scleritis, Scleroderma, Sjogren's syndrome,
- Spondyloarthropathy Sticky blood syndrome, Still's Disease, Stiff person syndrome, Subacute bacterial endocarditis, Susac's syndrome, Sweet syndrome, Sydenham Chorea, Sympathetic ophthalmia, Takayasu's arteritis, Temporal arteritis (giant cell arteritis), Tolosa-Hunt syndrome, Transverse Myelitis, Ulcerative Colitis (a type of idiopathic inflammatory bowel diseases), Undifferentiated connective tissue disease, Undifferentiated spondyloarthropathy, Vasculitis, Vitiligo, Wegener's granulomatosis, Wilson's syndrome, Wiskott-Aldrich syndrome
- a binding molecule used for the conjugate via the hydrophilic linkers of this invention for the treatment or prevention of an autoimmune disease includes, but are not limited to, anti-elastin antibody; Abys against epithelial cells antibody; Anti-Basement Membrane Collagen Type IV Protein antibody; Anti-Nuclear Antibody; Anti ds DNA; Anti ss DNA, Anti Cardiolipin Antibody IgM, IgG; anti-celiac antibody; Anti Phospholipid Antibody IgK, IgG; Anti SM Antibody; Anti Mitochondrial Antibody; Thyroid Antibody; Microsomal Antibody, T-cells antibody; Thyroglobulin Antibody, Anti SCL-70; Anti-Jo; Anti-U.sub.lRNP; Anti-La/SSB; Anti SSA; Anti SSB; Anti Perital Cells Antibody; Anti Histones; Anti RNP; C-ANCA; P-ANCA; Anti centromere; Anti-Fibrillarin, and Anti GBM Antibody
- the binding molecule for the conjugate in the present invention can bind to both a receptor or a receptor complex expressed on an activated lymphocyte which is associated with an autoimmune disease.
- the receptor or receptor complex can comprise an immunoglobulin gene superfamily member (e.g. CD2, CD3, CD4, CD8, CD19, CD20, CD22, CD28, CD30, CD37, CD38, CD56, CD70, CD79, CD90, CD 125, CD152/CTLA-4, PD-1, or ICOS), a TNF receptor superfamily member (e.g.
- useful binding ligands that are immunospecific for a viral or a microbial antigen are humanized or human monoclonal antibodies.
- viral antigen includes, but is not limited to, any viral peptide, polypeptide protein (e.g. HIV gpl20, HIV nef, RSV F glycoprotein, influenza virus neuramimidase, influenza virus hemagglutinin, HTLV tax, herpes simplex virus glycoprotein (e.g. gB, gC, gD, and gE) and hepatitis B surface antigen) that is capable of eliciting an immune response.
- polypeptide protein e.g. HIV gpl20, HIV nef, RSV F glycoprotein
- influenza virus neuramimidase influenza virus hemagglutinin
- HTLV tax herpes simplex virus glycoprotein
- herpes simplex virus glycoprotein e.g. gB, gC, gD, and gE
- microbial antigen includes, but is not limited to, any microbial peptide, polypeptide, protein, saccharide, polysaccharide, or lipid molecule (e.g., a bacterial, fungi, pathogenic protozoa, or yeast polypeptide including, e.g., LPS and capsular polysaccharide 5/8) that is capable of eliciting an immune response.
- microbial antigen includes, but is not limited to, any microbial peptide, polypeptide, protein, saccharide, polysaccharide, or lipid molecule (e.g., a bacterial, fungi, pathogenic protozoa, or yeast polypeptide including, e.g., LPS and capsular polysaccharide 5/8) that is capable of eliciting an immune response.
- antibodies available 1 for the viral or microbial infection include, but are not limited to, Palivizumab which is a humanized anti-respiratory syncytial virus monoclonal antibody for the treatment of RSV infection; PR0542 which is a CD4 fusion antibody for the treatment of HIV infection; Ostavir which is a human antibody for the treatment of hepatitis B virus; PROTVIR which is a humanized IgG.sub.l antibody for the treatment of cytomegalovirus; and anti-LPS antibodies.
- the cell binding molecules-drug conjugates via the hydrophilic linkers of this invention can be used in the treatment of infectious diseases.
- infectious diseases include, but are not limited to, Acinetobacter infections, Actinomycosis, African sleeping sickness (African trypanosomiasis), AIDS (Acquired immune deficiency syndrome), Amebiasis, Anaplasmosis, Anthrax, Arcanobacterium haemolyticum infection, Argentine hemorrhagic fever, Ascariasis, Aspergillosis, Astrovirus infection, Babesiosis, Bacillus cereus infection, Bacterial pneumonia, Bacterial vaginosis, Bacteroides infection,
- Metagonimiasis Microsporidiosis, Molluscum contagiosum, Mumps, Murine typhus
- Tinea cruris Jock itch
- Tinea manuum Tinea manuum
- Tinea nigra Tinea pedis
- Tinea unguium Onychomycosis
- Tinea versicolor Tinea versicolor
- Toxocariasis Ocular Larva Migrans
- Toxocariasis Visceral Larva Migrans
- Toxoplasmosis Trichinellosis, Trichomoniasis, Trichuriasis (Whipworm infection), Tuberculosis, Tularemia, Ureaplasma urealyticum infection, Venezuelan equine encephalitis, Venezuelan hemorrhagic fever, Viral pneumonia, West Nile Fever, White piedra (Tinea blanca), Yersinia pseudotuberculosis infection, Yersiniosis, Yellow fever, Zygomycosis.
- the cell binding molecules which are more proffered to be antibodies described in this patent that are against pathogenic strains include, but are not limit, Acinetobacter baumannii, Actinomyces israelii, Actinomyces gerencseriae and Propionibacterium propionicus, Trypanosoma brucei, HIV (Human immunodeficiency virus), Entamoeba histolytica, Anaplasma genus, Bacillus anthracis, Arcanobacterium haemolyticum, Junin virus, Ascaris lumbricoides, Aspergillus genus, Astroviridae family, Babesia genus, Bacillus cereus, multiple bacteria, Bacteroides genus, Balantidium coli, Baylisascaris genus, BK virus, Piedraia hortae, Blastocystis hominis, Blastomyces dermatitides,
- Machupo virus Borrelia genus, Clostridium botulinum, Sabia, Brucella genus, usually Burkholderia cepacia and other Burkholderia species, Mycobacterium ulcerans,
- Caliciviridae family Campylobacter genus, usually Candida albicans and other Candida species, Bartonella henselae, Group A Streptococcus and Staphylococcus, Trypanosoma cruzi, Haemophilus ducreyi, Varicella zoster virus (VZV), Chlamydia trachomatis,
- Enterovirus 71 Sin Nombre virus, Helicobacter pylori, Escherichia coli 0157:H7, Bunyaviridae family, Hepatitis A Virus, Hepatitis B Virus, Hepatitis C Virus, Hepatitis D Virus, Hepatitis E Virus, Herpes simplex virus 1, Herpes simplex virus 2, Histoplasma capsulatum, Ancylostoma duodenale and Necator americanus, Hemophilus influenzae, Human bocavirus, Ehrlichia ewingii, Anaplasma phagocytophilum, Human
- Orthomyxoviridae family Isospora belli, Kingella kingae, Klebsiella pneumoniae, Klebsiella ozaenas, Klebsiella rhinoscleromotis, Kuru prion, Lassa virus, Legionella pneumophila, Legionella pneumophila, Leishmania genus, Mycobacterium leprae and Mycobacterium lepromatosis, Leptospira genus, Listeria monocytogenes, Borrelia burgdorferi and other Borrelia species, Wuchereria bancrofti and Brugia malayi,
- Lymphocytic choriomeningitis virus Plasmodium genus, Marburg virus, Measles virus, Burkholderia pseudomallei, Neisseria meningitides, Metagonimus yokagawai, Microsporidia phylum, Molluscum contagiosum virus (MCV), Mumps virus, Rickettsia typhi, Mycoplasma pneumoniae, numerous species of bacteria (Actinomycetoma) and fungi (Eumycetoma), parasitic dipterous fly larvae, Chlamydia trachomatis and Neisseria gonorrhoeae, vCJD prion, Nocardia asteroides and other Nocardia species, Onchocerca volvulus, Paracoccidioides brasiliensis, Paragonimus westermani and other Paragonimus species, Pasteurella genus, Pediculus humanus capitis, Pediculus humanus corporis,
- Streptococcus pyogenes Strongyloides stercoralis, Treponema pallidum, Taenia genus, Clostridium tetani, Trichophyton genus, Trichophyton tonsurans, Trichophyton genus, Epidermophyton floccosum, Trichophyton rubrum, and Trichophyton mentagrophytes, Trichophyton rubrum, Hortaea wasneckii, Trichophyton genus, Malassezia genus, Toxocara canis or Toxocara cati, Toxoplasma gondii, Trichinella spiralis, Trichomonas vaginalis, Trichuris trichiura, Mycobacterium tuberculosis, Francisella tularensis,
- Ureaplasma urealyticum Venezuelan equine encephalitis virus, Vibrio colerae, Guanarito virus, West Nile virus, Trichosporon beigelii, Yersinia pseudotuberculosis, Yersinia enterocolitica, Yellow fever virus, Mucorales order (Mucormycosis) and Entomophthorales order (Entomophthoramycosis), Pseudomonas aeruginosa, Campylobacter (Vibrio) fetus, Aeromonas hydrophila, Edwardsiella tarda, Yersinia pestis, Shigella dysenteriae, Shigella flexneri, Shigella sonnei, Salmonella typhimurium, Treponema per pneumonia, Treponema carateneum, Borrelia vincentii, Borrelia burgdorferi, Leptospira icterohemorrhagiae, P
- Trypanosoma rhodesiense Leishmania donovani, Leishmania tropica, Leishmania braziliensis, Pneumocystis pneumonia, Plasmodium vivax, Plasmodium falciparum, Plasmodium malaria); or Helminiths (Schistosoma japonicum, Schistosoma mansoni, Schistosoma haematobium, and hookworms).
- antibodies as cell binding ligands used in this invention for treatment of viral disease include, but are not limited to, antibodies against antigens of pathogenic viruses, including as examples and not by limitation: Poxyiridae, Herpesviridae, Adenoviridae, Papovaviridae, Enteroviridae, Picornaviridae, Parvoviridae, Reoviridae, Retroviridae, influenza viruses, parainfluenza viruses, mumps, measles, respiratory syncytial virus, rubella, Arboviridae, Rhabdoviridae, Arenaviridae, Non-A/Non-B Hepatitis virus, Rhinoviridae, Coronaviridae, Rotoviridae, Oncovirus [such as, HBV (Hepatocellular carcinoma), HPV (Cervical cancer, Anal cancer), Kaposi's sarcoma-associated herpesvirus (Kaposi's sarcoma), Epstein-Barr virus (Nas
- Central nervous system virus [such as, JCV (Progressive multifocal leukoencephalopathy), MeV (Subacute sclerosing panencephalitis), LCV (Lymphocytic choriomeningitis), Arbovirus encephalitis, Orthomyxoviridae (probable) (Encephalitis lethargica), RV (Rabies), Chandipura virus, Herpesviral meningitis, Ramsay Hunt syndrome type II;
- Poliovirus Poliovirus (Poliomyelitis, Post-polio syndrome), HTLV-I (Tropical spastic paraparesis)] ; Cytomegalovirus (Cytomegalovirus retinitis, HSV (Herpetic keratitis)); Cardiovascular virus [such as CBV (Pericarditis, Myocarditis)]; Respiratory system/acute viral nasopharyngitis/ viral pneumonia: [Epstein-Barr virus (EBV infection/Infectious mononucleosis), Cytomegalovirus; SARS coronavirus (Severe acute respiratory syndrome) Orthomyxoviridae: Influenzavirus A/B/C (Influenza/ Avian influenza), Paramyxovirus: Human parainfluenza viruses (Parainfluenza), RSV (Human respiratory syncytial virus), hMPV]; Digestive system virus [MuV (Mumps), Cytomegalovirus (Cytomegal
- the present invention also concerns pharmaceutical compositions comprising the conjugate via the hydrophilic linkers of the invention together with a pharmaceutically acceptable carrier for treatment of cancer and autoimmune disorders.
- the method for treatment of cancer and autoimmune disorders can be practiced in vitro, in vivo, or ex vivo.
- in vitro uses include treatments of cell cultures in order to kill all cells except for desired variants that do not express the target antigen; or to kill variants that express undesired antigen.
- Examples of ex vivo uses include treatments of hematopoietic stem cells (HSC) prior to the performance of the transplantation (HSCT) into the same patient in order to kill diseased or malignant cells.
- HSC hematopoietic stem cells
- the bone marrow cells After incubation the bone marrow cells are washed with medium containing serum and returned to the patient by i.v. infusion according to known methods. In circumstances where the patient receives other treatment such as a course of ablative chemotherapy or total-body irradiation between the time of harvest of the marrow and reinfusion of the treated cells, the treated marrow cells are stored frozen in liquid nitrogen using standard medical equipment.
- the conjugate via the linkers of the invention will be supplied as solutions or as a lyophilized solid that can be redissolved in sterile water for injection.
- suitable protocols of conjugate administration are as follows.
- Conjugates are given weekly for 8 weeks as an i.v. bolus.
- Bolus doses are given in 50 to
- human serum albumin e.g. 0.5 to 1 mL of a concentrated solution of human serum albumin, 100 mg/mL
- Dosages will be about 50 ⁇ g to 20 mg/kg of body weight per week, i.v. (range of 10 ⁇ g to 200 mg/kg per injection). 8 weeks after treatment, the patient may receive a second course of treatment.
- Specific clinical protocols with regard to route of administration, excipients, diluents, dosages, times, etc., can be determined by the skilled clinicians.
- Examples of medical conditions that can be treated according to the in vivo or ex vivo methods of killing selected cell populations include malignancy of any types of cancer, autoimmune diseases, graft rejections, and infections (viral, bacterial or parasite).
- the amount of a conjugate which is required to achieve the desired biological effect will vary depending upon a number of factors, including the chemical
- the conjugates via the linkers of this invention may be provided in an aqueous physiological buffer solution containing 0.1 to 10% w/v conjugates for parenteral administration.
- Typical dose ranges are from 1 g/kg to 0.1 g/kg of body weight per day; a preferred dose range is from 0.01 mg/kg to 20 mg/kg of body weight per day or an equivalent dose in a human child.
- the preferred dosage of drug to be administered is likely to depend on such variables as the type and extent of progression of the disease or disorder, the overall health status of the particular patient, the relative biological efficacy of the compound selected, the formulation of the compound, the route of administration (intravenous, intramuscular, or other), the pharmacokinetic properties of the compound by the chosen delivery route, and the speed (bolus or continuous infusion) and schedule of administrations (number of repetitions in a given period of time).
- the conjugates via the linkers of the present invention are also capable of being administered in unit dose forms, wherein the term "unit dose” means a single dose which is capable of being administered to a patient, and which can be readily handled and packaged, remaining as a physically and chemically stable unit dose comprising either the active conjugate itself, or as a pharmaceutically acceptable composition, as described hereinafter.
- typical total daily dose ranges are from 0.01 to 100 mg/kg of body weight.
- unit doses for humans range from 1 mg to 3000 mg per day.
- the unit dose range is from 1 to 500 mg administered one to four times a day, and even more preferably from 10 mg to 500 mg, once a day.
- Conjugates provided herein can be formulated into pharmaceutical compositions by admixture with one or more pharmaceutically acceptable excipients.
- Such unit dose compositions may be prepared for use by oral administration, particularly in the form of tablets, simple capsules or soft gel capsules; or intranasally, particularly in the form of powders, nasal drops, or aerosols; or dermally, for example, topically in ointments, creams, lotions, gels or sprays, or via trans- dermal patches.
- Drugs that can be conjugated to a cell-binding molecule in the present invention are small molecule drugs including cytotoxic agents, which can be linked to or after they are modified for linkage to the cell-binding agent.
- a "small molecule drug” is broadly used herein to refer to an organic, inorganic, or organometallic compound that may have a molecular weight of for example 100 to 1800, more suitably from 120 to 1400.
- Small molecule drugs are well characterized in the art, such as in WO05058367A2, and in U.S. Patent No. 4,956,303, among others and are incorporated in their entirety by reference.
- the drugs include known drugs and those that may become known drugs.
- Drugs that are known include, but not limited to, 1).
- Chemotherapeutic agents a).
- Alkylating agents such as Nitrogen mustards: chlorambucil, chlornaphazine, cyclophosphamide, dacarbazine, estramustine, ifosfamide, mechlorethamine,
- mechlorethamine oxide hydrochloride mannomustine, mitobronitol, melphalan, mitolactol, pipobroman, novembichin, phenesterine, prednimustine, thiotepa, trofosfamide, uracil mustard; CC-1065 (including its adozelesin, carzelesin and bizelesin synthetic analogues); duocarmycin (including the synthetic analogues, KW-2189 and CBI-TMI); benzodiazepine dimers (e.g., dimmers of pyrrolobenzodiazepine (PBD) or tomaymycin,
- PBD pyrrolobenzodiazepine
- Nitrosoureas (carmustine, lomustine, chlorozotocin, fotemustine, nimustine, ranimustine); Alkylsulphonates: (busulfan, treosulfan, improsulfan and piposulfan); Triazenes:
- Plant Alkaloids such as Vinca alkaloids: (vincristine, vinblastine, vindesine, vinorelbine, navelbin); Taxoids:
- paclitaxel, docetaxol and their analogs
- Maytansinoids DM1, DM2, DM3, DM4, maytansine and ansamitocins
- cryptophycins particularly cryptophycin 1 and cryptophycin 8
- epothilones eleutherobin, discodermolide, bryostatins, dolostatins, auristatins, tubulysins, cephalostatins; pancratistatin; a sarcodictyin; spongistatin; c).
- DNA Topoisomerase Inhibitors such as [Epipodophyllins: (9-aminocamptothecin, camptothecin, crisnatol, daunomycin, etoposide, etoposide phosphate, irinotecan, mitoxantrone, novantrone, retinoic acids (retinols), teniposide, topotecan, 9-nitrocamptothecin (RFS 2000)); mitomycins: (mitomycin C)] ; d).
- Anti-metabolites such as ⁇ [Anti-folate: DHFR inhibitors: (methotrexate, trimetrexate, denopterin, pteropterin, aminopterin (4- aminopteroic acid) or the other folic acid analogues); IMP dehydrogenase Inhibitors:
- Hormonal therapies such as ⁇ Receptor antagonists: [Anti-estrogen: (megestrol, raloxifene, tamoxifen); LHRH agonists: (goserelin, leuprolide acetate); Anti- androgens: (bicalutamide, flutamide, calusterone, dromostanolone propionate, epitiostanol, goserelin, leuprolide, mepitiostane, nilutamide, testolactone, trilostane and other androgens inhibitors)]; Retinoids/Deltoids: [Vitamin D3 analogs: (CB 1093, EB 1089 KH 1060, cholecalciferol, ergocalciferol); Photodynamic therapies: (verteporfin, phthalocyanine, photosensitizer Pc4, demethoxy-hypocrellin A); Cytokines: (Interferon-alpha, Inter
- Kinase inhibitors such as BIBW 2992 (anti-EGFR/Erb2), imatinib, gefitinib, pegaptanib, sorafenib, dasatinib, sunitinib, erlotinib, nilotinib, lapatinib, axitinib, pazopanib.
- vandetanib E7080 (anti-VEGFR2), mubritinib, ponatinib (AP24534), bafetinib (INNO- 406), bosutinib (SKI-606), cabozantinib, vismodegib, iniparib, ruxolitinib, CYT387, axitinib, tivozanib, sorafenib, bevacizumab, cetuximab, Trastuzumab, Ranibizumab, Panitumumab, ispinesib; g). antibiotics, such as the enediyne antibiotics (e.g.
- calicheamicins especially calicheamicin . ⁇ , ⁇ , l and ⁇ , see, e.g., J. Med. Chem. , 39 (11), 2103-2117 (1996), Angew Chem Intl. Ed. Engl.
- dynemicin including dynemicin A and deoxydynemicin; esperamicin, kedarcidin, C-1027, maduropeptin, as well as neocarzinostatin chromophore and related chromoprotein enediyne antiobiotic chromomophores), aclacinomysins, actinomycin, authramycin, azaserine, bleomycins, cactinomycin, carabicin, carminomycin, carzinophilin;
- chromomycins dactinomycin, daunorubicin, detorubicin, 6-diazo-5-oxo-L-norleucine, doxorubicin, morpholino-doxorubicin, cyanomorpholino-doxorubicin, 2-pyrrolino- doxorubicin and deoxydoxorubicin, epirubicin, esorubicin, idarubicin, marcellomycin, nitomycins, mycophenolic acid, nogalamycin, olivomycins, peplomycin, potfiromycin, puromycin, quelamycin, rodorubicin, streptonigrin, streptozocin, tubercidin, ubenimex, zinostatin, zorubicin; f).
- lonidamine mitoguazone; mitoxantrone; mopidamol; nitracrine; pentostatin; phenamet; pirarubicin; podophyllinic acid; 2-ethylhydrazide; procarbazine; PSK ® ; razoxane; rhizoxin; sizofiran; spirogermanium; tenuazonic acid; triaziquone; 2, 2',2"-trichlorotriethylamine; trichothecenes (especially T-2 toxin, verrucarin A, roridin A and anguidine); urethane, siRNA, antisense drugs, and a nucleolytic enzyme.
- An anti-autoimmune disease agent includes, but is not limited to, cyclosporine, cyclosporine A, aminocaproic acid, azathioprine, bromocriptine, chlorambucil, chloroquine, cyclophosphamide, corticosteroids (e.g.
- amcinonide betamethasone, budesonide, hydrocortisone, flunisolide, fluticasone propionate, fluocortolone danazol, dexamethasone, Triamcinolone acetonide, beclometasone dipropionate), DHEA, enanercept, hydroxychloroquine, infliximab, meloxicam, methotrexate, mofetil, mycophenylate, prednisone, sirolimus, tacrolimus.
- An anti-infectious disease agent includes, but is not limited to, a).
- Aminoglycosides amikacin, astromicin, gentamicin (netilmicin, sisomicin, isepamicin), hygromycin B, kanamycin (amikacin, arbekacin, bekanamycin, dibekacin, tobramycin), neomycin (framycetin, paromomycin, ribostamycin), netilmicin, spectinomycin, streptomycin, tobramycin, verdamicin; b). Amphenicols: azidamfenicol, chloramphenicol, florfenicol, thiamphenicol; c). Ansamycins: geldanamycin, herbimycin; d). Carbapenems: biapenem, doripenem, ertapenem, imipenem/cilastatin, meropenem, panipenem; e).
- Cephems carbacephem (loracarbef), cefacetrile, cefaclor, cefradine, cefadroxil, cefalonium, cefaloridine, cefalotin or cefalothin, cefalexin, cefaloglycin, cefamandole, cefapirin, cefatrizine, cefazaflur, cefazedone, cefazolin, cefbuperazone, cefcapene, cefdaloxime, cefepime, cefminox, cefoxitin, cefprozil, cefroxadine, ceftezole, cefuroxime, cefixime, cefdinir, cefditoren, cefepime, cefetamet, cefmenoxime, cefodizime, cefonicid, cefoperazone, ceforanide, cefotaxime, cefotiam, cefozopran, cephalexin
- Glycopeptides bleomycin, vancomycin (oritavancin, telavancin), teicoplanin (dalbavancin), ramoplanin; g).
- Glycylcyclines e. g. tigecycline; g).
- ⁇ - Lactamase inhibitors penam (sulbactam, tazobactam), clavam (clavulanic acid); i).
- Lincosamides clindamycin, lincomycin; j). Lipopeptides: daptomycin, A54145, calcium-dependent antibiotics (CDA); k). Macrolides: azithromycin, cethromycin, clarithromycin, dirithromycin, erythromycin, flurithromycin, josamycin, ketolide (telithromycin, cethromycin), midecamycin, miocamycin, oleandomycin, rifamycins (rifampicin, rifampin, rifabutin, rifapentine), rokitamycin, roxithromycin, spectinomycin, spiramycin, tacrolimus (FK506), troleandomycin, telithromycin; 1).
- Monobactams aztreonam, tigemonam; m).
- Oxazolidinones linezolid; n).
- Penicillins amoxicillin, ampicillin (pivampiciUin, hetacillin, bacampicillin, metampicillin, talampicillin), azidocillin, azlocillin, benzylpenicillin, benzathine benzylpenicillin, benzathine phenoxymethylpenicillin, clometocillin, procaine benzylpenicillin, carbenicillin (carindacillin), cloxacillin, dicloxacillin, epicillin, flucloxacillin, mecillinam (pivmecillinam), mezlocillin, meticillin, nafcillin, oxacillin, penamecillin, penicillin, pheneticillin, phenoxymethylpenicillin, piperacillin, propicillin, sulbenicillin, temocillin
- Polypeptides bacitracin, colistin, polymyxin B; p).
- Quinolones alatrofloxacin, balofloxacin, ciprofloxacin, clinafloxacin, danofloxacin, difloxacin, enoxacin, enrofloxacin, floxin, garenoxacin, gatifloxacin, gemifloxacin, grepafloxacin, kano trovafloxacin, levofloxacin, lomefloxacin, marbofloxacin, moxifloxacin, nadifloxacin, norfloxacin, orbifloxacin, ofloxacin, pefloxacin, trovafloxacin, grepafloxacin, sitafloxacin, sparfloxacin, temafloxacin, tosufloxacin, trovafloxacin; q).
- Streptogramins pristinamycin, quinupristin/dalfopristin); r).
- Sulfonamides mafenide, prontosil, sulfacetamide, sulfamethizole, sulfanilimide, sulfasalazine, sulfisoxazole, trimethoprim, trimethoprim-sulfamethoxazole (co-trimoxazole); s).
- Steroid antibacterials e.g. fusidic acid; t).
- Tetracyclines doxycycline, chlortetracycline, clomocycline, demeclocycline, lymecycline, meclocycline, metacycline, minocycline, oxytetracycline, penimepicycline, rolitetracycline, tetracycline, glycylcyclines (e.g. tigecycline); u).
- antibiotics include annonacin, arsphenamine, bactoprenol inhibitors (Bacitracin), DADAL/AR inhibitors (cycloserine), dictyostatin, discodermolide, eleutherobin, epothilone, ethambutol, etoposide, faropenem, fusidic acid, furazolidone, isoniazid, laulimalide, metronidazole, mupirocin, mycolactone, NAM synthesis inhibitors (e. g. fosfomycin), nitrofurantoin, paclitaxel, platensimycin, pyrazinamide,
- Bacitracin Bactoprenol inhibitors
- DADAL/AR inhibitors cycloserine
- dictyostatin discodermolide
- eleutherobin epothilone
- ethambutol etoposide
- faropenem fusidic acid
- furazolidone
- quinupristin/dalfopristin quinupristin/dalfopristin, rifampicin (rifampin), tazobactam tinidazole, uvaricin;
- Anti-viral drugs a). Entry/fusion inhibitors: aplaviroc, maraviroc, vicriviroc, gp41 (enfuvirtide), PRO 140, CD4 (ibalizumab); b). Integrase inhibitors: raltegravir, elvitegravir, globoidnan A; c). Maturation inhibitors: bevirimat, becon; d).
- Neuraminidase inhibitors oseltamivir, zanamivir, peramivir; e). Nucleosides &
- nucleotides abacavir, aciclovir, adefovir, amdoxovir, apricitabine, brivudine, cidofovir, clevudine, dexelvucitabine, didanosine (ddl), elvucitabine, emtricitabine (FTC), entecavir, famciclovir, fluorouracil (5-FU), 3'-fluoro-substituted 2', 3 '-dideoxynucleoside analogues (e.g.
- M-thymidine and M-2'-deoxycytidine penciclovir, racivir, ribavirin, stampidine, stavudine (d4T), taribavirin (viramidine), telbivudine, tenofovir, trifluridine valaciclovir, valganciclovir, zalcitabine (ddC), zidovudine (AZT); f).
- Non-nucleosides amantadine, ateviridine, capravirine, diarylpyrimidines (etravirine, rilpivirine), delavirdine, docosanol, emivirine, efavirenz, foscarnet (phosphonoformic acid), imiquimod, interferon alfa, loviride, lodenosine, methisazone, nevirapine, NOV-205, peginterferon alfa, podophyllotoxin, rifampicin, rimantadine, resiquimod (R-848), tromantadine; g).
- Protease inhibitors etravirine, rilpivirine, delavirdine, docosanol, emivirine, efavirenz, foscarnet (phosphonoformic acid), imiquimod, interferon alfa, loviride, lodenosine, methisazone, nev
- amprenavir atazanavir, boceprevir, darunavir, fosamprenavir, indinavir, lopinavir, nelfinavir, pleconaril, ritonavir, saquinavir, telaprevir (VX-950), tipranavir; h).
- Other types of anti- virus drugs abzyme, arbidol, calanolide a, ceragenin, cyanovirin-n,
- diarylpyrimidines are diarylpyrimidines, epigallocatechin gallate (EGCG), foscarnet, griffithsin, taribavirin (viramidine), hydroxyurea, KP-1461, miltefosine, pleconaril, portmanteau inhibitors, ribavirin, seliciclib. 5) .
- the drugs used for conjugates via a hydrophilic linker of the present invention also include radioisotopes. Examples of radioisotopes (radionuclides) are 3 H, U C, 14 C, 18 F,
- Radioisotope labeled antibodies are useful in receptor targeted imaging experiments or can be for targeted treatment such as with the antibody-drug conjugates of the invention (Wu et al (2005) Nature Biotechnology 23(9): 1137-1146).
- the cell binding molecules e.g. an antibody can be labeled with ligand reagents through the hydrophilic linkers of the present patent that bind, chelate or otherwise complex a radioisotope metal, using the techniques described in Current Protocols in Immunology, Volumes 1 and 2, Coligen et al, Ed. Wiley- Interscience, New York, N.Y., Pubs. (1991).
- Chelating ligands which may complex a metal ion include DOTA, DOTP, DOTMA, DTP A and TETA (Macrocyclics, Dallas, Tex.).
- indolinobenzodiazepines imidazobenzothiadiazepines, or oxazolidinobenzodiazepines
- calicheamicins and the enediyne antibiotics, actinomycin, azaserines, bleomycins, epirubicin, tamoxifen, idarubicin, dolastatins/auristatins (e.g. monomethyl auristatin E,
- MMAE MMAE
- MMAF auristatin PYE
- auristatin TP Auristatins 2-AQ, 6-AQ, EB (AEB), and EFP (AEFP)
- duocarmycins thiotepa
- vincristine hemiasterlins
- esperamicins and their analogues and derivatives thereof.
- Tubulysins that are preferred for conjugation in the present invention are well known in the art and can be isolated from natural sources according to known methods or prepared synthetically according to known methods (e. g. Balasubramanian, R.; et al. J. Med. Chem. , 2009, 52, 238-240. Wipf, P.; et al. Org. Lett. , 2004, 6, 4057-4060. Pando, O.; et al. J. Am. Chem. Soc, 2011, 133, 7692-7695. Reddy, J. A.; et al. Mol. Pharmaceutics, 2009, 6, 1518-1525. Raghavan, B.; et al. J. Med.
- tubulysins for conjugation of cell binding molecules are described in the patent application of
- Maytansinoids that are preferred to be used in the present invention including maytansinol and maytansinol analogues are described in U.S. Patent Nos. 4,256,746, 4,361,650 and 4,307,016, 4,294,757, 4,294,757, 4,371,533, 4,424,219, 4,331,598, 4,450,254, 4,364,866, 4,313,946, 4,315,929 4,362,663, 4,322,348, 4,371,533, 4,424,219, 5,208,020, 5,416,064, 5,208,020; 5,416,064; 6,333.410; 6,441,163; 6,716,821, 7,276,497, 7,301,019, 7,303,749, 7,368,565, 7,411,063, 7,851,432, 8,163,888 .
- Taxanes which includes Paclitaxel (Taxol), a cytotoxic natural product, and docetaxel (Taxotere), a semi-synthetic derivative, and their analogs which are preferred for conjugation via the hydrophilic linkers of the present patent are exampled in:. K C.
- CC-1065 analogues and doucarmycin analogs are also preferred to be used for a conjugate with the hydrophilic linkers of the present patent.
- the examples of the CC-1065 analogues and doucarmycin analogs as well as their synthesis are described in:
- Daunorubicin/Doxorubicin Analogues are also preferred for conjugation via the hydrophilic linkers of the present patent.
- the preferred structures and their synthesis are exampled in: Hurwitz, E., et al., Cancer Res. 35, 1175-1181 (1975). Yang, H. M., and Reisfeld, R. A., Proc. Natl. Acad. Sci. 85, 1189-1193 (1988); Pietersz, C. A., E., et al., E., et al.," Cancer Res. 48, 926-9311 (1988); Trouet, et al., 79, 626-629 (1982); Z.
- Auristatins and dolastatins are preferred in conjugation via the hydrophilic linkers of this patent.
- the auristatins e. g. auristain E (AE) auristatin EB (AEB), auristatin EFP (AEFP), monomethyl auristatin E (MMAE), Monomethylauristatin (MMAF), Auristatin F phenylene diamine (AFP) and a phenylalanine variant of MMAE
- AE auristain E
- AEB auristatin EFP
- MMAE monomethyl auristatin E
- MMAF Monomethylauristatin
- AFP Auristatin F phenylene diamine
- AFP phenylalanine variant of MMAE
- benzodiazepine dimers e. g. dimmers of pyrrolobenzodiazepine (PBD) or (tomaymycin), indolinobenzodiazepines, imidazobenzothiadiazepines, or
- oxazolidinobenzodiazepines which are preferred cytotoxic agents according to the present invention are exampled in the art: US Patent Nos . 8,163,736; 8,153,627; 8,034,808;
- Analogues and derivatives of the cytotoxic drugs/agents described in the present patent can be conjugated via a hydrophilic linker of the present patent.
- drugs/cytotoxic agents will readily understand that each of the drugs/cytotoxic agents described herein can be modified in such a manner that the resulting compound still retains the specificity and/or activity of the starting compound. The skilled artisan will also understand that many of these compounds can be used in place of the drugs/cytotoxic agents described herein.
- the drugs/cytotoxic agents of the present invention include analogues and derivatives of the compounds described herein.
- hexamethydisilazane (20.0 mL, 96 mmol) was heated at 120 °C for 1 h under argon. After the mixture was cooled to 0 °C, ethyl acrylate (10.4 mL, 96 mmol) was carefully added dropwise, and the resulting mixture was stirred at 50 °C for 2 h. Then the mixture was cooled to room temperature, dibromoethane (40.0 mL) was added, and the mixture was stirred for 5 h at 120 °C. The formed trimethylbromosilane and excess dibromoethane were removed under vacuum.
- Example 9 Ethyl 3-((2-((2-(3, 6-endoxo-A- tetrahydrophthalido)ethyl)(ethoxy)phosphoryl)ethyl)(ethoxy)phosphoryl)propanoate, or ethyl 3-((2-((2-((3aR,4R,7S)-l,3-dioxo-3a,4,7,7a-tetrahydro-lH-4,7-epoxyisoindol-2(3H)- yl)ethyl)(ethoxy)phosphoryl)ethyl)(ethoxy)phosphoryl)propanoate (24)
- Example 10 3-((2-((2-(2,5-dioxo-2,5-dihydro-lH-pyrrol-l- yl)eth droxy)phosphoryl)propanoic acid (25)
- Compound 24 (2.60 g, 5.14 mmol)
- toluene (20 ml) and HC1 (8N,10 ml) was heated at 120 ⁇ 140°C for 8 h.
- 5 x 10 ml of water was gradually added to keep the reaction volume around 40 ml.
- Methyl 3-((2-bromoethyl)thio)propanoate 52 (4.50 g, 19.91 mmol) in acetic acid (40 ml), H 2 0 2 (30%, 20 ml) and KMn0 4 (l.OOg, 6.33 mmol) was stirred overnight. The mixture was concentrated, diluted with EtOAc (100 ml) and 1 M NaH 2 P0 4 (150 ml), separated, the aqueous layer was extracted with EtOAc (2 x 100 ml).
- Example 21 2,5-dioxopyrrolidin-l-yl 3-((3-((3-(pyridin-2- yldi e (69).
- Compound 68 (2.50 g, 6.08 mmol) in DMA (50 ml) was added NHS (0.80 g, 6.96 mmol) and EDC (3.00 g, 15.62 mmol). The mixture was stirred under Ar overnight, evaporated and purified on S1O 2 chromatography eluted with EtOAc/DCM (1 :10 to 1:5), pooled the fractions and evaporated to afford the title compound (2.74 g, 86% yield).
- ESI MS m/z+ 547.10 (M+Na).
- Example 22 methyl 3-((3-mercaptopropyl)thio)propanoate (71).
- Methyl 3-bromopropanoate 51 (10.010 g, 60.24 mmol) in DMA (80 ml) was added ethane- 1,2-dithiol (40.0 g, 425.4 mmol) and DIPEA (150 ml). The mixture was stirred at 45 °C under Ar for 8 h, evaporated and purified on S1O 2 chromatography eluted with 1 : 10:0.01% EtOAc/DCM/HOAc, pooled the fractions, and evaporated to afford the title compound 71 (8.56 g, 79% yield). ESI MS m/z+ 203.10 (M+Na).
- Example 23 methyl 3-((2-((3-bromobutyl)thio)ethyl)thio)propanoate (82).
- the antiHer2 antibody is modified with phosphinate linker at 8 mg/mL antibody, a 10 fold molar excess of phosphinate linker ( ⁇ 30mM stock solution in DMA).
- the reaction is carried out in 100 mM NaH 2 P0 4 , pH7.4 buffer with DMA (5% v/v) for 15, 30, 60, 120, and 240 minutes at 25 °C.
- the modified antiHer2 was purified by G25 column with 50 mM NaH 2 P0 4 , 50 mM NaCl, and 2 mM EDTA, pH6.5 to remove the excess phosphinate linker.
- Example 29 Conjugate synthesis.
- a hydrophilic linker containing thiopyridine (SPP) linker was dissolved in DMA at a concentration of approximately 10 mM.
- An antibody was dialyzed into buffer A (50 mM NaH 2 P0 4 , 50 mM NaCl, 2 mM EDTA, pH 6.5).
- buffer A 50 mM NaH 2 P0 4 , 50 mM NaCl, 2 mM EDTA, pH 6.5.
- the linker reaction was at 8 mg/ml, and 4-6 equivalents of linker were added while stirring in the presence of 5% (v/v) DMA. The reaction was allowed to proceed at ambient temperature for 90 minutes.
- the targeted cells e.g. Ramos cells, 20,000 cells
- the targeted cells were cultured in the presence of various concentrations of unconjugated antibody or the antibody conjugate for 96 hours after which cell viability was measured by propidium iodide exclusion and analyzed by flow cytometry using a Becton Dickinson FACSort (Becton Dickinson, Franklin Lakes, NJ). Red fluorescent intensity (emission at 617 nm in the FL2 channel) of the cells excited at 488 nm was measured.
- the regions for viable cells were also set using both the forward light scatter and right-angle light scatter properties of the cells.
- the loss of viability was determined by the loss of cells from within the gated region defining viable cells. The average number of viable cells per 6 replicate cultures was calculated.
- the survival fraction was plotted versus conjugate concentration to determine the / 50 value (50% cell killing concentration) of the conjugate.
- Antczak, C et al. Bioconjug Chem 2006, 17, 1551.
Abstract
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PCT/IB2012/056700 WO2014080251A1 (en) | 2012-11-24 | 2012-11-24 | Hydrophilic linkers and their uses for conjugation of drugs to cell binding molecules |
ES12888899T ES2701076T3 (en) | 2012-11-24 | 2012-11-24 | Hydrophilic linkers and their uses for the conjugation of drugs to molecules that bind to cells |
CN201280076481.3A CN105849086B (en) | 2012-11-24 | 2012-11-24 | Hydrophily chain junctor and its application on drug molecule and cell-binding molecules conjugation reaction |
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JP2015543532A JP6133431B2 (en) | 2012-11-24 | 2012-11-24 | Use of hydrophilic conjugates and conjugation reactions between drug molecules and cell binding molecules |
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CN105849086B (en) | 2018-07-31 |
ES2701076T3 (en) | 2019-02-20 |
AU2012395148B2 (en) | 2016-10-27 |
US20150250896A1 (en) | 2015-09-10 |
CN105849086A (en) | 2016-08-10 |
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