Antibody conjugates containing anti-P-cadherin antibodies and uses thereof
Patent Information
- Application Number
- JP2023570050
- Authority / Receiving Office
- JP · JP
- Patent Type
- Applications
- Current Assignee / Owner
- Priority Date
- 2021-05-13
- Filing Date
- 2022-05-12
- Publication Date
- 2025-03-12
- Estimated Expiration
- 2042-05-12
AI Technical Summary
There is a need for effective anti-P-cadherin antibodies and antibody-drug conjugates (ADCs) to target and treat cancers with high P-cadherin expression, as existing therapies do not adequately address the tumor-promoting effects of P-cadherin overexpression.
Development of ADCs comprising anti-P-cadherin antibodies conjugated to cytotoxic agents like MMAE through protease-cleavable linkers, which specifically bind to P-cadherin-expressing cells, internalize, and release the drug moiety to induce cytotoxic effects.
The ADCs demonstrate potent cytotoxicity against P-cadherin-positive cancers with high specificity and efficacy, inhibiting tumor growth and metastasis while minimizing impact on normal cells.
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Abstract
Description
[Technical field]
[0001] CROSS-REFERENCE TO RELATED APPLICATIONS This application claims priority to international application PCT / CN2021 / 093652, filed May 13, 2021, which is incorporated herein by reference in its entirety.
[0002] Sequence Listing This application contains a Sequence Listing, which is incorporated herein by reference in its entirety.
[0003] Field This application relates generally to antibodies and antibody-drug conjugates. More specifically, this application relates to antibody-drug conjugates against P-cadherin, methods of making the same, and uses of the antibody-drug conjugates. [Background technology]
[0004] Cadherin family proteins mediate cell-cell adhesion through homophilic interactions in cis and / or trans between two cadherin molecules on the surface of each cell, and cadherin-catenin complexes constitute the major components of adherens-type junctions. These complexes are also major regulatory mechanisms that guide cell fate decisions and affect cell growth, differentiation, cell motility, and survival (Cavallaro and Dejana, Adhesion molecule signaling: not always a sticky business. Nat Rev Mol Cell Biol. 2011 Mar; 12 (3):189-97).
[0005] P-cadherin (encoded by the CDH3 gene in humans, placental cadherin, or cadherin 3) is a classical cadherin, a 118 kDa glycoprotein. P-cadherin is an 829 amino acid protein with a 26 amino acid long signal sequence and an 803 amino acid propeptide. The mature protein begins at position 108 and contains three distinct domains: five extracellular cadherin repeats (548 aa) that are essential for the generation of lateral dimers that act together in a zipper-like structure between adjacent cells; a single transmembrane region (23 aa); and a highly conserved cytoplasmic tail (151 aa), which connects the cadherin to the actin cytoskeleton with an intracellular domain that interacts with catenins.
[0006] P-cadherin is expressed in mouse placenta, as well as in human placental tissue (at low levels) and in some human fetal structures. In adults, it is expressed only in certain tissues, such as the basal layer of the epidermis, breast, prostate, mesothelium, ovary, hair follicles, and corneal endothelium, usually coexpressed with E-cadherin (Imai et al., Identification of a novel tumor-associated antigen, cadherin 3 / P-cadherin, as a possible target for immunotherapy of pancreatic, gastric, and colorectal cancers. Clin. Cancer Res. 2008, 14, 6487-6495). The major sites of expression as indicated by the Human Protein Reference Database (HPRD:00227) are endometrium, glomerulus, hair follicle, keratinocyte, breast myoepithelium, melanocyte, oocyte, sperm, placenta, prostate, retina, serum, and skin.
[0007] P-cadherin has been shown to be overexpressed in breast cancer and other tumors and may correlate with poor prognosis. It also showed high expression and positivity in multiple cancers, including colorectal cancer, NSCLC, gastric cancer, and pancreatic cancer. In the TCGA database, P-cadherin showed over 5-fold higher expression in bile duct (10.6-fold), colon (134-fold and 104-fold), esophageal (34-fold), lung (6.56-fold and 11.8-fold), gastric (8.02-fold and 11.6-fold), and thyroid (20.3-fold) tumors. P-cadherin may mediate tumor-promoting effects, including cell invasion, cell motility, stem cell activity, and metastasis formation in various tissue contexts. The expression of the P-cadherin gene in normal tissues is very low, with only very weak expression shown in the ovary and mammary gland (GTex database and literature).
[0008] Antibody-based therapies have proven highly effective in the treatment of various cancers. In addition to monoclonal antibodies, antibody-drug conjugates can be used for the local delivery of cytotoxic or cytostatic drugs, allowing the targeted delivery of the drug moiety to tumor cells but not to normal cells.
[0009] There is a need in the art for anti-P-cadherin antibodies and antibody-drug conjugates. These and other limitations and problems are addressed by the present application. Summary of the Invention
[0010] These and other objects are provided by the present disclosure, which is directed, broadly, to compounds, methods, compositions, and products that provide antibodies with improved efficacy. The advantages provided by the present disclosure are broadly applicable to the fields of antibody therapy and diagnostics, and can be used with antibodies reactive with a variety of targets.
[0011] The present disclosure provides antibodies against P-cadherin, ADCs comprising anti-P-cadherin antibodies, and methods for validating the function of the ADCs in vitro and in vivo. The ADCs of the present disclosure provide highly potent drugs for treating multiple cancers through modulation of human immune function.
[0012] In some aspects, the disclosure provides antibody drug conjugates (ADCs) comprising an antibody or antigen-binding portion thereof linked to a drug moiety, where the antibody or antigen-binding portion thereof specifically binds to P-cadherin. In some embodiments, the antibody or antigen-binding portion thereof comprises: (A) one or more heavy chain CDRs (HCDRs) selected from the group consisting of: (i) HCDR1 comprising the amino acid sequence of SEQ ID NO:1; (ii) an HCDR2 comprising the amino acid sequence of SEQ ID NO:2; and (iii) an HCDR3 comprising the amino acid sequence of SEQ ID NO: 3; and (B) one or more light chain CDRs (LCDRs) selected from the group consisting of: (i) an LCDR1 comprising the amino acid sequence of SEQ ID NO:4; (ii) an LCDR2 comprising the amino acid sequence of SEQ ID NO:5; and (iii) an LCDR3 comprising the amino acid sequence of SEQ ID NO:6.
[0013] In some embodiments, the antibody or antigen-binding portion thereof comprises: (A) HCDR1 set forth in SEQ ID NO: 1; HCDR2 set forth in SEQ ID NO: 2; and HCDR3 set forth in SEQ ID NO: 3; and (B) LCDR1 set forth in SEQ ID NO:4; LCDR2 set forth in SEQ ID NO:5; and LCDR3 set forth in SEQ ID NO:6 Includes.
[0014] In some embodiments, the drug moiety disclosed herein comprises a cytotoxic or cytostatic agent selected from a toxin, a chemotherapeutic agent, an antibiotic, a radioisotope, or a nuclease. For example, the cytotoxic agent may be selected from maytansinoids such as DM1, DM3, DM4, dolastatins, dolostatin peptide analogs and derivatives thereof, such as auristatins, and optionally MMAE and MMAF. In certain embodiments, the drug moiety included in the ADC herein comprises or consists of MMAE.
[0015] In some embodiments, the ADCs disclosed herein have the formula Ab-(LD)p, where Ab is an antibody or antigen-binding portion thereof, L is a linker system, D is a drug moiety, and p is an integer between 1 and 20 (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 10, 15, and 20).
[0016] In some embodiments, L comprises a linker selected from 6-maleimidocaproyl (MC), maleimidopropanoyl (MP), valine-citrulline (val-cit), alanine-phenylalanine (ala-phe), p-aminobenzyloxycarbonyl (PAB), 4-(2-pyridylthio)pentanoic acid N-succinimidyl (SPP), 4-(N-maleimidomethyl)cyclohexane-1 carboxylate N-succinimidyl (SMCC), (4-iodo-acetyl)aminobenzoic acid N-succinimidyl (SIAB), and 6-maleimidocaproyl-valine-citrulline-p-aminobenzyloxycarbonyl (MC-vc-PAB). For example, the linker is cleavable by a protease. In some particular embodiments, the linker is MC-vc-PAB.
[0017] In certain embodiments, the ADC has the formula Ab-(L-MMAE)p, where p ranges from 1-8.
[0018] In some embodiments, the linker is attached to the antibody via a thiol group on the antibody.
[0019] In some embodiments, the antibodies or antigen-binding portions thereof disclosed herein comprise: (A) (i) comprises the amino acid sequence set forth in SEQ ID NO:7; (ii) comprises an amino acid sequence that is at least 85%, 90%, or 95% identical to the amino acid sequence set forth in SEQ ID NO:7, but retains specific binding affinity for P-cadherin; or (iii) an amino acid sequence in which one or more (e.g., one, two, or three) amino acids have been added, deleted, and / or substituted compared to the amino acid sequence set forth in SEQ ID NO:7; A heavy chain variable region (VH), and / or (B) (i) comprises the amino acid sequence set forth in SEQ ID NO:8; (ii) comprises an amino acid sequence that is at least 85%, 90%, or 95% identical to the amino acid sequence set forth in SEQ ID NO:8, but retains specific binding affinity for P-cadherin; or (iii) an amino acid sequence in which one or more (e.g., one, two, or three) amino acids have been added, deleted, and / or substituted compared to the amino acid sequence set forth in SEQ ID NO:8; Light chain variable region (VL).
[0020] In some embodiments, at least one amino acid addition, deletion and / or substitution in the VH or VL region is not present in any CDR sequence but is present in a framework (FRW) sequence.
[0021] In some embodiments, the above-described isolated antibody or antigen-binding portion thereof further comprises one or more substitutions of amino acids in the framework sequences (eg, FRW1, FRW2, FRW3, and / or FRW4 of the VH or VL region).
[0022] In some embodiments, the isolated antibody, or antigen-binding portion thereof, comprises a heavy chain variable region comprising the amino acid sequence set forth in SEQ ID NO:7; and a light chain variable region comprising the amino acid sequence set forth in SEQ ID NO:8.
[0023] In some embodiments, the isolated antibody or antigen-binding portion thereof disclosed herein further comprises a human IgG constant domain, such as a human IgG1, IgG2, IgG3, or IgG4 constant domain, optionally a human IgG1 constant domain or a variant thereof.
[0024] In some embodiments, the antibody or antigen-binding portion thereof is a chimeric antibody, a humanized antibody, or a fully human antibody. Preferably, the antibody is a fully human monoclonal antibody.
[0025] In some embodiments, the isolated antibody or antigen-binding portion thereof disclosed herein comprises a heavy chain and a light chain, wherein: (a) the heavy chain of the antibody comprises a heavy chain variable region set forth in SEQ ID NO:7, and a heavy chain constant region set forth in SEQ ID NO:9; and (b) the light chain of the antibody comprises a light chain variable region set forth in SEQ ID NO: 8, 27, or 28, and a light chain constant region set forth in SEQ ID NO: 10.
[0026] In some aspects, the disclosure is directed to a pharmaceutical composition comprising an ADC disclosed herein and a pharma- ceutically acceptable carrier.
[0027] In some aspects, the disclosure is directed to a method for producing an ADC as defined herein, the method comprising the steps of: - culturing a host cell containing a vector encoding the antibody or antigen-binding portion thereof under conditions suitable for expression of the vector; - isolating the antibody or antigen-binding portion thereof from the host cell; and - conjugating a drug moiety to an antibody or an antigen-binding portion thereof.
[0028] In some embodiments, the conjugation comprises reacting a nucleophilic group of the drug moiety with a linker reagent to form a drug-linker intermediate DL, and then reacting DL with an antibody or an antigen-binding portion thereof, or alternatively reacting an antibody with a linker reagent to form an antibody-linker intermediate Ab-L, and then reacting Ab-L with an activated drug moiety D, thereby forming an antibody-drug conjugate. In some embodiments, the average DAR of the ADCs formed is in the range of about 1 to about 8, and preferably about 4.
[0029] In some embodiments, the drug moiety disclosed herein comprises a cytotoxic or cytostatic agent selected from a toxin, a chemotherapeutic agent, an antibiotic, a radioisotope, and a nuclease. For example, the cytotoxic agent may be selected from maytansinoids such as DM1, DM3, DM4, dolastatins, dolostatin peptide analogs and derivatives thereof, such as auristatins, and optionally MMAE and MMAF. In certain embodiments, the drug moiety included in the ADC herein comprises or consists of MMAE.
[0030] In some aspects, the disclosure relates to a method of modulating a P-cadherin-associated immune response in a subject comprising administering to the subject an ADC disclosed herein, such that the P-cadherin-associated immune response in the subject is modulated.
[0031] In some aspects, the present invention relates to a method for treating or preventing P-cadherin positive cancer in a subject, comprising administering to the subject an effective amount of an ADC or pharmaceutical composition disclosed herein. In some embodiments, the cancer is selected from breast cancer, lung cancer, colorectal cancer, ovarian cancer, melanoma, bladder cancer, renal cell carcinoma, liver cancer, prostate cancer, gastric cancer, pancreatic cancer, NSCLC (non-small cell lung cancer), cervical cancer, esophageal cancer, endometrial cancer, skin cancer, head and neck cancer, testicular cancer, thyroid cancer, urothelial cancer, non-Hodgkin's lymphoma, chronic lymphocytic leukemia, diffuse large B-cell lymphoma, and multiple myeloma. In some embodiments, the cancer is NSCLC, prostate cancer, or colorectal cancer. In some embodiments, the cancer is breast cancer, including ductal carcinoma.
[0032] In some aspects, the disclosure is directed to the use of an ADC disclosed herein in the manufacture of a medicament for diagnosing, treating, or preventing a P-cadherin positive cancer.
[0033] In some aspects, the disclosure is directed to an ADC disclosed herein for use in the diagnosis, treatment, or prevention of P-cadherin positive cancer.
[0034] In some aspects, the disclosure is directed to kits or devices and associated methods that use the ADCs disclosed herein, and the pharmaceutical compositions disclosed herein.
[0035] The above is a summary, and therefore necessarily contains simplifications, generalizations, and omissions of details; thus, those skilled in the art will appreciate that this summary is for illustrative purposes only and is not intended to be limiting in any way. Other aspects, features, and advantages of the methods, compositions, and / or devices and / or other subject matter described herein will become apparent from the teachings set forth herein. This summary is not intended to identify key or essential features of the claimed subject matter, nor is it intended to be used as an aid in determining the scope of the claimed subject matter. [Brief description of the drawings]
[0036] [Figure 1A] 1A-1B show the HPLC results of W3195-p1-MMAE (A) and BMK4-DM1 (B). [Figure 1B] 1A-1B show the HPLC results of W3195-p1-MMAE (A) and BMK4-DM1 (B). [Figure 2A] 2A-2B show the results of FACS binding assays of ADCs to human P-cadherin-expressing HCT-116 cells (A) and NCI-H1650 cells (B). [Figure 2B] 2A-2B show the results of FACS binding assays of ADCs to human P-cadherin-expressing HCT-116 cells (A) and NCI-H1650 cells (B). [Diagram 3] FIG. 3 shows the results of serum stability of W3195-p1-MMAE by FACS binding. [Figure 4A] Figures 4A-4F show the cytotoxic effects of the ADCs on HCC-1954 cells (A), HCC-70 cells (B), HT-29 cells (C), A549 cells (D), MDA-MB-453 cells (E), and NCI-H1650 cells (F). [Figure 4B] Figures 4A-4F show the cytotoxic effects of the ADCs on HCC-1954 cells (A), HCC-70 cells (B), HT-29 cells (C), A549 cells (D), MDA-MB-453 cells (E), and NCI-H1650 cells (F). [Figure 4C] Figures 4A-4F show the cytotoxic effects of the ADCs on HCC-1954 cells (A), HCC-70 cells (B), HT-29 cells (C), A549 cells (D), MDA-MB-453 cells (E), and NCI-H1650 cells (F). [Figure 4D] Figures 4A-4F show the cytotoxic effects of the ADCs on HCC-1954 cells (A), HCC-70 cells (B), HT-29 cells (C), A549 cells (D), MDA-MB-453 cells (E), and NCI-H1650 cells (F). [Figure 4E] Figures 4A-4F show the cytotoxic effects of the ADCs on HCC-1954 cells (A), HCC-70 cells (B), HT-29 cells (C), A549 cells (D), MDA-MB-453 cells (E), and NCI-H1650 cells (F). [Figure 4F] Figures 4A-4F show the cytotoxic effects of the ADCs on HCC-1954 cells (A), HCC-70 cells (B), HT-29 cells (C), A549 cells (D), MDA-MB-453 cells (E), and NCI-H1650 cells (F). [Figure 5A] 5A-5B show the internalization ability of ADCs in HCC-1954 cells (A) or NCI-H1650 cells (B) by HCS assay. [Figure 5B] 5A-5B show the internalization ability of ADCs in HCC-1954 cells (A) or NCI-H1650 cells (B) by HCS assay. [Figure 6] FIG. 6 shows the results of a FACS affinity test for NCI-H1650 cells. [Figure 7] FIG. 7 shows the results of domain definition studies by ELISA binding for huCDH3 ECD domain 1 (A), domains 1+2 (B), domains 1+2+3 (C), domains 1+2+3+4 (D), and the ECD (E). [Figure 8A] 8A-8B show the body weight change (A) and tumor growth inhibition (B) results of a single-dose in vivo efficacy study of Study I in a xenografted HCC70 breast tumor model. [Figure 8B] 8A-8B show the body weight change (A) and tumor growth inhibition (B) results of a single-dose in vivo efficacy study of Study I in a xenografted HCC70 breast tumor model. [Figure 9A] 9A-9B show the body weight change (A) and tumor growth inhibition (B) results of Study II dose-response in vivo efficacy study in a xenografted HCC70 breast tumor model. [Figure 9B]9A-9B show the body weight change (A) and tumor growth inhibition (B) results of Study II dose-response in vivo efficacy study in a xenografted HCC70 breast tumor model. [Figure 10A] 10A-10B show the body weight change (A) and tumor growth inhibition (B) results of Study II dose-response in vivo efficacy studies in a xenografted NCI-H1650 lung cancer model. [Figure 10B] 10A-10B show the body weight change (A) and tumor growth inhibition (B) results of Study II dose-response in vivo efficacy studies in a xenografted NCI-H1650 lung cancer model. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0037] While the present disclosure may be embodied in many different forms, certain exemplary embodiments illustrating the principles of the present disclosure are disclosed herein. It should be emphasized that the present disclosure is not limited to the specific embodiments shown. Moreover, the section headings used herein are for organizational purposes only and should not be construed as limiting the subject matter described.
[0038] Unless otherwise defined herein, scientific and technical terms used in connection with this disclosure shall have the meanings commonly understood by those of ordinary skill in the art. Furthermore, unless otherwise required by context, singular terms shall include the plural and plural terms shall include the singular. More specifically, as used herein and in the appended claims, the singular forms "a," "an," and "the" include plural referents unless the context clearly dictates otherwise. Thus, for example, the term "protein" includes a plurality of proteins. Reference to a "cell" includes mixtures of cells, and the like. In this application, the use of "or" means "and / or" unless otherwise indicated. Furthermore, the use of the term "comprising," as well as other forms such as "comprises" and "comprised," is not intended to be limiting. Furthermore, the ranges provided in the specification and appended claims include both endpoints and all points between the endpoints.
[0039] In general, the nomenclature and techniques used in connection with cell and tissue culture, molecular biology, immunology, microbiology, genetics, protein and nucleic acid chemistry and hybridization described herein are those well known and commonly used in the art. The methods and techniques of the present disclosure are generally performed according to conventional methods well known in the art and as described in various general and more specific references cited and discussed throughout the specification, unless otherwise indicated. See, for example, Abbas et al., Cellular and Molecular Immunology, 6 thed., WB Saunders Company (2010); Sambrook J. & Russell D. Molecular Cloning: A Laboratory Manual, 3rd ed., Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY (2000); Ausubel et al., Short Protocols in Molecular Biology: A Compendium of Methods from Current Protocols in Molecular Biology, Wiley, John & Sons, Inc. (2002); Harlow and Lane Using Antibodies: A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY (1998); and Coligan et al., Short Protocols in Protein Science, Wiley, John & Sons, Inc. (2003). The nomenclature used in connection with analytical chemistry, organic synthesis chemistry, and medicinal chemistry, and the experimental procedures and techniques described herein are well known and commonly used in the art. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety.
[0040] definition To better understand this disclosure, definitions and explanations of relevant terms are provided below.
[0041] The term "antibody" or "Ab" as used herein generally refers to a Y-shaped tetrameric protein containing two heavy (H) and two light (L) polypeptide chains held together by covalent disulfide bonds and non-covalent interactions. The light chains of antibodies can be classified as kappa and lambda light chains. The heavy chains can be classified as μ, δ, γ, α, and ε, which define the antibody's isotype as IgM, IgD, IgG, IgA, and IgE, respectively. In the light and heavy chains, the variable regions are linked to the constant region via a "J" region of about 12 or more amino acids, and the heavy chains further contain a "D" region of about 3 or more amino acids. Each heavy chain comprises a heavy chain variable region (V H ) and the heavy chain constant region (C H The heavy chain constant region is composed of three domains (C H 1. C H 2. C H 3). Each light chain is composed of a light chain variable region (V L ) and the light chain constant region (C L ) is composed of V H and V L The regions can be further divided into hypervariable regions (called complementarity determining regions (CDRs)) flanked by relatively conserved regions (called framework regions (FRs)). H and V L The variable region (V) of each heavy / light chain pair is composed of three CDRs and four FRs in the order of FR1, CDR1, FR2, CDR2, FR3, CDR3, and FR4 from the N-terminus to the C-terminus. H and V L), each forming an antigen binding site. The distribution of amino acids in the various regions or domains generally follows the definitions of Kabat Sequences of Proteins of Immunological Interest (National Institutes of Health, Bethesda, Md. (1987 and 1991)), Chothia & Lesk (1987) J. Mol. Biol. 196:901-917; Chothia et al., (1989) Nature 342:878-883; and / or IMGT (http: / / www.imgt.org / ). The antibodies may be of different antibody isotypes, for example IgG (e.g., IgG1, IgG2, IgG3, or IgG4 subtypes), IgA1, IgA2, IgD, IgE or IgM antibodies.
[0042] The terms "antigen-binding portion" or "antigen-binding fragment" of an antibody may be used interchangeably in the context of this application and refer to a polypeptide that includes a fragment of a full-length antibody and that retains the ability to specifically bind to an antigen that the full-length antibody specifically binds and / or competes with the full-length antibody for binding to the same antigen. See generally, Fundamental Immunology, Ch. 7 (Paul, W., ed., the second edition, Raven Press, NY (1989), incorporated herein by reference for all purposes. Antigen-binding fragments of antibodies can be produced by recombinant DNA techniques or by enzymatic or chemical cleavage from intact antibodies. Under some conditions, antigen-binding fragments include Fab, Fab', F(ab')2, Fd, Fv, dAb, and complementarity determining region (CDR) fragments, single chain antibodies (e.g., scFv), chimeric antibodies, diabodies, and such polypeptides that contain at least a sufficient portion of an antibody to confer specific antigen-binding ability to the polypeptide. Antigen-binding fragments of antibodies can be obtained from a given antibody (e.g., the monoclonal anti-human P-cadherin antibody provided in this application) by conventional techniques known to those of skill in the art (e.g., recombinant DNA techniques or enzymatic or chemical cleavage methods) and can be screened for specificity in the same manner as intact antibodies are screened.
[0043] "Fc" with respect to an antibody refers to the portion of an antibody that includes the second and third constant regions of a first heavy chain linked via disulfide bonds to the second and third constant regions of a second heavy chain, and optionally including part or all of the hinge region. The Fc portion of an antibody is responsible for various effector functions, such as antibody-dependent cell-mediated cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC), but does not function in antigen binding.
[0044] The term "P-cadherin" as used herein refers to placental cadherin, a member of the classical cadherin family of transmembrane glycoproteins that regulate cell-cell adhesion. An exemplary sequence of human P-cadherin (encoded by the CDH3 gene), including the standard sequence and several isoforms, can be obtained from the Uniprot database under ID P22223. The term "P-cadherin" herein is intended to include human, mouse, and cynomolgus P-cadherin, splice / allelic variants and fragments / derivatives thereof, as well as recombinant chimeric P-cadherins that can be prepared by standard recombinant expression methods or purchased commercially. The standard P-cadherin sequence is composed of 829 amino acids, with the mature protein beginning at amino acid 108 and possessing three distinct domains: five extracellular cadherin repeats (548aa); a single transmembrane region (23aa); and a highly conserved cytoplasmic tail (151aa).
[0045] The terms "E-cadherin" and "N-cadherin" as used herein refer to epithelial and neural cadherins, respectively, which are also members of the classical cadherin family. Cadherins can be classified into type I and type II subgroups. Type I cadherins include E-cadherin, N-cadherin, P-cadherin, and retinal cadherin (R-cadherin), while kidney cadherin (K-cadherin) and osteoblast cadherin (OB-cadherin) are type II cadherins. E-cadherin is encoded by the CDH1 gene in humans, which shares 66% homology with the CDH3 gene. N-cadherin is encoded by the CDH2 gene in humans. E-cadherin, N-cadherin, and P-cadherin are the best-characterized subgroups of adhesion proteins.
[0046] The terms "anti-P-cadherin antibody" or "P-cadherin antibody" or "antibody to P-cadherin" as used herein refer to an antibody capable of binding to P-cadherin, e.g., an antibody capable of binding to the ECD region of human P-cadherin protein, e.g., as defined herein.
[0047] The terms "monoclonal antibody" or "mAb" as used herein refer to a preparation of antibody molecules of single molecular composition. Monoclonal antibodies exhibit binding specificity and affinity for a particular antigen.
[0048] The term "fully human" as used herein with respect to an antibody or antigen-binding domain means that the antibody or antigen-binding domain has or is composed of an amino acid sequence that corresponds to the amino acid sequence of an antibody produced by a human or human immune cell, or is derived from a non-human source, such as a transgenic non-human animal that utilizes a human antibody repertoire or other human antibody coding sequences. In certain embodiments, a fully human antibody does not contain any amino acid residues (particularly antigen-binding residues) that are derived from a non-human antibody.
[0049] The terms "ADC" or "antibody-drug conjugate" or "immunoconjugate" may be used interchangeably herein and include an antibody linked to a drug moiety, such as a cytotoxic or cytostatic agent, for example a chemotherapeutic agent, a growth inhibitory agent, a toxin (e.g., an enzymatically active toxin of bacterial, fungal, plant, or animal origin, or fragments thereof), or a radioactive isotope (i.e., a radioconjugate). ADCs generally have the formula Ab-(LD)p, where Ab is an antibody or antigen-binding portion thereof, L is a linker, D is a drug moiety, and p is an integer from 1 to 20.
[0050] The term "DAR" or "Drug-to-Antibody Ratio" as used herein refers to the average number of drugs bound to an antibody, which is an important attribute of ADCs. The DAR value affects the efficacy of the drug, as low drug loading reduces potency. On the other hand, high drug loading can adversely affect pharmacokinetics (PK) and toxicity. Various analytical methods can be used to measure the DAR, including ultraviolet-visible (UV / Vis) spectroscopy, hydrophobic interaction chromatography (HIC), reversed-phase high performance liquid chromatography (RP-HPLC), and liquid chromatography coupled with electrospray ionization mass spectrometry (LC-ESI-MS). Hydrophobic interaction chromatography (HIC) is the primary technique for characterization of DAR values and drug loading distribution. Bound species are separated based on the increase in hydrophobicity caused by increasing drug loading. For cysteine-linked ADCs, the least hydrophobic, unbound antibody elutes first and the most hydrophobic, most drug-bound form elutes last, generating a quantitative elution profile. Peak area percentages represent the relative amounts of each drug-loaded ADC species. Payload distribution is derived from the HIC profile, and the average DAR is also calculated from the peak area percentages. As demonstrated herein, the DAR of the anti-P-cadherin ADCs disclosed herein is in the range of about 1 to about 8. In some embodiments demonstrated herein, the DAR of the anti-P-cadherin ADCs disclosed herein is about 1 to about 8. In some embodiments demonstrated herein, the DAR of the anti-P-cadherin ADCs disclosed herein is about 4.
[0051] The term "payload distribution" as used herein is another quality characteristic of ADCs, which is determined by the fraction of antibodies that contain different numbers of drugs. DAR and payload distribution are not only a measure of the homogeneity of the ADC product, but also determine the amount of payload delivered to the target tissue, which directly affects both the efficacy and safety of the ADC. In addition, the assessment of DAR and payload distribution are both important quality control criteria in ADC manufacturing.
[0052] As used herein, the term "free payload control" refers to a linker attached to a drug moiety without being loaded with an antibody. For example, in the case of an ADC having the formula Ab-(LD)p, the free payload control refers to LD.
[0053] As used herein, the term "cytotoxic activity" refers to the cell-killing, cell division-inhibiting, or growth-inhibiting activity of an antibody-drug conjugate or an intracellular metabolic product of the antibody-drug conjugate. Cytotoxic activity is measured using the IC50, which is the concentration (molar or mass) per unit volume at which half of the cells survive. 50 The ADCs disclosed herein have an IC of 0.1 nM or less (e.g., 0.09 nM or less, 0.08 nM or less, 0.07 nM or less, 0.06 nM or less, 0.05 nM or less, 0.04 nM or less, 0.03 nM or less, 0.02 nM or less, or less) against cancer cells expressing human P-cadherin. 50 It has been proven to have a lethal effect.
[0054] The term "linker" as used herein refers to a chemical moiety that contains a covalent bond or a chain of atoms that covalently attaches an antibody to a drug moiety. In various embodiments, the linker is a divalent radical, such as alkyldiyl, aryldiyl, heteroaryldiyl, -(CR2) n O(CR2) n-, repeating units of alkyloxy (e.g., polyethyleneoxy, PEG, polymethyleneoxy) and alkylamino (e.g., polyethyleneamino, Jeffamine™); diacid esters, and amides including succinates, succinamides, diglycolates, malonates, and caproamides.
[0055] The term "KD" as used herein is intended to refer to the equilibrium dissociation constant of a particular antibody (or ADC)-antigen interaction, which is obtained from the ratio of Koff to Kon and expressed as a molar concentration (M). The term "Kon" as used herein is intended to refer to the association rate constant of a particular antibody-antigen interaction, while the term "Koff" as used herein is intended to refer to the dissociation rate constant of a particular antibody-antigen interaction. The KD value of an antibody can be determined using methods well established in the art.
[0056] The term "high affinity" as used herein refers to the strength of binding interaction between an antigen and an antibody (or ADC). Various methods for measuring affinity have been established in the art, such as surface plasmon resonance, FACS affinity testing, FACS binding testing, and ELISA binding. In some embodiments, the ADCs disclosed herein have an affinity of 1×10 for a target antigen expressed on a cell surface, e.g., on a P-cadherin expressing cell, as measured by FACS affinity testing. -9 M or less, preferably 5×10 -10 M or less, preferably 4×10 -10 M or less, preferably 3×10 -10 M or less, preferably 2×10 -10 M or less, and even more preferably 1×10 -10 K below M D has.
[0057] As used herein, "EC 50The term "half maximal effective concentration," also referred to as "half maximal effective concentration," refers to the concentration of a drug, antibody, or toxin that induces a response halfway between the baseline and maximum after a particular exposure time. In the context of this application, EC 50 is expressed in units of "nM" or "M." In some embodiments, the ADCs disclosed herein have a binding affinity for P-cadherin-expressing cells of 1 nM or less, more preferably 0.5 nM or less, and more preferably 0.1 nM or less.
[0058] The term "isolated" as used herein refers to a state obtained by artificial means from a natural state. If a particular "isolated" substance or component exists in nature, it is possible because its natural environment has been altered, or the substance has been isolated from its natural environment, or both. For example, a non-isolated polynucleotide or polypeptide naturally exists in a living animal, and the same polynucleotide or polypeptide with a high purity isolated from such a natural state is called an isolated polynucleotide or polypeptide. The term "isolated" does not exclude artificial or synthetic mixtures or other impurities that do not affect the activity of the isolated substance.
[0059] As used herein, the term "isolated antibody" is intended to refer to an antibody that is substantially free of other antibodies having different antigenic specificities (e.g., an isolated antibody that specifically binds to a P-cadherin protein is substantially free of antibodies that specifically bind to antigens other than the P-cadherin protein). However, an isolated antibody that specifically binds to a human P-cadherin protein may have cross-reactivity to other antigens, such as P-cadherin proteins of other species. Furthermore, an isolated antibody may be substantially free of other cellular material and / or chemicals.
[0060] The term "vector" as used herein refers to a nucleic acid vehicle into which a polynucleotide can be inserted. If the vector allows for the expression of a protein encoded by a polynucleotide inserted therein, the vector is called an expression vector. A vector can have a genetic material element carried that is expressed in a host cell by transformation, transduction, or transfection into the host cell. Vectors are well known to those skilled in the art and include, but are not limited to, plasmids, phages, cosmids, artificial chromosomes such as yeast artificial chromosomes (YACs), bacterial artificial chromosomes (BACs) or P1-derived artificial chromosomes (PACs); phages such as lambda phage or M13 phage, as well as animal viruses. Animal viruses that can be used as vectors include, but are not limited to, retroviruses (including lentiviruses), adenoviruses, adeno-associated viruses, herpes viruses (such as herpes simplex viruses), poxviruses, baculoviruses, papilloma viruses, papova viruses (such as SV40). The vector may contain multiple elements for controlling expression, including, but not limited to, promoter sequences, transcription initiation sequences, enhancer sequences, selection elements, and reporter genes. Additionally, the vector may contain an origin of replication.
[0061] The term "host cell" as used herein refers to a cell line that can be engineered to produce a protein, protein fragment, or peptide of interest. Host cells include, but are not limited to, cultured cells, e.g., mammalian cultured cells from rodents (rat, mouse, guinea pig, or hamster), such as CHO, BHK, NSO, SP2 / 0, YB2 / 0; or human tissue or hybridoma cells, yeast cells, insect cells, and cells contained within transgenic animals or cultured tissue. The term encompasses not only the particular subject cell, but also the progeny of such cells. Because certain modifications may occur in subsequent generations due to mutations or environmental influences, such progeny may not be identical to the parent cell, but are still within the scope of the term "host cell."
[0062] The term "identity" as used herein refers to the relationship between the sequences of two or more polypeptide molecules or two or more nucleic acid molecules, as determined by aligning and comparing the sequences. "Percent identity" refers to the percent of identical residues between amino acids or nucleotides in the compared molecules, and is calculated based on the minimum size of the molecules being compared. In these calculations, alignment gaps (if any) are preferably addressed by a specific mathematical model or computer program (i.e., "algorithm"). Methods that can be used to calculate the identity of aligned nucleic acids or polypeptides include those described in Computational Molecular Biology, (Lesk, AM, ed.), 1988, New York: Oxford University Press; Biocomputing Informatics and Genome Projects, (Smith, DW, ed.), 1993, New York: Academic Press; Computer Analysis of Sequence Data, Part I, (Griffin, AM, and Griffin, HG, eds.), 1994, New Jersey: Humana Press; von Heinje, G., 1987, Sequence Analysis in Molecular Biology, New York: Academic Press; Sequence Analysis Primer, (Gribskov, M. and Devereux, J., eds.), 1991, New York: M. Stockton Press; and Carillo et al, 1988, SIAMJ. Applied Math. 48:1073.
[0063] The term "transfection" as used herein refers to the process by which nucleic acid is introduced into eukaryotic cells, particularly mammalian cells. Transfection protocols and techniques include, but are not limited to, chemical and physical methods such as lipid transfection, electroporation, etc. Many transfection techniques are well known in the art and are disclosed herein. See, for example, Graham et al., 1973, Virology 52:456; Sambrook et al., 2001, Molecular Cloning: A Laboratory Manual, supra; Davis et al., 1986, Basic Methods in Molecular Biology, Elsevier; Chu et al, 1981, Gene 13:197. In a specific embodiment of the present disclosure, the human P-cadherin gene was transfected into 293F cells.
[0064] As used herein, the terms "hybridoma" and "hybridoma cell line" can be used interchangeably. When the terms "hybridoma" and "hybridoma cell line" are mentioned, they also include subclones and progeny cells of the hybridoma.
[0065] The term "fluorescence activated cell sorting" or "FACS" as used herein refers to a specialized type of flow cytometry. It provides a method for sorting a heterogeneous mixture of biological cells into two or more containers, one cell at a time, based on the specific light scattering and fluorescence properties of each cell (FlowMetric. "Sorting Out Fluorescence Activated Cell Sorting". Retrieved 2017-11-09). Instruments for performing FACS are known to those skilled in the art and are generally commercially available. Examples of such instruments include FACS Star Plus, FACScan and FACSort instruments from Becton Dickinson (Foster City, CA), Epics C from Coulter Epics Division (Hialeah, FL), and MoFlo from Cytomation (Colorado Springs, CO), among others.
[0066] The term "subject" includes any human or non-human animal, preferably a human.
[0067] The term "cancer" as used herein refers to a solid tumor or a non-solid tumor, such as leukemia, that mediates the growth or metastasis and causes physical illness.
[0068] The terms "treatment", "treat" or "treated" as used herein in relation to the treatment of a condition generally relate to treatments and therapies in which some desired therapeutic effect is achieved, whether in humans or animals. The desired therapeutic effect is, for example, inhibition of progression of the condition, including slowing the rate of progression, stopping the rate of progression, regression of the condition, remission of the condition, and curing the condition. Treatment as a preventative measure (i.e., prophylaxis, prevention) is also included. In the case of cancer, "treat" may refer to attenuating or slowing the growth, proliferation, or metastasis of tumors or malignant cells, or some combination thereof. In the case of tumors, "treatment" includes removal of all or part of the tumor, inhibition or slowing of tumor growth and metastasis, prevention or slowing of tumor development, or some combination thereof.
[0069] The term "effective amount" as used herein relates to an amount of an active compound, or a material, composition, or dosage form containing an active compound, that is effective to produce some desired therapeutic effect, commensurate with a reasonable benefit / risk ratio, when administered in accordance with a desired treatment regimen. For example, an "effective amount," when used in connection with the treatment of a P-cadherin-associated disease or condition, refers to an amount or concentration of an ADC disclosed herein that is effective to treat said disease or condition.
[0070] The terms "prevent," "prevention," or "preventing," as used herein in reference to a particular disease state in a mammal, refer to preventing or delaying the onset of the disease or preventing the manifestation of its clinical or subclinical symptoms.
[0071] As used herein, the term "pharmaceutical acceptable" means that the vehicle, diluent, excipient and / or salts thereof are chemically and / or physically compatible with the other ingredients in the formulation and physiologically compatible with the recipient.
[0072] As used herein, the term "pharmaceutical acceptable carriers and / or excipients" refers to carriers and / or excipients that are pharmacologically and / or physiologically compatible with the subject and active agent, which are well known in the art (see, for example, Remington's Pharmaceutical Sciences. Edited by Gennaro AR, 19th ed. Pennsylvania: Mack Publishing Company, 1995), including, but not limited to, pH adjusters, surfactants, adjuvants, and ionic strength enhancers. For example, pH adjusters include, but are not limited to, phosphate buffers; surfactants include, but are not limited to, cationic, anionic, or nonionic surfactants, (e.g., Tween®-80); ionic strength enhancers include, but are not limited to, sodium chloride.
[0073] As used herein, the term "adjuvant" refers to a non-specific immune enhancing agent that can enhance the immune response to an antigen or change the type of immune response in an organism when delivered to an organism together with an antigen or delivered to an organism in advance. There are various adjuvants, including but not limited to aluminum adjuvants (e.g. aluminum hydroxide), Freund's adjuvants (e.g. Freund's complete adjuvant and Freund's incomplete adjuvant), Corynebacterium parvum, lipopolysaccharide, cytokines, etc. Freund's adjuvant is currently the most commonly used adjuvant in animal experiments. Aluminum hydroxide adjuvant is more commonly used in clinical trials.
[0074] Anti-P-cadherin antibody In some aspects, the disclosure provides an isolated antibody, or antigen-binding portion thereof, against P-cadherin.
[0075] In some embodiments, the antibody or antigen-binding portion thereof comprises: (A) a heavy chain variable region comprising an amino acid sequence of SEQ ID NO:7, or an amino acid sequence having at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to SEQ ID NO:7; and / or (B) a light chain variable region comprising an amino acid sequence of SEQ ID NO:8, or an amino acid sequence having at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to SEQ ID NO:8.
[0076] In some embodiments, the isolated antibody or antigen-binding portion thereof comprises a heavy chain variable region (VH) and a light chain variable region (VL), wherein: The VH comprises one or more heavy chain CDRs (HCDRs) selected from the group consisting of: (i) an HCDR1 comprising the amino acid sequence of SEQ ID NO:1, or an amino acid sequence which differs from SEQ ID NO:1 by an amino acid addition, deletion, or substitution of not more than 1, 2, or 3 amino acids; (ii) an HCDR2 comprising the amino acid sequence of SEQ ID NO:2, or an amino acid sequence that differs from SEQ ID NO:2 by an amino acid addition, deletion, or substitution of not more than 1, 2, or 3 amino acids; and (iii) an HCDR3 comprising the amino acid sequence of SEQ ID NO:3, or an amino acid sequence which differs from SEQ ID NO:3 by amino acid addition, deletion, or substitution of no more than 1, 2, or 3 amino acids; and The VL comprises one or more light chain CDRs (LCDRs) selected from the group consisting of: (i) an LCDR1 comprising the amino acid sequence of SEQ ID NO:4, or an amino acid sequence which differs from SEQ ID NO:4 by an amino acid addition, deletion, or substitution of not more than 1, 2, or 3 amino acids; (ii) an LCDR2 comprising the amino acid sequence of SEQ ID NO:5, or an amino acid sequence that differs from SEQ ID NO:5 by an amino acid addition, deletion, or substitution of no more than one, two, or three amino acids; and (iii) An LCDR3 comprising the amino acid sequence of SEQ ID NO:6, or an amino acid sequence which differs from SEQ ID NO:6 by an amino acid addition, deletion, or substitution of not more than 1, 2, or 3 amino acids.
[0077] In some embodiments, the isolated antibody or antigen-binding portion thereof comprises an HCDR1 comprising the amino acid sequence of SEQ ID NO:1; an HCDR2 comprising the amino acid sequence of SEQ ID NO:2; and an HCDR3 comprising the amino acid sequence of SEQ ID NO:3; as well as an LCDR1 comprising the amino acid sequence of SEQ ID NO:4; an LCDR2 comprising the amino acid sequence of SEQ ID NO:5; and an LCDR3 comprising the amino acid sequence of SEQ ID NO:6.
[0078] In some embodiments, the VH or VL region comprises an amino acid sequence having one or more (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10) amino acid additions, deletions, and / or substitutions compared to the amino acid sequence set forth in SEQ ID NO: 7 or 8, respectively. In some embodiments, at least one addition, deletion, and / or substitution of an amino acid in the VH or VL region is not present in any CDR sequence, but is present in a framework (FRW) sequence. For example, the above-described isolated antibody or antigen-binding portion thereof may include one or more substitutions of amino acids in the framework sequences (e.g., FRW1, FRW2, FRW3, and / or FRW4) of the VH or VL region.
[0079] In certain embodiments, the isolated antibodies or antigen-binding portions thereof provided herein comprise any suitable framework region (FR) sequence, so long as the antigen-binding domain is capable of specifically binding to P-cadherin.
[0080] In certain embodiments, the antibody is a monoclonal antibody. In some embodiments, the antigen-binding portion is an antibody fragment selected from a Fab, Fab'-SH, Fv, scFv, or (Fab')2 fragment. In some embodiments, the antibody is humanized. In some embodiments, the antibody is a fully human antibody.
[0081] Antibody-drug conjugates (ADCs) In some aspects, the disclosure provides an immunoconjugate or antibody-drug conjugate comprising the above-described antibody linked to a cytotoxic or cytostatic agent, which may include, but is not limited to, a chemotherapeutic agent, a drug, a growth inhibitory agent, a toxin (e.g., an enzymatically active toxin of bacterial, fungal, plant, or animal origin, or fragments thereof), or a radioactive isotope (i.e., a radioconjugate).
[0082] The term "conjugate" is used herein in its broadest definition to mean joined or linked together (such as covalently bonded). Molecules are "conjugated" when they act or function as if they were joined.
[0083] The use of antibody-drug conjugates for localized delivery of cytotoxic or cytostatic agents, i.e., drugs that kill or inhibit tumor cells in the treatment of cancer, allows targeted delivery of the drug moiety to and intracellular accumulation within the tumor, but systemic administration of the unconjugated drug can result in unacceptable levels of toxicity to normal cells as well as the tumor cells being eliminated (Thorpe, (1985) "Antibody Carriers Of Cytotoxic Agents In Cancer Therapy: A Review," in Monoclonal Antibodies '84: Biological And Clinical Applications, A. Pinchera et al. (ed.s), pp. 475-506). Both polyclonal and monoclonal antibodies have been reported to be useful in these strategies (Rowland et al., (1986) Cancer Immunol. Immunother., 21:183-87). Agents that can be used in ADCs include chemotherapeutic agents such as daunomycin, doxorubicin, methotrexate, and vindesine; toxins (e.g., bacterial toxins such as diphtheria toxin, plant toxins such as ricin, and small molecule toxins such as geldanamycin, maytansinoids, and calicheamicin); and auristatin peptides, which are synthetic analogs of dolastatins, auristatin E (AE) and monomethylauristatin (MMAE). MMAE is a synthetic derivative of dolastatin 10, a natural cytostatic pseudopeptide. Toxins may affect cytotoxicity and cytostatic effects by mechanisms including tubulin binding, DNA binding, or topoisomerase inhibition. Some cytotoxic agents tend to be inactive or less active when bound to large antibodies or protein receptor ligands.
[0084] ADCs have been developed for the treatment of various cancers, such as MYLOTARG (gemtuzumab ozogamicin, an antibody-drug conjugate composed of an anti-CD33 antibody linked to calicheamicin), ADCETRIS (bretuximab vedotin, an anti-CD30 antibody linked to MMAE), Kadcyla (ado-trastuzumab emtansine; T-DM1), SGN-CD33A (vadastuximab talirine), Rova-T (rovalpituzumab tesirine), and (a humanized anti-HER2 antibody covalently linked to a maytansine derivative via a stable linker).
[0085] Chemotherapeutic agents useful in generating immunoconjugates are described herein below.
[0086] Enzymatically active toxins and fragments that can be used include diphtheria A chain, nonbinding active fragments of diphtheria toxin, exotoxin A chain (from Pseudomonas aeruginosa), ricin A chain, abrin A chain, modeccin A chain, α-sarcin, Aleurites fordii (thorny bark) proteins, dianthin proteins, Phytolaca americana (pokeweed) proteins (PAPI, PAPII, and PAP-S), momordica charantia (bitter melon) inhibitor, curcin, crotin, Sapaonaria officinalis (safflower) proteins, and the like. officinalis (soap) inhibitors, gelonin, mitogellin, restrictocin, phenomycin, enomycin, and the trichothecenes. See, for example, WO 93 / 21232, published October 28, 1993. A variety of radionuclides are available for the production of radioconjugated antibodies. Examples include 212Bi, 131I, 131In, 90Y, and 186Re.
[0087] Conjugates of anti-P-cadherin antibodies with one or more small molecule toxins, such as calicheamicins, maytansinoids, dolastatins, auristatins, trichothecenes, and CC1065, and derivatives of these toxins that have toxin activity, are also contemplated herein.
[0088] Conjugates of antibodies and cytotoxic agents have been made using a variety of bifunctional protein coupling agents, such as N-succinimidyl-3-(2-pyridyldithiol) propionate (SPDP), iminothiolane (IT), bifunctional derivatives of imidoesters (e.g., dimethyl adipimidate HCl), active esters (e.g., disuccinimidyl suberate), aldehydes (e.g., glutaraldehyde), bisazide compounds (e.g., bis(p-azidobenzoyl)hexanediamine), bis-diazonium derivatives (e.g., bis-(p-diazoniumbenzoyl)-ethylenediamine), diisocyanates (e.g., toluene 2,6-diisocyanate), and bis-active fluorine compounds (e.g., 1,5-difluoro-2,4-dinitrobenzene). For example, ricin immunotoxin can be prepared as described in Vitetta et al (1987) Science, 238: 1098. Carbon-14 labeled 1-isothiocyanatobenzyl-3-methyldiethylene triaminepentaacetic acid (MX-DTPA) is an example of a chelating agent for binding radionucleotides to antibodies (WO94 / 11026).
[0089] In certain embodiments, the present disclosure provides an anti-P-cadherin monoclonal antibody conjugated to a cytotoxic agent by linking W3195-p1 to the cytotoxic agent via a protease-cleavable linker. In some embodiments, the cytotoxic agent is MMAE. Specifically, the linker system of such ADCs may include a thiol-reactive maleimidocaproyl spacer, a dipeptide valine-citrulline linker ("vc"), and a self-immolative, p-amino-benzyloxycarbonyl ("PAB"), designed to be stable in the bloodstream. Binding to P-cadherin on the cell surface initiates internalization. Upon internalization into P-cadherin-expressing tumor cells, MMAE is released via proteolytic cleavage, which exerts a potent cytotoxic effect by inhibiting microtubule assembly, tubulin-dependent GTP hydrolysis and polymerization. Finally, after binding to tubulin, MMAE disrupts the intracellular microtubule network, thereby inducing cell cycle arrest and causing apoptotic death of tumor cells expressing P-cadherin.
[0090] Maytansine and maytansinoids In some embodiments, the immunoconjugate comprises an antibody, or antigen-binding portion thereof, disclosed herein, conjugated to one or more maytansinoid molecules.
[0091] Maytansinoids are mitotic inhibitors that act by inhibiting tubulin polymerization. Maytansine was first isolated from the East African shrub Maytenus serrata, and it was subsequently found that certain microorganisms also produce maytansinol and maytansinoids, such as the C-3 maytansinol ester (U.S. Pat. No. 4,151,042). Synthetic maytansinol and its derivatives and analogs are disclosed, for example, in U.S. Pat. Nos. 4,137,230 and 4,371,533.
[0092] Maytansinoid drug moieties are attractive drug moieties in antibody-drug conjugates because (i) they are relatively easy to prepare by fermentation or chemical modification or derivatization of the fermentation products; (ii) they are readily derivatized with functional groups suitable for conjugation to antibodies via non-disulfide linkers; (iii) they are stable in plasma; and (iv) they are effective against a variety of tumor cell lines.
[0093] Maytansine compounds suitable for use as maytansinoid drug moieties are well known in the art and can be isolated from natural sources according to known methods, produced using genetic engineering techniques (see Yu et al (2002) PNAS 99:7968-7973), or maytansinol and maytansinol analogs prepared synthetically according to known methods. Suitable maytansinoids are disclosed, for example, in U.S. Patent No. 5,208,020. Preferred maytansinoids are maytansinol and maytansinol analogs modified within the aromatic ring or at other positions on the maytansinol molecule, such as various maytansinol esters.
[0094] Exemplary maytansinoid drug moieties include those with modified aromatic rings, such as C-19-dechloro (US 4,256,746) (prepared by lithium aluminum hydride reduction of ansamytocin P2); C-20-hydroxy (or C-20-demethyl) + / - C-19-dechloro (US 4,361,650 and 4,307,016) (prepared by demethylation using Streptomyces or Actinomyces, or by dechlorination using LAH); and C-20-demethoxy, C-20-acyloxy (-OCOR), + / -dechloro (US 4,294,757) (prepared by acylation using acyl chlorides) and those with modifications at other positions.
[0095] Exemplary maytansinoid drug moieties also include those having modifications such as: C-9-SH (US 4424219) (prepared by reaction of maytansinol with H2S or P2S5); C-14-alkoxymethyl (demethoxy / CH2OR) (US 4331598); C-14-hydroxymethyl or acyloxymethyl (CH2OH or CHOAc) (US 4450254) (prepared from Nocardia); C-15-hydroxy / acyloxy (US 4,364,866) (prepared by conversion of maytansinol by Streptomyces); C-15-methoxy (US Pat. Nos. 4,313,946 and 4,315,929) (isolated from Trewia nudlflora); C-18-N-demethyl (U.S. Pat. Nos. 4,362,663 and 4,322,348) (prepared by demethylation of maytansinol with Streptomyces); and 4,5-deoxy (U.S. Pat. Nos. 4,371,533) (prepared by titanium trichloride / LAH reduction of maytansinol).
[0096] Exemplary embodiments of maytansinoid drug moieties include DM1, DM3, and DM4. The structure of DM1 is shown below, where the wavy line indicates the covalent attachment of the sulfur atom of the drug to the linker (L) of the antibody-drug conjugate. Herceptin (trastuzumab) linked to DM1 by SMCC has been reported (WO 2005 / 037992, expressly incorporated herein by reference in its entirety):
[0097] [ka]
[0098] An exemplary maytansinoid antibody-drug conjugate, "Ab-(SMCC-DM1)p," having the following structure and abbreviations (where Ab is an antibody and p is from 1 to about 8) is shown below (e.g., linked via SMCC):
[0099] [ka]
[0100] Anti-P-cadherin antibody-maytansinoid conjugates can be prepared by chemically linking an antibody or its antigen-binding portion to a maytansinoid molecule without significantly reducing the biological activity of either the antibody or the maytansinoid molecule. Attachment of an average of 3-4 maytansinoid molecules per antibody molecule has been shown to enhance cytotoxicity of target cells without adversely affecting the function or solubility of the antibody, although even a single toxin / antibody would be expected to enhance cytotoxicity over that achieved with naked antibodies.
[0101] There are many linking groups known in the art for making antibody-maytansinoid conjugates, including, for example, those disclosed in U.S. Pat. Nos. 5,208,020, 6,441,163, or European Patent No. 0 425 235 B1, Chari et al., Cancer Research 52:127-131 (1992), and U.S. Patent Application No. 2005 / 0169933 A1, the disclosures of which are expressly incorporated herein by reference. Antibody-maytansinoid conjugates containing the linker moiety SMCC can be prepared as disclosed in U.S. Patent Application No. 11 / 141344. Linking groups include disulfide groups, thioether groups, acid labile groups, photolabile groups, peptidase labile groups, or esterase labile groups, as disclosed in the above patents. Additional linking groups are described and exemplified herein.
[0102] The linker may be attached to the maytansinoid molecule at various positions, depending on the type of bond. For example, an ester bond can be formed by reaction with a hydroxyl group using conventional coupling techniques. Reactions can occur at the C-3 position with a hydroxyl group, the C-14 position with a hydroxymethyl modification, the C-15 position with a hydroxyl group, and the C-20 position with a hydroxyl group. In a preferred embodiment, the bond is formed at the C-3 position of maytansinol or a maytansinol analog.
[0103] In some embodiments, the antibodies (full length or fragments) disclosed herein are conjugated to one or more maytansinoid molecules. In some embodiments of the immunoconjugate, the cytotoxic agent is the maytansinoid DM1. In some embodiments of the immunoconjugate, the linker is selected from the group consisting of SPDP, SMCC, IT, SPDP, and SPP. Some exemplary maytansinoid antibody-drug conjugates may be Ab-(SPP-DM1)p, Ab-(SMCC-DM1)p, Ab-(BMPEO-DM1)p.
[0104] Immunoconjugates containing maytansinoids, methods for their preparation, and their therapeutic uses are disclosed, for example, in U.S. Pat. Nos. 5,208,020; 5,416,064; and 6,441,163, and European Patent No. 0 425 235 B1, the disclosures of which are expressly incorporated herein by reference.
[0105] Auristatins and dolostatins In some embodiments, the immunoconjugate comprises an anti-P-cadherin antibody disclosed herein linked to a dolastatin or dolostatin peptide analog and derivative, an auristatin (U.S. Patent Nos. 5,635,483; 5,780,588). Dolastatins and auristatins have been shown to interfere with microtubule dynamics, GTP hydrolysis, and nuclear and cell division, and to have anticancer and antifungal activity (Pettit et al (1998) Antimicrob. Agents Chemother. 42:2961-2965). The dolastatin or auristatin drug moiety may be attached to the antibody via the N (amino) terminus or C (carboxyl) terminus of the peptide drug moiety (WO 02 / 088172).
[0106] Exemplary auristatin embodiments include N-terminally linked monomethyl auristatin drug moieties DE and DF, as disclosed in Senter et al, Proceedings of the American Association for Cancer Research, Volume 45, Abstract Number 623, published March 28, 2004, which is expressly incorporated by reference in its entirety.
[0107] An exemplary auristatin embodiment is MMAE (where the wavy line indicates the covalent attachment to the linker (L) of the antibody-drug conjugate):
[0108] [ka]
[0109] Another exemplary embodiment of an auristatin is MMAF (where the wavy line indicates the covalent attachment to the linker (L) of the antibody-drug conjugate):
[0110] [ka]
[0111] Additional exemplary embodiments comprising MMAE or MMAF and various linker components are shown below with the following structures and abbreviations (where Ab means antibody and p is 1 to about 8): For example, VcMMAE (Mc-vc-PAB-MMAE) is obtained by using MMAE linked to the lysosomal cleavable dipeptide valine-citrulline (vc) and a thiol-reactive maleimidocaproyl spacer (MC) via p-aminobenzyloxycarbonyl ("PAB").
[0112] [ka]
[0113] Typically, peptide-based drug moieties can be prepared by forming a peptide bond between two or more amino acids and / or peptide fragments. Such peptide bonds can be prepared, for example, according to solution-phase synthesis methods well known in the field of peptide chemistry (see E. Schroeder and K. Luebke, "The Peptides", volume 1, pp 76-136, 1965, Academic Press). Auristatin / dolastatin drug moieties can be prepared according to the method of Doronina (2003) Nat Biotechnol 21(7):778-784.
[0114] Calicheamicin In some other embodiments, the immunoconjugate comprises an antibody or antigen-binding portion thereof bound to one or more calicheamicin molecules. The calicheamicin family of antibiotics can induce double-stranded DNA breaks at sub-picomolar concentrations. Structural analogs of calicheamicin that can be used include γ1 I , α2 I , α3 I , N-acetyl-γ1 I , PSAG, and θ I1. Another antineoplastic drug that can be conjugated to antibodies is the antifolate QFA. Both calicheamicin and QFA have intracellular sites of action and do not readily cross the cell membrane. Thus, cellular uptake of these agents via antibody-mediated internalization greatly enhances their cytotoxic effects.
[0115] Other cytotoxic agents Other anti-tumor agents that can be conjugated to the antibodies disclosed herein include BCNU, streptozoicin, vincristine and 5-fluorouracil, a family of drugs collectively known as LL-E33288 conjugates, which are described in U.S. Pat. Nos. 5,053,394, 5,770,710, and esperamicin (U.S. Pat. No. 5,877,296).
[0116] As used herein, the term "cytotoxic agent" refers to a substance that is toxic to cells, reduces or inhibits the function of cells, and / or causes destruction of cells. In certain embodiments, the substance is a naturally occurring molecule derived from a living organism. Examples of cytotoxic agents are small molecule toxins or enzymatically active toxins from bacteria (e.g., diphtheria toxin, Pseudomonas endotoxins and exotoxins, Staphylococcal enterotoxin A), enzymatically active toxins from fungi (e.g., α-sarcin, restrictocin), enzymatically active toxins from plants (e.g., abrin, ricin, modeccin, viscumin, pokeweed antiviral protein, saporin, gelonin, momoridin, trichosanthin, barley toxins, Aleurites fordii (thorny barley) proteins, dianthin proteins, Phytolaca mericana (pokeweed) proteins (PAPI, PAPII, and PAP-S), Momordica charantia (momordica charantia (butterfly) inhibitors, curcin, crotin, Saponaria officinalis (soapwort) inhibitors, gelonin, mitogenin, restrictocin, phenomycin, enomycin, and the trichothecenes), or enzymatically active toxins from animals (e.g., cytotoxic RNases such as extracellular pancreatic RNase; DNase I, including fragments and / or variants thereof).
[0117] For purposes of this disclosure, a "chemotherapeutic agent" includes compounds that non-specifically reduce or inhibit the growth, proliferation, and / or survival of cancer cells (e.g., cytotoxic or cytostatic agents). Such chemical agents often target intracellular processes necessary for cell growth or division, and are therefore particularly effective against cancerous cells, which generally grow and divide rapidly. For example, vincristine depolymerizes microtubules and inhibits cells from entering mitosis. In general, chemotherapeutic agents may include any chemical agent that inhibits or is designed to inhibit cancerous cells or cells that may become cancerous or produce tumorigenic progeny (e.g., TICs). Such agents are often administered in combination with regimens such as CHOP or FOLFIRI, and are often most effective.
[0118] Examples of chemotherapeutic agents that can be conjugated to the antibodies of the disclosure include alkylating agents, alkylsulfonates, aziridines, ethylenimines and methylamelamines, acetogenins, camptothecins, bryostatin, callystatin, CC-1065, cryptophycins, dolastatins, duocarmycins, erytherobin, pancratistatin, sarcodictyin, spongistatin, nitrogen mustards, antibiotics, enediyne antibiotics, dynemicin, bisphosphonates, esperamicins, chromoprotein enediyne antibiotic chromophores ... chromophore, aclacinomycin, actinomycin, autramycin, azaserine, bleomycin, cactinomycin, carabicin, carminomycin, carzinophilin, chromomycinis, dactinomycin, daunorubicin, detorubicin, 6-diazo-5-oxo-L-norleucine, adriamycin (registered trademark) doxorubicin, epirubicin, esorubicin, idarubicin, marcellomycin, mitomycin, mycophenolic acid, nogalamycin, olivomycin, peplomycin, potfiromycin, puromycin, quelamycin, rodorubicin, streptonigrin, streptozocin, tubercidin, ubenimex, zinostatin, zorubicin;Metabolic antagonists, erlotinib, vemurafenib, crizotinib, sorafenib, ibrutinib, enzalutamide, folic acid analogues, purine analogues, androgens, anti-adrenal drugs, folic acid supplements such as folinic acid, aceglatone, aldophosphamide glycosides glycoside), aminolevulinic acid, enyluracil, amsacrine, bestrabucil, bisantrene, edatraxate, defofamine, demecolcine, diaziquone, elfornithine, elliptinium acetate, epothilone, etoglucide, gallium nitrate, hydroxyurea, lentinan, lonidainine, maytansinoids, mitoguazone, mitoxantrone, mopidanmol, nitraerine, pentostatin, phenamet, pirarubicin, losoxantrone, podophyllinic acid, 2-ethylhydrazide, procarbazine, PSK® polysaccharide complex (JHS Natural Products, Eugene, Oregon), razoxane; rhizoxin; schizophyllan; spirogermanium; tenuazonic acid; triazicon; 2,2',2"-trichlorotriethylamine; trichothecenes (especially T-2 toxin, verracurin A, roridin A, and anguidine); urethane; vindesine; dacarbazine; mannomustine; mitobronitol; mitolactol; pipobroman; gacytosine; arabinoside ("Ara-C"); cyclophosphamide; thiotepa; taxoids, chloranbucil; GEMZAR® Gemcitabine; 6-thioguanine; mercaptopurine; methotrexate; platinum analogs, vinblastine; platinum; etoposide (VP-16); ifosfamide; mitoxantrone; vincristine;NAVELBINE® vinorelbine; novantrone; teniposide; edatrexate; daunomycin; aminopterin; xeloda; ibandronate; irinotecan (Camptosar®, CPT-11), topoisomerase inhibitor RFS 2000; difluorometlhylornithine; retinoids; capecitabine; combretastatins; leucovorin; oxaliplatin; inhibitors of PKC-α, Raf, H-Ras, EGFR, and VEGF-A that reduce cell proliferation, and pharma- ceutical acceptable salts, acids, or derivatives of any of the above. Also included within this definition are antihormonal agents that act to regulate or inhibit hormone action on tumors, such as antiestrogens and selective estrogen receptor modulators, aromatase inhibitors that inhibit the enzyme aromatase, which regulates estrogen production in the adrenal glands, and antiandrogens; as well as troxacitabine (a 1,3-dioxolane nucleoside cytosine analog); antisense oligonucleotides, ribozymes such as VEGF expression inhibitors, and HER2 expression inhibitors; vaccines, PROLEUKIN® rIL-2; lurtotecan® topoisomerase 1 inhibitors; Abarelix® rmRH; vinorelbine and esperamicin, and pharmaceutically acceptable salts, acids, or derivatives of any of the above;
[0119] Enzymatically active toxins and fragments thereof that may be used include diphtheria A chain, nonbinding active fragments of diphtheria toxin, exotoxin A chain (from Pseudomonas aeruginosa), ricin A chain, abrin A chain, modeccin A chain, α-sarcin, Aleurites fordii (thorny bark) proteins, dianthin proteins, Phytolaca americana (pokeweed) proteins (PAPI, PAPII, and PAP-S), momordica charantia (bitter melon) inhibitor, curcin, crotin, Sapaonaria officinalis (safflower) proteins, and the like. officinalis (soap) inhibitors, gelonin, mitogellin, restrictocin, phenomycin, enomycin, and the trichothecenes. See, e.g., WO 93 / 21232 published Oct. 28, 1993.
[0120] The present disclosure further contemplates immunoconjugates formed between an antibody and a compound with nucleolytic activity (eg, a ribonuclease or deoxyribonuclease; a DNA endonuclease such as DNase).
[0121] ADCs may contain highly radioactive atoms to selectively destroy tumors. A variety of radioisotopes are available for the production of radioconjugated antibodies. Examples include At 211 , I 131 , I 125 , Y 90 , Re 186 , Re 188 , Sm 153 , Bi 212 , P 32 , Pb 212, and radioactive isotopes of Lu. When the conjugates are used for detection, radioactive atoms for scintigraphy studies, e.g., tc 99m Or I 123 , or spin labels (such as iodine-123, iodine-131, indium-111, fluorine-19, carbon-13, nitrogen-15, oxygen-17, gadolinium, manganese, or iron) for nuclear magnetic resonance (NMR) imaging (also known as magnetic resonance imaging, MRI).
[0122] The radiolabel or other label can be incorporated into the conjugate by known methods. For example, the peptide can be biosynthesized or synthesized by chemical amino acid synthesis using appropriate amino acid precursors, for example, containing fluorine-19 instead of hydrogen. 99m or I 123 , Re 186 , Re 188 , and In 111 Labels such as can be attached via a cysteine residue in the peptide. Yttrium-90 can be attached via a lysine residue.
[0123] Conjugates of antibodies and cytotoxic agents can be made using a variety of bifunctional protein coupling agents, such as N-succinimidyl-3-(2-pyridyldithiol) propionate (SPDP), iminothiolane (IT), bifunctional derivatives of imidoesters (such as dimethyl adipimidate HCl), active esters (such as disuccinimidyl suberate), aldehydes (such as glutaraldehyde), bisazide compounds (such as bis(p-azidobenzoyl)hexanediamine), bis-diazonium derivatives (such as bis-(p-diazoniumbenzoyl)-ethylenediamine), diisocyanates (such as toluene 2,6-diisocyanate), and bis-active fluorine compounds (such as 1,5-difluoro-2,4-dinitrobenzene). The linker may be a "cleavable linker" that facilitates release of the cytotoxic drug inside the cell. For example, an acid-labile linker, a peptidase-sensitive linker, a photolabile linker, a dimethyl linker, or a disulfide-containing linker can be used.
[0124] Drug Loading Drug loading is expressed in terms of p and DAR, where DAR is the average number of drug moieties per antibody in a molecule of the general ADC formula Ab-(LD)p, where Ab refers to an anti-P-cadherin antibody or antigen-binding portion thereof, L refers to a linker, D refers to a drug moiety that generally includes a cytotoxic agent or cytostatic agent, and p refers to an integer number of drug moieties in the Ab molecule. Drug loading may range from 1 to 20 drug moieties (D) per antibody. An ADC comprises a collection of antibodies conjugated with drug moieties ranging from 1 to 20. The average number of drug moieties per antibody in an ADC preparation from a conjugation reaction can be characterized by conventional means such as mass spectrometry, ELISA assays, and HPLC. The quantitative distribution of the ADC with respect to p can also be determined. In some cases, separation, purification, and characterization of homogeneous ADCs (with a particular value of p) from other drug-loaded ADCs can be achieved by means such as reverse-phase HPLC or electrophoresis. For example, the W3195-p1-MMAE conjugate disclosed herein has a DAR of about 4, as measured by hydrophobic interaction chromatography (HIC).
[0125] For some antibody-drug conjugates, p may be limited by the number of binding sites on the antibody. For example, if the linkage is a cysteine thiol, the antibody may have only one or a few cysteine thiol groups, or may have one or a few sufficiently reactive thiol groups through which a linker can be attached. In some cases, higher drug loading, e.g., p>5, may cause aggregation, insolubility, toxicity, or loss of cell permeability of certain antibody-drug conjugates. In certain embodiments, the drug loading of the ADCs of the present disclosure ranges from 1 to about 8; from about 2 to about 6; from about 3 to about 5; from about 3 to about 4; from about 3.5 to about 4.5, from about 3.6 to about 4.4, from about 3.7 to about 4.3, from about 3.8 to about 4.2, or from about 3.9 to about 4.1. In some embodiments, the ADCs range from about 3.5 to about 4.5. Indeed, it has been shown that for certain ADCs, the optimal ratio of drug moieties per antibody may be less than 8 and may be from about 2 to about 5. See US Patent Application Publication No. 2005-0238649 A1, which is incorporated herein by reference in its entirety.
[0126] In certain embodiments, fewer drug moieties than the theoretical maximum are attached to the antibody during the conjugation reaction. The antibody may contain, for example, lysine residues that do not react with the drug-linker intermediate or linker reagent. In general, antibodies do not contain many free reactive cysteine thiol groups that can be attached to drug moieties; in fact, most cysteine thiol residues in antibodies exist as disulfide bridges. In certain embodiments, the antibody can be reduced with a reducing agent such as dithiothreitol (DTT) or tricarbonylethylphosphine (TCEP) under partial or total reducing conditions to generate reactive cysteine thiol groups. In certain embodiments, the antibodies disclosed herein are subjected to denaturing conditions to reveal reactive nucleophilic groups such as lysine or cysteine.
[0127] The loading (drug / antibody ratio) of the ADC can be controlled in a variety of ways, for example, by (i) limiting the molar excess of drug-linker intermediate or linker reagent relative to antibody, (ii) limiting the conjugation reaction time or temperature, (iii) partial or limited reducing conditions for cysteine thiol modification, (iv) recombinantly engineering the amino acid sequence of the antibody such that the number and position of cysteine residues are altered to control the number and / or position of linker-drug linkages (such as thioMab™ or thioFab prepared as disclosed herein and in WO 2006 / 034488, which are incorporated herein by reference in their entireties).
[0128] It is understood that when two or more nucleophilic groups react with a drug-linker intermediate or linker reagent and subsequently with a drug moiety reagent, the resulting product is a mixture of ADC compounds having a distribution of one or more drug moieties attached to the antibody. The average number of drugs per antibody can be calculated from the mixture by a dual ELISA antibody assay that is specific for the antibody and specific for the drug. Individual ADC molecules in the mixture are identified by mass spectrometry and separated by HPLC, e.g., hydrophobic interaction chromatography (see, e.g., Hamblett, KJ, et al. "Effect of drug loading on the pharmacology, pharmacokinetics, and toxicity of an anti-CD30 antibody-drug conjugate," Abstract No. 624, American Association for Cancer Research, 2004 Annual Meeting, March 27-31, 2004, Proceedings of the AACR, Volume 45, March 2004; Alley, SC, et al. "Controlling the location of drug attachment in antibody-drug conjugates," Abstract No. 627, American Association for Cancer Research, 2004 Annual Meeting, March 27-31, 2004, Proceedings of the AACR, Volume 45, March 2004). In certain embodiments, homogenous ADCs having a single loading value can be isolated from the binding mixture by electrophoresis or chromatography.
[0129] Preparation of antibody-drug conjugates In the antibody drug conjugates (ADCs) disclosed herein, an anti-P-cadherin antibody (Ab) or antigen-binding portion thereof is conjugated via a linker (L) to one or more drug moieties (D), e.g., about 1 to about 20 drug moieties per antibody, about 1 to about 10 drug moieties per antibody, about 1 to about 8 drug moieties per antibody, about 1 to about 5 drug moieties per antibody, about 1 to about 4 drug moieties per antibody, about 1 to about 3 drug moieties per antibody, or about 1 to about 2 drug moieties per antibody. In some embodiments, the number of drug moieties (D) per antibody is about 1 to about 5, about 2 to about 6, about 2 to about 5, or about 3 to about 4 drug moieties per antibody. The number of drug moieties per antibody is typically the average number of all conjugates in a population of antibody drug conjugates, so the number of drug moieties per antibody may not be an integer.
[0130] ADCs can be prepared by several routes using organic chemistry reactions, conditions, and reagents known to those skilled in the art, including: (1) reaction of a nucleophilic group of an antibody with a bivalent linker reagent to form Ab-L via a covalent bond, which is then reacted with a drug moiety, D; and (2) reaction of a nucleophilic group of a drug moiety with a bivalent linker reagent to form DL via a covalent bond, which is then reacted with a nucleophilic group of an antibody. In some embodiments, an MMAE drug moiety linked to MC-VC-PAB (i.e., MC-VC-PAB-MMAE) is commercially available (Lenena, biopharma) and can be used directly for conjugation to an antibody.
[0131] As mentioned above, the linker may be composed of one or more linker moieties. Exemplary linker moieties include 6-maleimidocaproyl ("MC"), maleimidopropanoyl ("MP"), valine-citrulline ("val-cit" or "vc"), alanine-phenylalanine ("ala-phe"), p-aminobenzyloxycarbonyl ("PAB"), N-succinimidyl 4-(2-pyridylthio)pentanoate ("SPP"), N-succinimidyl 4-(N-maleimidomethyl)cyclohexane-1 carboxylate ("SMCC"), and N-succinimidyl (4-iodo-acetyl)aminobenzoate (SIAB). In some embodiments, the linker is MC-vc-PAB. Additional linker moieties are known in the art and some are described herein.
[0132] In some embodiments, the linker may comprise an amino acid residue. Exemplary amino acid linker components include dipeptides, tripeptides, tetrapeptides, or pentapeptides. Exemplary dipeptides include valine-citrulline (vc or val-cit), alanine-phenylalanine (af or ala-phe). Exemplary tripeptides include glycine-valine-citrulline (gly-val-cit) and glycine-glycine-glycine (gly-gly-gly). The amino acid residues that make up the amino acid linker component include naturally occurring amino acid residues, as well as minor amino acids and non-natural amino acid analogs such as citrulline. Amino acid linker components can be designed and optimized for selectivity of enzymatic cleavage by a particular enzyme, for example, tumor-associated proteases, cathepsins B, C, and D, or plasmin proteases.
[0133] Nucleophilic groups on an antibody include, but are not limited to, (i) N-terminal amine groups, (ii) side chain amine groups, e.g., lysine, (iii) side chain thiol groups, e.g., cysteine, and (iv) sugar hydroxyl groups or amino groups on which the antibody is glycosylated. Amine, thiol, and hydroxyl groups are nucleophilic and can react to form covalent bonds with electrophilic groups on linker moieties and linker reagents, including: (i) active esters, such as NHS esters, HOBt esters, haloformate esters, and acid halides; (ii) alkyl and benzyl halides, such as haloacetamides; (iii) aldehyde, ketone, carboxyl, and maleimide groups. Certain antibodies have reducible interchain disulfides, i.e., cysteine bridges. Antibodies can be made reactive for conjugation with linker reagents by treatment with a reducing agent, such as TCEP. Thus, theoretically, each cysteine bridge forms two reactive thiol nucleophiles.
[0134] Antibody drug conjugates of the present disclosure can also be generated by modification of the antibody to introduce electrophilic moieties capable of reacting with nucleophilic substituents on the linker reagent or drug.
[0135] Methods for attaching linker-drug moieties to cell targeting proteins such as antibodies, immunoglobulins or fragments thereof can be found, for example, in WO2006 / 034488, incorporated herein by reference. Alternatively, fusion proteins comprising an antibody and a cytotoxic agent can be produced, for example, by recombinant techniques or peptide synthesis. The length of DNA may include respective regions encoding the two portions of the conjugate, adjacent to each other or separated by a region encoding a linker peptide that does not destroy the desired properties of the conjugate.
[0136] As shown in the Examples, the anti-P-cadherin antibodies disclosed herein can be prepared by reduction with TCEP and then conjugation with commercially available MC-vc-PAB-MMAE, a linker that is already attached to a drug moiety.
[0137] Anti-P-cadherin ADCs with specific properties The ADCs of the present disclosure are characterized by certain functional features or characteristics.The in vitro and in vivo functional characteristics and pharmacological activities of antibodies and ADCs have been thoroughly evaluated at the molecular and cellular levels according to their mechanism of action on targets.The ADCs disclosed herein may have one or more of the following characteristics: (a) binds to cells expressing cell surface human P-cadherin with an nM-grade EC50 (e.g., 1 nM or less, 0.5 nM or less, 0.3 nM or less, 0.2 nM or less, 0.1 nM or less, 0.09 nM or less, 0.08 nM or less) as measured by FACS; (b) have excellent internalization capabilities comparable to those of benchmark ADCs; (c) stable in serum for at least 14 days; (d) exhibits superior cytotoxicity effects against human P-cadherin-expressing cells and no killing effects against P-cadherin low-expressing or normal cells compared with the benchmark ADC; (e) exhibits better binding to human P-cadherin compared to benchmark ADCs as measured by FACS affinity testing; (f) in contrast to the benchmark ADC, it does not exhibit nonspecific binding to human cell lines with low expression of P-cadherin; and (g) Demonstrating significantly superior tumor inhibition and better dose-dependent antitumor efficacy in in vivo tumor models compared to benchmark ADCs.
[0138] Pharmaceutical Compositions In some aspects, the disclosure is directed to a pharmaceutical composition comprising an anti-P-cadherin ADC disclosed herein and a pharma- ceutically acceptable carrier.
[0139] Ingredients of the composition The pharmaceutical composition may optionally contain one or more additional pharma- ceutical active ingredients, such as another antibody or drug. The pharmaceutical composition of the present disclosure may also be administered in combination therapy with, for example, another immunostimulant, anti-cancer agent, anti-viral agent, or vaccine, such that the anti-P-cadherin antibody enhances the immune response to the vaccine. The pharma- ceutical acceptable carrier may include, for example, various combinations of pharma- ceutical acceptable liquid, gel, or solid carriers, aqueous media, non-aqueous media, antibacterial agents, isotonic agents, buffers, antioxidants, anesthetics, suspending / dispersing agents, chelating agents, diluents, adjuvants, excipients, or non-toxic auxiliary substances, and other ingredients known in the art, or more.
[0140] Suitable ingredients may include, for example, antioxidants, bulking agents, binders, disintegrants, buffers, preservatives, lubricants, flavorings, thickening agents, coloring agents, emulsifiers or stabilizers, such as sugars and cyclodextrins. Suitable antioxidants may include, for example, methionine, ascorbic acid, EDTA, sodium thiosulfate, platinum, catalase, citric acid, cysteine, mercaptoglycerol, thioglycolic acid, mercaptosorbitol, butylmethylanisole, butylated hydroxytoluene and / or propylgalactosyl. In some embodiments, the present disclosure provides compositions comprising an ADC disclosed herein and one or more antioxidants, such as methionine. The present disclosure further provides various methods of mixing an ADC with one or more antioxidants, such as methionine, to prevent the ADC from oxidation, extend its shelf life, and / or enhance its activity.
[0141] By way of further example, pharma- ceutically acceptable carriers may include, for example, aqueous vehicles such as Sodium Chloride Injection, Ringer's Injection, Isotonic Dextrose Injection, Sterile Water Injection, or Dextrose and Lactated Ringer's Injection; non-aqueous vehicles such as fixed oils of vegetable origin, cottonseed oil, corn oil, sesame oil, or peanut oil; antibacterial agents in bacteriostatic or fungistatic concentrations; isotonic agents such as sodium chloride or glucose; buffers such as phosphate buffer or citrate buffer; antioxidants such as sodium bisulfate; local anesthetics such as procaine hydrochloride; suspending and dispersing agents such as sodium carboxymethylcellulose, hydroxypropylmethylcellulose, or polyvinylpyrrolidone; emulsifying agents such as polysorbate 80 (TWEEN®-80); sequestering or chelating agents such as EDTA (ethylenediaminetetraacetic acid) or EGTA (ethylene glycol tetraacetic acid); ethyl alcohol, polyethylene glycol, propylene glycol, sodium hydroxide, hydrochloric acid, citric acid, or lactic acid. Antibacterial agents used as carriers can be added to pharmaceutical compositions in multi-dose containers, including phenol or cresol, mercurials, benzyl alcohol, chlorobutanol, methyl and propyl p-hydroxybenzoic acid esters, thimerosal, benzalkonium chloride and benzethonium chloride. Suitable excipients include, for example, water, saline, glucose, glycerol, or ethanol. Suitable non-toxic auxiliary substances may include, for example, wetting or emulsifying agents, pH buffers, stabilizers, solubility enhancers, or agents such as sodium acetate, sorbitan monolaurate, triethanolamine oleate, or cyclodextrin.
[0142] Dosage, prescription and dosage The pharmaceutical compositions of the present disclosure can be administered in vivo to a subject in need thereof by a variety of routes, including but not limited to oral, intravenous, intraarterial, subcutaneous, parenteral, intranasal, intramuscular, intracranial, intracardiac, intratracheal, buccal, rectal, intraperitoneal, intradermal, topical, transdermal, intrathecal, or otherwise implanted or inhaled. The compositions of the present invention can be formulated into formulations, including but not limited to tablets, capsules, powders, granules, ointments, solutions, suppositories, enemas, injections, inhalants, and aerosols, in solid, semi-solid, liquid, or gaseous forms. The appropriate formulation and route of administration can be selected according to the intended use and treatment plan.
[0143] Formulations suitable for enteral administration include hard or soft gelatin capsules, pills, tablets, including coated tablets, elixirs, suspensions, syrups or inhalations and controlled release forms thereof.
[0144] Formulations suitable for parenteral administration (e.g., by injection) include aqueous or non-aqueous, isotonic, pyrogen-free, sterile liquids (e.g., solutions, suspensions) in which the active ingredient is dissolved, suspended, or otherwise provided (e.g., in liposomes or other microparticles). Such liquids may further include other pharma- ceutically acceptable components, such as antioxidants, buffers, preservatives, stabilizers, bactericidal agents, suspending agents, thickening agents, and solutes that render the formulation isotonic with the blood (or other relevant bodily fluids) of the intended recipient. Examples of excipients include, for example, water, alcohols, polyols, glycerol, vegetable oils, and the like. Examples of isotonic carriers suitable for use in such formulations include Sodium Chloride Injection, Ringer's Solution, or Lactated Ringer's Injection. Similarly, the particular administration regimen, including dosage, timing, and repetition, will depend on the particular individual and that individual's medical history, as well as empirical considerations such as pharmacokinetics (e.g., half-life, clearance rate, and the like).
[0145] The frequency of administration can be determined and adjusted during the course of treatment and is based on the reduction in the number of proliferative or tumorigenic cells, the maintenance of such a reduction in the number of neoplastic cells, the reduction in the proliferation of neoplastic cells, or the delay in the progression of metastasis. In some embodiments, the dosage can be adjusted or reduced to manage potential side effects and / or toxicity. Alternatively, sustained continuous release formulations of the subject therapeutic compositions may be appropriate.
[0146] Those skilled in the art will appreciate that appropriate doses may vary from patient to patient. Determining optimal dosages generally involves balancing the level of therapeutic benefit against risk or deleterious side effects. The selected dosage level will depend on a variety of factors, including but not limited to the activity of the particular compound, the route of administration, the time of administration, the rate of excretion of the compound, the duration of treatment, other drugs, compounds, and / or materials used in combination, the severity of the condition, the patient's species, sex, age, weight, condition, general health, and previous medical history. The amount of compound and route of administration are ultimately at the discretion of the physician, veterinarian, or clinician, but generally the dosage will be selected to achieve a local concentration at the site of action that achieves the desired effect without causing substantial harmful or deleterious side effects.
[0147] In general, the ADCs of the present disclosure may be administered in various ranges. These include about 5 μg / kg body weight to about 100 mg / kg body weight per single dose; about 50 μg / kg body weight to about 5 mg / kg body weight per single dose; about 100 μg / kg body weight to about 10 mg / kg body weight per single dose. Other ranges include about 100 μg / kg body weight to about 20 mg / kg body weight per single dose, and about 0.5 mg / kg body weight to about 20 mg / kg body weight per single dose. In certain embodiments, the dose is at least about 100 μg / kg body weight, at least about 250 μg / kg body weight, at least about 750 μg / kg body weight, at least about 3 mg / kg body weight, at least about 5 mg / kg, at least about 10 mg / kg body weight.
[0148] In any event, the ADCs of the present disclosure are preferably administered to a subject in need thereof as needed. The determination of frequency of administration can be made by one of skill in the art, such as the attending physician, based on considerations of the condition being treated, the age of the subject being treated, the severity of the condition being treated, the general health of the subject being treated, etc.
[0149] In certain preferred embodiments, a course of treatment comprising the ADC of the present disclosure will include multiple administrations of the selected pharmaceutical agent over a period of weeks or months. More specifically, the ADC of the present disclosure can be administered daily, every 2 days, every 4 days, weekly, every 10 days, every 2 weeks, every 3 weeks, monthly, every 6 weeks, every 2 months, every 10 weeks, or every 3 months. In this regard, it will be understood that dosages can be modified and intervals can be adjusted based on patient response and clinical practice.
[0150] Doses and regimens can also be empirically determined for the disclosed therapeutic compositions in individuals who have received one or more administrations. For example, an individual may be given incremental doses of the therapeutic composition produced as described herein. In selected embodiments, doses can be gradually increased or decreased or attenuated based on empirically determined or observed side effects or toxicities, respectively. To evaluate the effectiveness of the selected composition, markers of a particular disease, disorder, or condition can be tracked, as described above. In the case of cancer, this includes direct measurement of tumor size by palpation or visual observation, indirect measurement of tumor size by X-ray or other imaging techniques; improvement assessed by direct tumor biopsy and microscopic examination of tumor samples; measurement of indirect tumor markers (e.g., PSA for prostate cancer) or tumorigenic antigens identified according to the methods described herein, reduction in pain or paralysis; improvement in speech, vision, breathing, or other disorders associated with the tumor; increased appetite; or improved quality of life measured by accepted tests or increased survival. It will be apparent to one of skill in the art that dosages will vary depending on the individual, the type of neoplastic condition, the stage of the neoplastic condition, whether the neoplastic condition has begun to metastasize to other sites within the individual, and previous and concurrent therapies being used.
[0151] Formulations suitable for parenteral administration (e.g., intravenous injection) will contain the ADC disclosed herein in a concentration of about 10 μg / ml to about 100 mg / ml. In certain selected embodiments, the concentration of the antibody or antigen-binding portion thereof includes 20 μg / ml, 40 μg / ml, 60 μg / ml, 80 μg / ml, 100 μg / ml, 200 μg / ml, 300 μg / ml, 400 μg / ml, 500 μg / ml, 600 μg / ml, 700 μg / ml, 800 μg / ml, 900 μg / ml, or 1 mg / ml. In other preferred embodiments, the concentration of the antibody or antigen-binding portion thereof will include 2mg / ml, 3mg / ml, 4mg / ml, 5mg / ml, 6mg / ml, 8mg / ml, 10mg, 12mg / ml, 14mg / ml, 16mg / ml, 18mg / ml, 20mg / ml, 25mg / ml, 30mg / ml, 35mg / ml, 40mg / ml, 45mg / ml, 50mg / ml, 60mg / ml, 70mg / ml, 80mg / ml, 90mg / ml or 100mg / ml.
[0152] Disclosure Application The ADCs, ADC compositions, and methods of the disclosure have numerous in vitro and in vivo utilities, including, for example, enhancing immune responses and targeted cytotoxic effects. For example, these molecules can be administered to P-cadherin-expressing cells in culture (in vitro or ex vivo) or to human subjects (e.g., in vivo) to kill or inhibit cell proliferation (e.g., cells with high P-cadherin expression). The immune response to P-cadherin can also be modulated, e.g., enhanced, stimulated, or upregulated.
[0153] In some embodiments, the subject includes a human patient in need of an enhanced immune response, such as a P-cadherin-associated immune response. In some embodiments, the subject is in need of treatment for a P-cadherin-associated cancer, such as a cancer characterized by overexpression of P-cadherin. In some embodiments, the method is particularly suited for treating cancer in vivo, particularly a P-cadherin-associated cancer.
[0154] Treatment of disorders including cancer In some aspects, the disclosure provides a method of treating a disorder or disease in a mammal comprising administering to a subject (e.g., a human) in need of treatment a therapeutically effective amount of an ADC disclosed herein. The disorder or disease may be cancer.
[0155] A variety of cancers in which P-cadherin is implicated, whether malignant or benign, primary or secondary, can be treated or prevented by the methods provided by the present disclosure. The cancer may be a solid cancer or a hematological malignancy. Examples of such cancers include lung cancers such as bronchogenic carcinoma (e.g., non-small cell lung cancer, squamous cell carcinoma, small cell carcinoma, large cell carcinoma, and adenocarcinoma), alveolar cell carcinoma, bronchial adenoma, chondromatous hamartoma (non-cancerous), and sarcoma (cancerous); cardiac cancers such as myxoma, fibroma, and rhabdomyoma; chondroma, chondroblastoma, chondromyxofibroma, osteoid, giant cell tumor, chondrosarcoma, multiple myeloma, osteosarcoma, fibrosarcoma, malignant fibrous histiocytoma, Ewing's tumor (Ewing's sarcoma), and reticulum cell sarcoma; brain tumors, such as gliomas (e.g., glioblastoma multiforme), anaplastic astrocytoma, astrocytoma, oligodendroglioma, medulloblastoma, chordoma, schwannoma, ependymoma, meningioma, pituitary adenoma, pinealoma, osteoma, hemangioblastoma, craniopharyngioma, chordoma, germinoma, teratoma, dermoid cyst, and hemangioma; cancers of the digestive system, such as colon cancer, leiomyoma, epidermoid carcinoma, adenocarcinoma, leiomyosarcoma, gastric adenocarcinoma, intestinal lipoma, intestinal neurofibroma, intestinal fibroma, colon polyp, and colorectal cancer; hepatocellular adenoma, hemangioma, hepatocellular carcinoma, fibrolamellar carcinoma, and fibrolamellar carcinoma. liver cancer, including carcinoma, cholangiocarcinoma, hepatoblastoma, and angiosarcoma; kidney cancer, including renal adenocarcinoma, renal cell carcinoma, adrenal gland tumor, and transitional cell carcinoma of the renal pelvis; bladder cancer; acute lymphocytic (lymphoblastic) leukemia, acute myeloid (myelocytic, myelogenous, myeloblastic, myelomonocytic) leukemia, chronic lymphocytic leukemia (e.g., Sézary syndrome and hairy cell leukemia), chronic myeloid (myelocytic blood cancers such as myelogenous, myelogenous, and granulocytic leukemia, Hodgkin's lymphoma, non-Hodgkin's lymphoma, B-cell lymphoma, mycosis fungoides, and myeloproliferative disorders (including myeloproliferative disorders such as polycythemia vera, myelofibrosis, thrombocythemia, and chronic myeloid leukemia); skin cancers such as basal cell carcinoma, squamous cell carcinoma, melanoma, Kaposi's sarcoma, and Paget's disease; head and neck cancers; eye-related cancers such as retinoblastoma and intraoccular melanocarcinoma;Cancers of the male reproductive system, such as benign prostatic hyperplasia, prostate cancer, and testicular cancer (e.g., seminoma, teratoma, embryonal carcinoma, and choriocarcinoma); breast cancer; cancers of the female reproductive system, such as uterine cancer (endometrial cancer), cervical cancer, cancer of the ovaries, vulvar cancer, vaginal cancer, fallopian tube cancer, and hydatidiform mole; thyroid cancer (including papillary, follicular, anaplastic, or medullary carcinoma); pheochromocytoma (adrenal gland); non-cancerous proliferation of the parathyroid gland; pancreatic cancer; and blood cancers, such as leukemia, myeloma, non-Hodgkin's lymphoma, and Hodgkin's lymphoma. In some embodiments, the cancer is a P-cadherin positive solid tumor. In some particular embodiments, the cancer is breast cancer. In some other embodiments, the cancer is colorectal cancer, prostate cancer, or NSCLC.;
[0156] In some embodiments, examples of cancers include, but are not limited to, B-cell lymphomas (low-grade / follicular non-Hodgkin's lymphoma (NHL); small lymphocytic (SL) NHL; intermediate-grade / follicular NHL; intermediate-grade diffuse NHL; high-grade immunoblastic NHL; high-grade lymphoblastic NHL; high-grade small noncleaved cell NHL; bulky mass disease NHL; mantle cell lymphoma; AIDS-related lymphoma; and Waldenstrom's macroglobulinemia; chronic lymphocytic leukemia (CLL); acute lymphocytic leukemia (ALL); hairy cell leukemia; chronic myeloblastic leukemia; and post-transplant lymphoproliferative disorder (PTLD), as well as abnormal blood vessel proliferation associated with phakomatoses, edema (such as that associated with brain tumors), B-cell proliferative disorders, and Meigs' syndrome.More specific examples are relapsed or refractory NHL, front line indolent NHL, stage III / IV NHL, chemotherapy resistant NHL, precursor B-lymphoblastic leukemia and / or lymphoma, small lymphocytic lymphoma, B-cell chronic lymphocytic leukemia and / or prolymphocytic leukemia and / or small lymphocytic lymphoma, B-cell prolymphocytic lymphoma, immunocytoma and / or lymphoplasmacytic lymphoma, lymphoplasmacytic lymphoma, marginal zone B-cell lymphoma, splenic marginal zone lymphoma, extranodal marginal zone-MALT lymphoma lymphoma), nodal marginal zone lymphoma, hairy cell leukemia, plasmacytoma and / or plasma cell myeloma, low-grade / follicular lymphoma, intermediate-grade / follicular NHL, mantle cell lymphoma, follicle center lymphoma lymphoma (follicular), intermediate grade diffuse NHL, diffuse large B-cell lymphoma, aggressive NHL (including progressive frontline NHL and high grade relapsed NHL), NHL that has relapsed after or is refractory to autologous stem cell transplantation, primary mediastinal large B-cell lymphoma, primary effusion lymphoma, high-grade immunoblastic NHL, high-grade lymphoblastic NHL, high-grade small noncleaved cell NHL, bulky mass disease NHL, Burkitt's lymphoma, precursor (peripheral) large granular lymphocytic leukemia, mycosis fungoides and / or Sézary syndrome, skin (cutaneous) lymphoma, anaplastic large cell lymphoma, angiocentric lymphoma.
[0157] In some embodiments, examples of cancer further include, but are not limited to, B-cell proliferative disorders, including, but not limited to, lymphoma (e.g., B-cell non-Hodgkin's lymphoma (NHL)) and lymphocytic leukemia. Such lymphomas and lymphocytic leukemias include, for example, a) follicular lymphoma, b) small non-cleaved cell lymphoma / Burkitt lymphoma (including endemic Burkitt lymphoma, sporadic Burkitt lymphoma, and non-Burkitt lymphoma), c) marginal zone lymphoma (including extranodal marginal zone B-cell lymphoma (mucosa-associated lymphoid tissue lymphoma, MALT), nodal marginal zone B-cell lymphoma, and splenic marginal zone lymphoma), d) mantle cell lymphoma (MCL), e) large cell lymphoma (including B-cell diffuse large cell lymphoma (DLCL), diffuse mixed cell lymphoma, immunoblastic lymphoma, primary mediastinal B-cell lymphoma, and primary mediastinal B-cell lymphoma). Lymphoma], angiocentric lymphoma-pulmonary B-cell lymphoma), f) Hairy cell leukemia, g) lymphocytic lymphoma, Waldenstrom's macroglobulinemia, h) acute lymphoblastic leukemia (ALL), chronic lymphocytic leukemia (CLL) / small lymphocytic lymphoma (SLL), B-cell prolymphocytic leukemia, i) plasma cell neoplasms, multiple myeloma, plasmacytoma, and / or j) Hodgkin's disease.
[0158] The ADCs disclosed herein may be used alone as monotherapy or in combination with chemotherapy, radiation therapy, other targeted therapies, or cellular immunotherapy, and the like.
[0159] Combination therapy The antibody-drug conjugates (ADCs) disclosed herein can be combined with at least one additional compound having anti-cancer properties in a pharmaceutical combination formulation or administration regimen as a combination therapy. The at least one additional compound of the pharmaceutical combination formulation or combination therapy preferably has complementary activity to the ADC of the combination such that they do not adversely affect each other.
[0160] The at least one additional compound may be a chemotherapeutic agent, a cytotoxic agent, a cytokine, a growth inhibitory agent, an antihormonal agent, and / or a cardioprotectant. Suitably, such molecules are present in combination in amounts that are effective for the purpose intended. Pharmaceutical compositions comprising the ADCs disclosed herein may also comprise a therapeutically effective amount of a chemotherapeutic agent, such as a tubulin-forming inhibitor, a topoisomerase inhibitor, or a DNA binder.
[0161] In some embodiments, the first compound is an anti-P-cadherin ADC of the present disclosure, and the at least one additional compound is a therapeutic antibody other than an anti-P-cadherin antibody or ADC). In some embodiments, the at least one additional compound is an anti-HER2 antibody, such as trastuzumab or pertuzumab. In some embodiments, the at least one additional compound is an antibody (either a naked antibody or an ADC) effective in treating a cell proliferative disorder in tissues expressing P-cadherin.
[0162] Other treatment regimens can be combined with the administration of the anti-cancer agents identified according to the present invention, including but not limited to radiation therapy and / or bone marrow and peripheral blood transplantation, and / or cytotoxic, chemotherapeutic, or growth inhibitory agents. In one such embodiment, the chemotherapeutic agent is, for example, cyclophosphamide, hydroxydaunorubicin, adriamycin, doxorubicin, vincristine (Oncovin™), prednisolone, CHOP, CVP, or COP, or an agent or combination of agents such as anti-PSCA, anti-HER2 (e.g., Herceptin™, Omnitarg™), or anti-VEGF (e.g., Avastin™). The combination therapy can be administered as a simultaneous or sequential regimen. When administered sequentially, the combination can be administered in two or more doses. The combination administration includes simultaneous administration using separate formulations or a single pharmaceutical formulation, and sequential administration in any order, where preferably there is a period during which both (or all) active agents simultaneously exert their biological activity.
[0163] In one embodiment, treatment with ADC involves the co-administration of an anti-cancer agent identified herein with one or more chemotherapeutic agents or growth inhibitory agents, including co-administration of a cocktail of different chemotherapeutic agents. Chemotherapeutic agents include taxanes (such as paclitaxel and docetaxel) and / or anthracycline antibiotics. Formulations and administration schedules of such chemotherapeutic agents can be used according to the manufacturer's instructions or as empirically determined by the skilled practitioner. Formulations and administration schedules of such chemotherapeutic agents are also described in "Chemotherapy Service", (1992) Ed., MC Perry, Williams & Wilkins, Baltimore, MD.
[0164] Appropriate doses for any of the above coadministered agents are those currently used and may be reduced due to newly identified agents and combined action with other chemotherapeutic agents or treatments.
[0165] Combination therapy may provide a "synergistic effect" and may prove to be "synergistic", i.e., the effect obtained when the active ingredients are used together is greater than the sum of the effects produced when the compounds are used individually. Synergistic effects may be achieved when the active ingredients are: (1) combined in a combined unit dose formulation and administered or delivered simultaneously; (2) delivered in parallel, either alternately or as separate formulations; or (3) other regimens. When delivered in alternation therapy, synergistic effects may be achieved when the compounds are administered or delivered sequentially, for example by different injections in separate syringes. Generally, in alternation therapy, an effective amount of each active ingredient is administered sequentially, i.e., serially, whereas in combination therapy, effective amounts of two or more active ingredients are administered together.
[0166] Medicine Packs and Kits In another embodiment of the invention, an article of manufacture, or "kit," is provided that contains materials useful for treating the above disorders. The article of manufacture comprises a container and a label or package insert on or associated with the container. Suitable containers include, for example, bottles, vials, syringes, blister packs, and the like. The container may be formed from a variety of materials, such as glass or plastic. The container holds an antibody-drug conjugate (ADC) composition effective for treating the condition and may have a sterile access port (e.g., the container may be an intravenous solution bag or vial having a stopper pierceable by a hypodermic injection needle). At least one active agent in the composition is an ADC. The label or package insert indicates that the composition is used for treating a selected condition, such as cancer. Alternatively, or in addition, the article of manufacture may further comprise a second (or third) container containing a pharma- ceutically acceptable buffer, such as bacteriostatic water for injection (BWFI), phosphate buffered saline, Ringer's solution, and dextrose solution. It may further include other materials desirable from a commercial and user standpoint, such as other buffers, diluents, filters, needles, and syringes.
[0167] Pharmaceutical packs and kits are also provided that include one or more containers containing one or more doses of the ADC. In certain embodiments, unit doses are provided, for example, where the unit dose includes a predetermined amount of a composition that includes the ADC with or without one or more additional agents. In other embodiments, such unit doses are provided in a single-use pre-filled syringe for injection. In still other embodiments, the composition included in the unit dose may include saline, sucrose, etc.; a buffer such as phosphate; and / or is formulated within a stable and effective pH range. Alternatively, in certain embodiments, the conjugate composition may be provided as a lyophilized powder that can be reconstituted by the addition of a suitable liquid, for example, sterile water or saline. In certain preferred embodiments, the composition includes one or more substances that inhibit protein aggregation, including, but not limited to, sucrose and arginine. A label on or associated with the container indicates that the enclosed conjugate composition is used to treat a selected neoplastic disease condition.
[0168] The present disclosure also provides kits for producing single or multiple dose administration units of the site-specific conjugates, and optionally one or more anti-cancer agents. The kits include a container and a label or package insert on or associated with the container. Suitable containers include, for example, bottles, vials, syringes, and the like. The containers can be formed from a variety of materials, such as glass or plastic, and can contain a pharma- ceutical effective amount of the disclosed conjugates in conjugated or unconjugated form. In other preferred embodiments, the containers include a sterile access port (e.g., the containers can be intravenous solution bags or vials with stoppers pierceable by a hypodermic needle). Such kits generally include, in a suitable container, a pharma- ceutical acceptable formulation of the engineered conjugate, and optionally, in the same or different containers, one or more anti-cancer agents. The kits may also include other pharma- ceutical acceptable formulations, either for diagnosis or combination therapy. For example, in addition to the ADCs of the disclosure, such kits may include any one or more of a range of anti-cancer agents, such as chemotherapeutic or radiotherapeutic agents; anti-angiogenic agents; anti-metastatic agents; targeted anti-cancer agents; cytotoxic agents; and / or other anti-cancer agents.
[0169] When the components of the kit are provided in one or more liquid solutions, the liquid solution is preferably an aqueous solution, with a sterile aqueous solution or saline being particularly preferred. However, the components of the kit may also be provided as a dry powder. When the reagents or components are provided as a dry powder, the powder can be reconstituted by adding a suitable solvent. It is envisioned that the solvent may be provided in a separate container.
[0170] As briefly mentioned above, the kits include a means for administering the ADC and any components to a patient, e.g., one or more needles, an intravenous bag or syringe, or even an eye dropper, pipette, or other similar device, through which the formulation can be injected or introduced into an animal or applied to an affected area of the body. The kits of the present disclosure will typically also include a means for containing vials and the like, and a means for other components sealed for commercial sale, e.g., injection or blow molded plastic containers into which the desired vials and other devices can be placed and held.
[0171] Abbreviation MC = 6-maleimidocaproyl Val-Cit or "vc" = valine-citrulline (an exemplary dipeptide within a protease-cleavable linker) PAB = p-aminobenzyloxycarbonyl (an example of a linker moiety) SPP = N-succinimidyl 4-(2-pyridylthio)pentanoate SPDP = N-succinimidyl 3-(2-pyridyldithio)propionate SMCC = N-succinimidyl 4-(N-maleimidomethyl)cyclohexane-1 carboxylate MMAE = monomethylauristatin E (molecular weight 718) MMAF = a variant of auristatin E (MMAE) with a phenylalanine at the C-terminus of the drug (molecular weight 731.5) DM1 = N(2')-deacetyl-N(2')-(3-mercapto-1-oxopropyl)-maytansine DM3 = N(2')-deacetyl-N2-(4-mercapto-1-oxopentyl)-maytansine DM4 = N(2')-deacetyl-N2-(4-mercapto-4-methyl-1-oxopentyl)-maytansine
[0172] Sequence Listing Overview The CDR, variable region and constant region sequences of W3195-1.53.1-p1-uIgG1L are listed in the table below.
[0173] [Table 1]
[0174] [Table 2]
[0175] [Table 3] EXAMPLES
[0176] The present disclosure thus generally described will be more readily understood by reference to the following examples, which are provided by way of illustration and are not intended to limit the present disclosure and are not intended to represent that the following experiments are all or the only experiments performed.
[0177] Example 1 Preparation of materials, antigens, benchmark antibodies and cell lines 1.1 Material preparation Table 1 provides information on commercially available materials used in the examples.
[0178] [Table 4]
[0179] 1.2 Construction of expression vector for soluble antigen The amino acid sequence encoding the extracellular domain of human P-cadherin (Uniprot ID: P22223, aa 108-654) was first codon-optimized for mammalian expression and then synthesized by GENEWIZ (Suzhou, China). The DNA segment was then subcloned into the pcDNA3.3 expression vector with 6xHis at the C-terminus. Protein samples of human, cynomolgus monkey, and mouse P-cadherin were also purchased from Sino Biological.
[0180] 1.3 Construction of expression vector for BMK antibody The amino acid sequences encoding the variable domains of the two benchmark antibodies (WBP319-BMK4 disclosed in WO2016075670A1, SEQ ID NOs: 8 and 18) were first codon-optimized for mammalian expression and then synthesized by GENEWIZ (Suzhou, China). The DNA segments were then subcloned into pcDNA3.4 expression vectors carrying the constant regions of human IgG1 or IgG4 (S228P).
[0181] 1.4 Small-scale protein expression Plasmids containing the VH and VL genes were co-transfected into Expi293 cells (Thermofisher, A14635). The cells were cultured for 5 days according to the manufacturer's recommended protocol. The supernatants were collected and analyzed by SDS-PAGE.
[0182] Plasmids containing the VH and VL genes were co-transfected into ExpiCHO cells (Thermofisher, A29133). The cells were cultured for 10 days according to the manufacturer's recommended protocol. The supernatants were collected and analyzed by SDS-PAGE.
[0183] 1.5 Purification of Fc-tagged proteins Supernatants of Expi293 or ExpiCHO cells expressing target proteins were collected and filtered for purification using a Protein A column (GE Healthcare, Cat. 175438) or Protein G column (GE Healthcare, Cat. 170618). The concentration of purified Fc-tagged proteins was determined by absorbance at 280 nm. Size and purity were tested by SDS-PAGE and SEC-HPLC, respectively, and stored at -80°C.
[0184] Example 2 Generation of Monoclonal Antibodies (mAbs) and Antibody Drug Conjugates (ADCs) 2.1 Generation of W3195-1.53.1-p1-uIgG1L mAb The lead antibody, W3195-1.53.1-p1-uIgG1L (or abbreviated as W3195-p1), was obtained through immunization of transgenic OMT rats with human P-cadherin, hybridoma generation, serial antibody screening and subcloning, and sequence optimization (e.g., deletion of PTMs). The constant region is in wild-type human IgG1 format. The sequence of W3195-1.53.1-p1-uIgG1L is shown in Tables A-C.
[0185] 2.2 Generation of benchmark ADC: WBP319-BMK4.uIgG1k-DM1 Antibody WBP319-BMK4.uIgG1k was dissolved in 50 mM PB, 50 mM NaCl, 2 mM EDTA, pH 6.99, 4.3 mg / mL. Organic co-solvent DMA (Alfa Aesar, A10924) was added to the antibody solution at a concentration of 20%, followed by 3.8 equivalents of SMCC-DM1 (Levenabiopharma, SET0101). The conjugation reaction was carried out for 3 hours at 22°C. The conjugation product was purified with a 30KD ultrafiltration device (Millipore, UFC903024) and stored in 20 mM succinic acid, pH 5.0.
[0186] The final product was characterized by UV-vis for concentration and DAR, SEC-HPLC for DAR, aggregation and purity, RP-HPLC for free drug residues and Endosafe-PTS (Charlesriver, PTS100) for endotoxins.
[0187] 2.3 Generation of W3195-1.53.1-p1-uIgG1L-MMAE (also called W3195-p1-MMAE) Antibody W3195-1.53.1-p1-uIgG1L was dissolved in 40 mM PB, 2 mM EDTA·Na2, pH 7.0 to a concentration of 3.5 mg / ml. 2.6 equivalents of TCEP (Pierce, 20490) were added to the antibody solution and the mixture was incubated at 37 °C for 2 h. DMA (Alfa Aesar, A10924) was then added to the reduced antibody to a concentration of 10%, followed by the addition of 7 equivalents of MC-vc-PAB-MMAE (Levenabiopharma, SET0201). The conjugation reaction was carried out for 1 h at 4 °C. The conjugated product was purified on a 40KD MWCO desalting column (Zeba spin desalting column, Ref 87772) and stored in 20 mM histidine acetate, pH 5.5.
[0188] The final product was characterized by HIC-HPLC for DAR and drug distribution, SEC-HPLC for aggregation and purity, RP-HPLC for free drug residues, and Endosafe-PTS (Charlesriver, PTS100) for endotoxins.
[0189] As shown in Figure 1A-1B, the retention times of W3195-1.53.1-p1-uIgG1L-MMAE and WBP319-BMK4.uIgG1k-DM1 were approximately 7.864 and 10.19 minutes, indicating that both antibodies were normal. As shown in Table 2A-B below, W3195-1.53.1-p1-uIgG1L successfully bound to MMAE with a DAR of 3.86; WBP319-BMK4.uIgG1k successfully bound to DM1 with a DAR of 3.33.
[0190] [Table 5]
[0191] [Table 6]
[0192] Example 3 In vitro characterization of ADCs 3.1 Target binding (FACS) Binding of ADCs to P-cadherin expressed on HCT-116 cells was measured by flow cytometry analysis using the same procedure as above. Briefly, HCT-116 or NCI-H1650 cells were harvested with Versene (Invitrogen, sha-pu15040066) and diluted to 1 × 10 in 1% BSA (Bovogen, sha-puBSAS) / 1 × PBS (Ca+ / Mg+) (Gibco, #14040-117). 6 Cells / ml were diluted to 1 x 10 5Cells / well (100 μL) were added to each well of a 96-well U-plate (Corning, #3799) and centrifuged at 1500 rpm (Eppendorf, #5810R) for 5 min, after which the supernatant was removed. Antibodies serially diluted in 1% BSA / 1x PBS (Ca+ / Mg+) were added at 100 μL / well to the pelleted cells and incubated for 1 h at 4°C. An irrelevant hIgG1 antibody was used as an isotype control. Cells were washed twice with 180 μL / well of 1% BSA / 1x PBS (Ca+ / Mg+) by centrifugation at 1500 rpm for 5 min at 4°C. Pelleted cells were resuspended in 100 μL / well of Alexa647-conjugated goat anti-human IgG Fc (Jackson, #109-605-098) diluted 1:500 in 1% BSA / 1× PBS (Ca+ / Mg+) for 30 min at 4°C in the dark. Cells were then washed twice as described above. After the final wash, cells were resuspended in 100 μL of 1% BSA / 1× PBS (Ca+ / Mg+) and fluorescence values were measured using a FACS Canto II cytometer (BD Biosciences). The amount of anti-P-cadherin antibody bound to the cell surface was assessed by measuring the mean fluorescence (MFI). FACS raw data were analyzed by FlowJo software, and background fluorescence was established using wells without antibody or wells containing only secondary antibody. Binding EC50 values were obtained by four-parameter nonlinear regression analysis using GraphPad Prism6 software.
[0193] As shown in Figures 2A-2B and Tables 3A-3B, W3195-1.53.1-p1-uIgG1L-MMAE demonstrated binding to human P-cadherin-expressing HCT-116 cells with an EC50 of 0.17 nM, comparable to W319-BMK4.uIgG1K (0.33 nM); and demonstrated binding to human P-cadherin-expressing NCI-H1650 cells with an EC50 of 0.075 nM, comparable to W319-BMK4.uIgG1K (0.16 nM).
[0194] [Table 7]
[0195] [Table 8]
[0196] 3.2 Serum stability Antibody stability in human serum was tested by FACS. Briefly, human serum was freshly isolated by centrifuging fresh blood at 4000 rpm for 10 min twice. Antibodies were mixed with freshly isolated human serum (serum content >95%) and incubated at 37 °C for 0, 1, 4, 7, and 14 days, respectively, after which the samples were flash frozen in liquid nitrogen or dry ice / ethanol bath and stored at -80 °C until use. As a control, the antibody-serum mixture was immediately frozen without incubation at 37 °C. For FACS analysis, samples from various time points were naturally thawed at 4 °C simultaneously. The thawed antibodies were serially diluted and diluted to 1 × 10 5 100 / well of HCT-116 (ATCC, #CCL-247) cells and incubated for 1 h at 4 °C. Cells were washed twice with 1% BSA / 1x PBS (Ca+ / Mg+). Alexa647-conjugated goat anti-human IgG Fc (Jackson, #109-605-098) diluted 1:500 in 1% BSA / 1x PBS (Ca+ / Mg+) was added to the cells and incubated for 30 min at 4 °C. Cells were washed twice with the same buffer and the mean fluorescence (MFI) of stained cells was measured using a FACS Canto II cytometer (BD Biosciences) and analyzed by FlowJo. Wells containing no antibody or only secondary antibody were used to establish background fluorescence. EC50 values for cell binding were obtained using a four-parameter nonlinear regression analysis using GraphPad Prism6 software.
[0197] As shown in FIG. 3 and Table 4, W3195-1.53.1-p1-uIgG1L-MMAE was stable for at least 14 days in a serum stability study.
[0198] [Table 9]
[0199] 3.3 Cytotoxicity testing of ADCs The ability of anti-P-cadherin antibody drug conjugates to inhibit tumor cell proliferation was measured using an in vitro cytotoxicity assay. HCC-1954 (ATCC, #CRL-2388), HCC-70 (ATCC, #CRL-2315), HT-29 (ATCC, #HTB-38), A549 (ATCC, #CCL-185), MDA-MB-453 (ATCC, #HTB-131) and NCI-H1650 cells were routinely cultured and assayed in RPMI 1640 containing 10% fetal bovine serum. For cytotoxicity assays, 50 μL of cells from each cell line were seeded into 96-well clear-bottom black plates (Greiner, #655090) such that the total number of cells per well was 4000 cells / well for HCC-1954, 5000 cells / well for HT-29, 800 cells / well for A549, 5000 cells / well for MDA-MB-453, and 2000 cells / well for NCI-H1650. Cells were cultured overnight at 37°C in a humidified 5% CO2 incubator, after which appropriate concentrations of anti-CDH3 antibody-drug conjugates and IgG1 isotype control antibodies (50 μL / well) were added. Plates were returned to the incubator for 5 days, after which cell viability assays were performed using Cell Titer Glo (Promega, #G7573). 50 μL of Cell Titer Glo solution was added to each well and incubated for 10 min at room temperature with gentle shaking. Luminescence was measured using Envision (PerkinElmer). The degree of growth inhibition obtained with each antibody was calculated by comparing the luminescence values obtained in control wells where no antibody was added. Growth inhibition IC50 values of anti-P-cadherin ADCs were calculated by four-parameter nonlinear regression analysis using GraphPad Prism6 software.
[0200] As shown in Figures 4A-4F and Tables 5A-F, W3195-1.53.1-p1-uIgG1L-MMAE showed better killing effect against human P-cadherin-expressing HCC-1954 cells with IC50 of 0.011 nM, which was superior to WBP319-BMK4.uIgG1k-DM1 (0.15 nM); against human P-cadherin-expressing HCC-70 cells with IC50 of 0.065 nM, which was superior to WBP319-BM It showed a better killing effect than WBP319-BMK4.uIgG1k-DM1 (0.80nM); no killing effect against HT-29 cells with low human P-cadherin expression (IC50>10nM); no killing effect against A549 cells with low human P-cadherin expression (IC50>10nM); no killing effect against MDA-MB-453 cells with low human P-cadherin expression (IC50>10nM); and a better killing effect against human P-cadherin-expressing NCI-H1650 cells (IC50 was 0.027nM), better than WBP319-BMK4.uIgG1k-DM1 (1.14nM).
[0201] [Table 10]
[0202] [Table 11]
[0203] [Table 12]
[0204] [Table 13]
[0205] [Table 14]
[0206] [Table 15]
[0207] 3.4 Antibody-Mediated Internalization Assay (High Content Screening, HCS) Operetta CLS (PerkinElmer) is a high-content imaging and analysis system that can collect and analyze images of samples with high speed and sensitivity. One day before the assay day, poly-D-lysine (PDL) was diluted to 8 μg / mL in DPBS (Hyclone, #SH30028.03) and added at 100 μL / well to a 96-well clear-bottom black plate (Greinier, #655090). The PDL-coated plate was then incubated at 37 °C for 1 h before discarding the supernatant. HCC-1954 (ATCC, CRL-2338) or NCI-H1650 (ATCC, CRL-5883) cells were plated at 18000 cells per well on PDL-coated plates in 100 μL RPMI1640 complete medium (Gibco, #22400-089) containing 10% FBS (Hyclone, #SH30084.03). On day 1, plate supernatants were discarded and serially diluted antibodies in 1% BSA / 1x PBS (Ca+ / Mg+) were added at 100 μL / well and incubated for 2 hours at 4°C. An irrelevant hIgG1 antibody was used as an isotype control.
[0208] For HCC-1954 cells, cells were washed with 100 μL of 1% BSA / 1×PBS (Ca+ / Mg+) by multichannel pipette (Eppendorf) and then resuspended in PE-conjugated goat anti-human IgG Fc (Jackson, #109-115-098) diluted 1:150 in 1% BSA / 1×PBS (Ca+ / Mg+) for 1 h at 4° C. in the dark. Cells were then washed once as above and resuspended in 1% BSA / 1×PBS (Ca+ / Mg+) for 2 h at 37° C. The supernatant was discarded and 100 μL / well of quench buffer (0.1 M glycine, 0.15 M NaCl, pH adjusted to 2.5) was added and incubated at 4° C. for 5 min. Cells were then washed once as above and resuspended in Hoechst 33342 (Invitrogen, #H3570) diluted 1:5000 in DPBS (Hyclone, #SH30028.03) for 15 min at room temperature. After washing once in DPBS (Hyclone, #SH30028.03) as above, cells were resuspended in 4% PFA and stored at 4°C.
[0209] For NCI-H1650 cells, cells were washed with 100 μL of 1% BSA / 1×PBS (Ca+ / Mg+) by multichannel pipette (Eppendorf) and then resuspended in Alexa647-conjugated goat anti-human IgG Fc (Jackson, #109-605-098) diluted 1:500 in 1% BSA / 1×PBS (Ca+ / Mg+) for 1 h at 4°C in the dark. Cells were then washed once as above and resuspended in 1% BSA / 1×PBS (Ca+ / Mg+) for 2 h at 37°C. The supernatant was discarded and cells were resuspended in Hoechst 33342 (Invitrogen, #H3570) diluted 1:5000 in DPBS (Hyclone, #SH30028.03) for 15 min at room temperature. After washing once with DPBS (Hyclone, #SH30028.03) as above, 100 μL / well of quench buffer (0.1 M glycine, 0.15 M NaCl, pH adjusted to 2.5) was added and incubated for 5 min at 4° C. After washing once with 1% BSA / 1×PBS (Ca+ / Mg+), cells were resuspended in 4% PFA and stored at 4° C.
[0210] Images were collected and analyzed by operetta CLS (PerkinElmer). The amount of internalized anti-P-cadherin antibody was assessed by measuring the mean fluorescence (MFI) per cell, and background fluorescence was established using wells containing no antibody or only secondary antibody. Internalization EC50 values were obtained by four-parameter nonlinear regression analysis using GraphPad Prism 6 software.
[0211] As shown in Figure 5A and Table 6A, W3195-1.53.1-uIgG1L-MMAE demonstrated good internalization ability with an EC50 of 0.023 nM using the HCS assay, which was comparable to BMK4 (0.019 nM).
[0212] [Table 16]
[0213] As shown in Figure 5B and Table 6B, W3195-1.53.1-uIgG1L-MMAE demonstrated good internalization capability with an EC50 of 0.22 nM using the HCS assay, which was superior to the reference ADC WBP319-BMK4.uIgG1k-DM1 (0.57 nM).
[0214] [Table 17]
[0215] 3.5 Affinity for P-cadherin (FACS) NCI-H1650 cells were plated in 96-well U-bottom plates (BD) at 5 × 10 4The plates were seeded at a density of 1000 cells / well. Antibodies to be tested were serially diluted in 1x PBS / 1% BSA and incubated with the cells for 1 h at 4°C. The plates were centrifuged and the supernatant was discarded. The cells were then incubated with Alexa647-conjugated goat anti-human IgG Fc (Jackson) for 30 min at 4°C in the dark. After washing, the cells were resuspended in 100 μL of 1x PBS / 1% BSA and the fluorescence intensity was measured by flow cytometry (BD Canto II) and analyzed by FlowJo software. The fluorescence intensity was converted to bound molecules / cell based on a quantitative beads standard curve (QuantumTM MESF Kits, Bangs Laboratories). KD was calculated by Graphpad Prism software.
[0216] The results are shown in Table 7 and Figure 6. W3195-1.53.1-p1-uIgG1L-MMAE showed good binding affinity to human P-cadherin-expressing NCI-H1650 cells, with a KD of 1.68E-10M, which is comparable to that of W319-BMK4-uIgG1K-DM1 (3.11E-10M).
[0217] [Table 18]
[0218] 3.6 Domain-Determined Binding (ELISA) The binding domain of antibody drug conjugates against human P-cadherin extracellular domain (ECD) was determined by direct protein binding ELISA. 96-well high protein binding ELISA plates (Nunc) were coated with antigen in coating buffer overnight at 4°C. All wells were washed three times with PBS / 0.5% Tween®-20 (v / v) and all subsequent washing steps in the assay were performed identically. Wells were then blocked for 1 hour with 2% BSA (Bovogen) / 1x PBS (Ca+ / Mg+) (Gibco) and washed three times. For primary antibody binding, test antibodies including BMK serially diluted in 2% BSA / 1x PBS (Ca+ / Mg+) and this antibody were added to the relevant wells and incubated for 2 hours at ambient temperature. After washing the plates three times, 100 μL of secondary antibody goat anti-human IgG-F(ab')2-HRP (Jackson) diluted in 2% BSA / 1x PBS (Ca+ / Mg+) was added. Plates were incubated for 1 h at room temperature and subsequently washed six times as above.
[0219] For binding detection, 100 μL of tetramethylbenzidine (TMB) substrate solution (Invitrogen) was added to all wells before stopping the reaction with 100 μL of 2 M HCl. The degree of test antibody binding to P-cadherin ECD (i.e., huCDH3 ECD, Uniprot ID: P22223 aa108-654), P-cadherin ECD domain 1 (aa 108-236), P-cadherin ECD domain 1+2 (aa 108-348), P-cadherin ECD domain 1+2+3 (aa 108-461), P-cadherin ECD domain 1+2+3+4 (aa 108-550) proteins was measured by measuring absorbance from OD450 to OD540 using a SpectraMax® M5e microplate reader. EC50 values were obtained by four-parameter nonlinear regression analysis using GraphPad Prism software.
[0220] As shown in Table 8 and Figures 7A-E, W3195-1.53.1-p1-uIgG1L-MMAE showed binding to domain 3 (aa 348-461), which is distinct from WBP319-BMK4.uIgG1k-DM1 (domain 1, 108-236aa).
[0221] [Table 19]
[0222] 3.7 Non-specific binding (FACS) Human cell lines at 1 × 10 5 Cells were seeded in 96-well plates (BD) at a density of 1000 cells / well. Antibody samples at 10 μg / mL were added to the cells and incubated at 4°C for 1 h. After washing, cells were resuspended and incubated with PE-conjugated goat anti-human IgG Fc antibody (Jackson) for 30 min. After washing and resuspension, mean fluorescence intensity (MFI) was measured by flow cytometry (BD Canto II) and analyzed by FlowJo.
[0223] As shown in Table 9, W3195-1.53.1-p1-uIgG1L-MMAE showed no non-specific binding effect against all 12 human cell lines. WBP319-BMK4.uIgG1k-DM1 showed non-specific binding against HepG2 and 293F cell lines.
[0224] [Table 20]
[0225] Example 4 4.1 Xenografted HCC70 Breast Tumor Model - Study I 1. Animal Preparation and Cell Culture for Implantation In efficacy studies, WBP3195-p1-ADC was tested in HCC70 breast tumor model in SCID-17B female mice. In the first study, female SCID-17B mice (Beijing Vital River Lab Animal Technology Co. Ltd) aged 28-29 weeks were used. HCC70 cells were maintained in vitro as monolayer cultures in RIPM1640 medium supplemented with 10% fetal bovine serum and 1% penicillin-streptomycin at 37°C under 5% CO2 atmosphere in air. Tumor cells were routinely subcultured twice a week by 0.25% trypsin-EDTA treatment. Cells growing in logarithmic growth phase were harvested and counted for tumor inoculation. Harvested cells were cultured at 1.0 × 10 8 Resuspend in PBS at a density of cells / mL and add equivalent Matrigel (final 1.0 × 10 7 cells / 200 μL / mouse) and implanted subcutaneously into the right front flank of the animals.
[0226] Processing and Data Collection Ten days after inoculation, the average tumor volume was approximately 230 mm 3 When the tumor reached 100 mg / kg, the animals were randomly divided into three groups, with seven mice in each group. The three groups of mice were given intravenous injections of the following at 1 mg / kg (single dose), respectively: isotype control-MMAE, WBP319-BMK4.uIgG1k-DM1, and W3195-1.53.1-p1-uIgG1L-MMAE. The day of intravenous injection was considered as day 0. For all tumor studies, mice were weighed and tumor growth was measured twice a week using calipers.
[0227] Study guidance and data analysis All procedures related to the handling, care, and treatment of animals in the study were performed in accordance with the guidelines approved by the Institutional Animal Care and Use Committee (IACUC) of Shanghai SIPPR-BK Laboratory Animal Co., Ltd., as directed by the Association for the Assessment and Accreditation of Laboratory Animal Care (AAALAC). Tumor volume was calculated using the formula (1 / 2(length × width) 2 ) was calculated.
[0228] TGI (tumor growth inhibition) was calculated for each group using the formula: TGI(%)=[1-(Ti-T0) / (Vi-V0)]×100%. Ti is the mean tumor volume of the treatment group on a given day. T0 is the mean tumor volume of the treatment group on the first day of treatment. Vi is the mean tumor volume of the vehicle control group on the same day as Ti, and V0 is the mean tumor volume of the vehicle group on the first day of treatment. Relative change in body weight (RCBW) was calculated using the formula [(BWt-BW0) / BW0]×100%. BW0 is the mean body weight on day 0, and BWt is the mean body weight on the day of measurement. Results were expressed as the mean and standard error (mean±SEM). Data on day 34 were analyzed using ordinary one-way ANOVA with Tukey's multiple comparison test using Graphpad Prism 6.0, and p<0.05 was considered statistically significant.
[0229] As shown in FIG. 8A, no obvious weight loss was observed in any of the animals in each group, indicating that the animals tolerated each test article well.
[0230] The mean tumor volume in the isotype control group at day 34 post-treatment was 1120mm 3 , indicating that the HCC70 xenograft breast tumor model was well established. The TGI (%) on day 34 for each group was 40.91% for WBP319-BMK4.uIgG1k-DM1 and 85.15% for W3195-1.53.1-p1-uIgG1L-MMAE. Compared with the isotype control group, all test articles significantly inhibited tumor growth; compared with WBP319-BMK4.uIgG1k-DM1, W3195-p1-MMAE showed a stronger antitumor effect (p<0.01) (see FIG. 8B and Table 10).
[0231] [Table 21]
[0232] 4.2 Xenografted HCC70 Breast Tumor Model - Study II 1. Animal Preparation and Cell Culture for Implantation In the efficacy study, WBP3195-p1-ADC was tested in HCC70 breast tumor model in SCID-17B female mice. In the second study, 100 female SCID-17B mice (Beijing Vital River Lab Animal Technology Co. Ltd) aged 37-38 weeks were used. HCC70 cells were maintained in vitro as monolayer cultures in RIPM1640 medium supplemented with 10% fetal bovine serum and 1% penicillin-streptomycin at 37°C in an atmosphere of 5% CO2 in air. Tumor cells were routinely subcultured twice a week by 0.25% trypsin-EDTA treatment. Cells growing in logarithmic growth phase were harvested and counted for tumor inoculation. Harvested cells were cultured at 1.0 × 10 8 Resuspend in PBS at a density of cells / mL and add equivalent Matrigel (final 1.0 × 10 7 cells / 200 μL / mouse) and implanted subcutaneously into the right front flank of the animals.
[0233] Processing and Data Collection Ten days after inoculation, the average tumor volume was approximately 242 mm 3 When the mice reached 100 mg / kg, the animals were randomly divided into four groups, each containing 7 mice. The four groups of mice received the following intravenous injections (single dose): isotype control-MMAE 2.5 mg / kg, WBP319-BMK4.uIgG1k-DM1 0.5 mg / kg, W3195-1.53.1-p1-uIgG1L-MMAE 0.5 mg / kg and 2.5 mg / kg, respectively. The day of intravenous injection was considered as day 0. For all tumor studies, mice were weighed and tumor growth was measured twice a week using calipers.
[0234] Data analysis procedures were performed as described above. As shown in Figure 9A, no obvious weight loss was observed in all groups, indicating that the animals tolerated each test article well.
[0235] The mean tumor volume in the isotype control group at day 36 post-treatment was 1202 mm 3, which indicated that the HCC70 xenograft breast tumor model was well established. The TGI (%) on day 36 in each group was 42.69% for WBP319-BMK4.uIgG1k-DM1 at 0.5 mg / kg, 62.06% for W3195-1.53.1-p1-uIgG1L-MMAE at 0.5 mg / kg, and 122.67% for W3195-1.53.1-p1-uIgG1L-MMAE at 2.5 mg / kg. Compared with the isotype control group, all test articles significantly inhibited tumor growth; at 0.5 mg / kg, W3195-1.53.1-p1-uIgG1L-MMAE showed a stronger antitumor effect compared with WBP319-BMK4.uIgG1k-DM1 (p<0.05). At 2.5 mg / kg, five tumor-free animals were observed in the W3195-1.53.1-p1-uIgG1L-MMAE treatment group 36 days after treatment. The results showed that W3195-p1-MMAE exhibited good dose-dependent antitumor effects at 0.5 mg / kg and 2.5 mg / kg (see FIG. 9B and Table 11).
[0236] [Table 22]
[0237] 4.3 Xenografted NCI-H1650 Lung Tumor Model WBP3195-p1-ADC in efficacy studies was tested in NCI-H1650 lung tumor model in SCID-17B female mice. Female SCID-17B mice (Shanghai Jihui Laboratory Animal Care Co.,Ltd.) aged 7-9 weeks were used for the study. NCI-H1650 cells were maintained in vitro as monolayer cultures in RIPM1640 medium supplemented with 10% fetal bovine serum, 100 U / mL penicillin and 100 μg / mL streptomycin at 37 °C in 5% CO2 atmosphere in air. Tumor cells were routinely subcultured twice a week by 0.25% trypsin-EDTA treatment. Cells growing in logarithmic growth phase were harvested and counted for tumor inoculation.
[0238] In the therapeutic model, each mouse was inoculated with NCI-H1650 tumor cells (0.5 × 10 resuspended in 100 μl PBS) into the right front flank. 7 The average tumor volume was approximately 137 mm on the 22nd day after inoculation. 3 When the tumor reached 100 mg / kg, the animals were randomly divided into four groups, with six mice in each group. The four mouse groups received intravenous injections of PBS, isotype control-MMAE (2.5 mg / kg), W3195-1.53.1-p1-uIgG1L-MMAE (2.5 mg / kg), and W3195-1.53.1-p1-uIgG1L-MMAE (5 mg / kg) (single dose). The day of intravenous injection was considered as day 0. For all tumor studies, mice were weighed and tumor growth was measured twice weekly using calipers.
[0239] All procedures related to the handling, care, and treatment of animals in the study were performed in accordance with the guidelines approved by the Institutional Animal Care and Use Committee (IACUC) of Shanghai SIPPR-BK Laboratory Animal Co., Ltd., as directed by the Association for the Assessment and Accreditation of Laboratory Animal Care (AAALAC). Tumor volume was calculated using the formula (1 / 2(length × width) 2 ) TGI (tumor growth inhibition) was calculated for each group using the formula: TGI(%)=[1-(Ti-T0) / (Vi-V0)]×100%. Ti is the mean tumor volume of the treatment group on a given day. T0 is the mean tumor volume of the treatment group on the first day of treatment. Vi is the mean tumor volume of the vehicle control group on the same day as Ti, and V0 is the mean tumor volume of the vehicle group on the first day of treatment. Body weight was calculated using the formula above. Data on day 31 were analyzed using a two-way ANOVA with Tukey's multiple comparison test using Graphpad Prism 6.0, and p<0.05 was considered statistically significant.
[0240] No obvious weight loss was observed in any animal in each group, indicating that the animals tolerated each test article well (Figure 10A). At 31 days after treatment, the mean tumor volumes in the PBS and isotype control-MMAE groups were 1750.24 ± 210.76 mm, respectively. 3 and 1762.31 ± 197.71 mm3 The mean tumor volume in mice treated with 2.5 mg / kg W3195-1.53.1-p1-uIgG1L-MMAE was 1124.80 ± 132.22 mm 3 (TGI=38.69%) and the mean tumor volume in mice treated with 5 mg / kg W3195-1.53.1-p1-uIgG1L-MMAE was 9.92 ± 3.20 mm 3 (TGI=107.99%). In the W3195-1.53.1-p1-uIgG1L-MMAE (5 mg / kg) group, one tumor-free animal was observed (Figure 10B and Table 12). Compared with the PBS group, W3195-1.53.1-p1-uIgG1L-MMAE with high dose treatment showed obvious antitumor effect (P<0.0001). W3195-1.53.1-p1-uIgG1L-MMAE with low dose treatment showed partial antitumor effect (P<0.0001), with the high dose group being superior to the low dose group (p<0.0001). A dose-dependency was observed between the low and high dose groups (p<0.0001), with one tumor-free animal observed in the high dose group.
[0241] [Table 23]
[0242] Those skilled in the art will further appreciate that the present disclosure may be embodied in other specific forms without departing from its spirit or central attributes. It should be understood that the above description of the present disclosure discloses only exemplary embodiments thereof, and other variations are also considered to be within the scope of the present disclosure. Therefore, the present disclosure is not limited to the specific embodiments described in detail herein. Rather, reference should be made to the appended claims as indicating the scope and content of the present disclosure.
Claims
1. an antibody-drug conjugate (ADC) comprising an antibody, or antigen-binding portion thereof, linked to a drug moiety, wherein the antibody, or antigen-binding portion thereof, binds to P-cadherin; HCDR1 comprising the amino acid sequence of SEQ ID NO:1; HCDR2 comprising the amino acid sequence of SEQ ID NO:2; HCDR3 comprising the amino acid sequence of SEQ ID NO:3; LCDR1 comprising the amino acid sequence of SEQ ID NO:4; LCDR2 comprising the amino acid sequence of SEQ ID NO:5; and LCDR3 comprising the amino acid sequence of SEQ ID NO:6 An antibody-drug conjugate comprising:
2. The antibody or antigen-binding portion thereof (A) HCDR1 set forth in SEQ ID NO:1; HCDR2 set forth in SEQ ID NO:2; and HCDR3 set forth in SEQ ID NO:3; and (B) LCDR1 set forth in SEQ ID NO:4; LCDR2 set forth in SEQ ID NO:5; and LCDR3 set forth in SEQ ID NO:
6.
2. The ADC of claim 1 , comprising:
3. 3. The ADC of claim 1 or 2, wherein the drug moiety comprises a cytotoxic or cytostatic agent selected from a toxin, a chemotherapeutic agent, an antibiotic, a radioisotope, or a nucleolytic enzyme.
4. 4. The ADC of claim 3, wherein the cytotoxic agent is selected from maytansinoids (e.g., DM1, DM3, DM4), dolastatins, dolostatin peptide analogs and derivatives thereof, such as auristatins, calicheamicins, trichothecenes, and CC1065, and optionally the cytotoxic agent is MMAE, DM1, or MMAF.
5. 2. The ADC of claim 1, wherein the ADC has the formula Ab-(L-D)p, where Ab is an antibody or antigen-binding portion thereof, L is a linker, D is a drug moiety, and p is an integer from 1 to 20.
6. The ADC of claim 5, wherein the linker is cleavable by a protease.
7. 6. The ADC of claim 5 , wherein the linker is attached to the antibody via a thiol group on the antibody.
8. 6. The ADC of claim 5, wherein the linker is selected from 6-maleimidocaproyl (MC), maleimidopropanoyl (MP), valine-citrulline (val-cit), alanine-phenylalanine (ala-phe), p-aminobenzyloxycarbonyl (PAB), N-succinimidyl 4-(2-pyridylthio)pentanoate (SPP), N-succinimidyl 4-(N-maleimidomethyl)cyclohexane-1 carboxylate (SMCC), N-succinimidyl (4-iodo-acetyl)aminobenzoate (SIAB), and 6-maleimidocaproyl-valine-citrulline-p-aminobenzyloxycarbonyl (MC-vc-PAB).
9. 9. The ADC of any one of claims 5 to 8, wherein the ADC has the formula Ab-(L-MMAE)p, where p ranges from 1 to 8.
10. 10. The ADC of claim 9, wherein the linker is MC-vc-PAB.
11. The antibody or antigen-binding portion thereof, (A) (i) comprises the amino acid sequence set forth in SEQ ID NO:7; or (ii) a heavy chain variable region (VH) comprising an amino acid sequence that is at least 85%, 90%, or 95% identical to the amino acid sequence set forth in SEQ ID NO:7, but that retains specific binding affinity for P-cadherin; and / or (B) (i) comprises the amino acid sequence set forth in SEQ ID NO:8; or (ii) a light chain variable region (VL) comprising an amino acid sequence that is at least 85%, 90%, or 95% identical to the amino acid sequence set forth in SEQ ID NO:8, but that retains specific binding affinity for P-cadherin.
2. The ADC of claim 1 , comprising:
12. 2. The ADC of claim 1, wherein the antibody or antigen-binding portion thereof comprises a human IgG constant domain, such as a human IgG1, IgG2, IgG3 or IgG4 constant domain, preferably a human IgG1 constant domain or a variant thereof.
13. 2. The ADC of claim 1 , (a) the heavy chain of the antibody comprises a heavy chain variable region set forth in SEQ ID NO:7, and a heavy chain constant region set forth in SEQ ID NO:9; and (b) the light chain of the antibody comprises a light chain variable region set forth in SEQ ID NO: 8, and a light chain constant region set forth in SEQ ID NO: 10; ADC.
14. 2. The ADC of claim 1, wherein the antibody is a chimeric antibody, a humanized antibody, or a fully human antibody, preferably a fully human monoclonal antibody.
15. 13. A pharmaceutical composition comprising the ADC of claim 1 and a pharma- ceutical acceptable carrier.
16. 10. A method for producing the ADC of claim 1, comprising the steps of: - culturing a host cell containing a vector encoding an antibody or antigen-binding portion thereof under conditions suitable for expression of the vector; - isolating the antibody or antigen-binding portion thereof from the host cell; and - reacting a nucleophilic group of the drug moiety with a linker reagent to form a drug-linker intermediate DL, which is then reacted with an antibody or an antigen-binding portion thereof, or alternatively reacting an antibody with a linker reagent to form an antibody-linker intermediate Ab-L, which is then reacted with an activated drug moiety D, thereby forming an antibody-drug conjugate.
17. 17. The method of claim 16, wherein the DAR of the ADC is in the range of about 1 to about 8, preferably about 4.
18. The ADC of claim 1 for use in treating or preventing a P-cadherin positive cancer.
19. 19. The method of claim 18, wherein the cancer is selected from breast cancer, colorectal cancer, lung cancer, ovarian cancer, melanoma, bladder cancer, renal cell cancer, liver cancer, prostate cancer, gastric cancer, pancreatic cancer, cervical cancer, esophageal cancer, endometrial cancer, skin cancer, head and neck cancer, testicular cancer, thyroid cancer, urothelial cancer, non-Hodgkin's lymphoma, chronic lymphocytic leukemia, diffuse large B-cell lymphoma, and multiple myeloma.
20. 20. The ADC of claim 19, wherein the cancer is breast cancer, lung cancer, or colorectal cancer.
21. 13. A kit for treating or diagnosing cancer, comprising a container containing the ADC of claim 1.