Antibody-drug conjugates and uses thereof

Abstract

The present invention relates to an antibody-drug conjugate, wherein the antibody specifically binds to the folate receptor a and the drug is preferably selected from among cytotoxic drugs. Such antibody-drug conjugates are particularly useful in the treatment of proliferative diseases, including cancers such as ovarian cancer, breast cancer and non-small cell lung cancer.

Description

[Technical field]

[0001] Disclosed below are antibody-drug conjugates, in which the antibody specifically binds to the folate receptor alpha (FRα) and the drug is preferably selected from among inhibitors of topoisomerase I, e.g. camptothecin analogues such as exatecan. Such antibody-drug conjugates are particularly useful for the treatment of proliferative diseases, including cancers such as ovarian, breast or lung cancer. [Background technology]

[0002] Antibody-drug conjugates (hereinafter referred to as "ADCs") are a new class of therapeutic agents, particularly cancer therapeutic agents. Such ADCs include at least an antibody and a payload (e.g., a cytotoxic drug), both of which are covalently linked by a linker. Thus, ADCs are designed to combine the specificity of antibody targeting with the efficiency of the payload (e.g., the cytotoxic activity of a chemotherapeutic agent). Effective ADCs should exhibit high specificity and low systemic toxicity.

[0003] Within the context of toxicity, antibodies used in ADCs need to bind their antigen correctly and efficiently, which means that the appropriate target antigen is preferentially or exclusively expressed on the target cell.

[0004] When designing an ADC, it is necessary to covalently attach the final active drug to the ligand targeting unit while allowing the eventual release of the active drug unit by selective enzymatic mechanisms after cellular internalization or in the diseased tissue microenvironment. In this regard, several peptidase- and glycosidase-sensitive cleavable linker chemistry strategies (related to self-sacrificial chemistry) have been developed. These cleavable linkers and their corresponding cleavage mechanisms are well known and have been described in several publications (e.g., Bargh JG et al., Chem. Soc. Rev., 2019, 48, 4361, Toki et al. J. Org. Chem. 2002, 67, 6, 1866-1872, Scott et al. Bioconjugate Chem. 2006, 17, 3, 831-840). The choice of this enzyme-sensitive cleavable entity is a key design attribute of the ADC that affects the efficacy and tolerability of the conjugate.

[0005] Examples of linker types that have been used to conjugate cytotoxins or drugs to antibodies include, but are not limited to, hydrazones, thioethers, esters, disulfides, and peptide-containing linkers. Linkers are selected from those that are susceptible to cleavage, for example, by low pH in lysosomal compartments, or by proteases that are preferentially expressed in tumor tissue, such as cathepsins (e.g., cathepsins B, C, D). Effective linkers can ensure accurate and timely release of payloads. In the context of toxicity, it is also clear that the stability of the linker can affect the toxicity exerted by the payload, even if the linker itself does not appear to drive toxicity. Indeed, stable linkers can release payloads in a target-specific manner, while non-stable linkers are more likely to undergo inaccurate release of payloads (e.g., due to non-specific cleavage), resulting in non-specific systemic toxicity.

[0006] The payloads used in ADCs are highly potent and are often cytotoxic drugs with in vitro inhibitory concentrations in the picomolar range. Common payloads include, for example, microtubule inhibitors (e.g., maytansine derivatives (DM1 / DM4), auristatins (MMAE / MMAF), eribulin) and DNA alkylating agents (such as calicheamicin, pyrrolobenzodiazepines, indolinobenzodiazepines, or duocarmycins).

[0007] Although ADCs seem to be promising therapeutic agents, some ADCs may be too toxic, limiting the therapeutic window of these compounds or preventing further clinical development.Moreover, most of the ADCs currently approved or under clinical investigation are based on the above-mentioned microtubule and DNA targeting agents.Therefore, new differentiated ADCs based on payloads with other mechanisms of action are needed to effectively treat tumors that are resistant or become resistant to microtubule and DNA targeting agents.

[0008] Therefore, an effective ADC that exhibits high specificity, maximum efficiency and low toxicity requires an appropriate combination of each of its components. For a review of possible strategies, see, for example, Khongorzul et al. 2019 (Molecular cancer research, DOI:10.1158 / 1541-7786.MCR-19-0582). WO2019081455 and Conilh et al. (2021, Pharmaceuticals, 14(3), 247) further report HER2-targeted antibody-drug conjugates using a hydrophilic monodisperse polysarcosine (PSAR) drug-linker platform, in particular based on the topoisomerase I inhibitor payload exatecan.

[0009] Cheng et al (2018, DOI:10 / 1158 / 1535-7163.MCT-17-1215) and WO 2017151979 report ADCs using farletuzumab typically conjugated to 3-4 molecules of eribulin (MORAb-202) and their use in treating tumors. The mechanism of action of the eribulin payload in this ADC is microtubule inhibition.

[0010] Moore et al (2018, Future Oncol. 14(17)1669-1678) report the results of a phase III trial with the ADC mirvetuximab soravtansine, which contains mirvetuximab, a humanized anti-FRα antibody conjugated with an average of 3-4 maytansinoid molecules as the payload, for the treatment of ovarian cancer. The mechanism of action of the maytansine payload of this ADC is microtubule inhibition. Summary of the Invention

[0011] Thus, there remains a need for antibody-drug conjugates, including anti-FRα antibodies, that are effective and have high specificity, low toxicity (improved therapeutic index) and a distinct mechanism of action of the payload.

[0012] As shown in the Examples, the present disclosure provides anti-FRα antibody-drug conjugates based on topoisomerase I inhibitors with superior in vivo efficacy and low toxicity in solid tumor cancer models, particularly when compared to reference prior art ADCs targeting FRα-expressing antibodies with other payloads and drug linkers such as mirvetuximab soravtansine.

[0013] Accordingly, a first object of the present disclosure relates to an antibody-drug conjugate (ADC) of formula (I): Ab-[LD]p (I), During the ceremony, Ab is an anti-folate receptor alpha (FRα) antibody that specifically binds to SEQ ID NO: 12; L is a cleavable linker moiety attached to the anti-folate receptor alpha (FRα) antibody, preferably via a thiol residue; D is a cytotoxic drug moiety attached to L; p is 1 to 8, preferably 6 to 8, and more preferably 8.

[0014] In a particular embodiment, the Ab is an antibody comprising a human IgG1 isotype constant region.

[0015] In a preferred embodiment, the Ab is an antibody that comprises a mutant or chemically modified constant region of the human IgG1 isotype, which mutant or chemically modified constant region confers no or reduced ADCC activity to the antibody when compared to a corresponding antibody having a wild-type human IgG1 isotype constant region.

[0016] In other specific embodiments, the Ab is an antibody comprising a human IgG4 isotype constant region, or a mutant or chemically modified IgG4 constant region that confers no or reduced ADCC activity to the antibody when compared to a corresponding antibody having a wild-type IgG4 isotype constant region.

[0017] In a preferred embodiment, the Ab is: (a) a variable heavy chain polypeptide comprising an HCDR1 of SEQ ID NO:1, an HCDR2 of SEQ ID NO:2, an HCDR3 of SEQ ID NO:3, and a variable light chain polypeptide comprising an LCDR1 of SEQ ID NO:4, an LCDR2 of SEQ ID NO:5, and an LCDR3 of SEQ ID NO:6; or (b) a variable heavy chain polypeptide comprising a VH of SEQ ID NO: 7 and a variable light chain polypeptide comprising a VL of SEQ ID NO: 8 The anti-FRα antibody comprises any one of the following:

[0018] In a specific embodiment, the Ab comprises or consists essentially of a heavy chain of SEQ ID NO:9 and a light chain of SEQ ID NO:10.

[0019] In a specific embodiment, the Ab comprises or consists essentially of a heavy chain of SEQ ID NO:11 and a light chain of SEQ ID NO:10.

[0020] In certain embodiments, D is an inhibitor of topoisomerase I, preferably selected from the group consisting of camptothecin analogues, more preferably D is the drug moiety of exatecan of formula (II) below:

[0021] [ka]

[0022] In a particular embodiment, L is a cleavable linker moiety of the formula -AW-, where A is an optional stretcher unit linked to Ab, and W is a cleavable moiety linked to D. In a more particular embodiment, L is a lysosomal protease-sensitive linker and W comprises a cleavable peptide moiety, e.g., selected from the group consisting of valine-citrulline (Val-Cit), alanine-alanine-asparagine (Ala-Asn), valine-alanine (Val-Ala), and phenylalanine-lysine (Phe-Lys). In another particular embodiment, L is a protease-sensitive cleavable linker and W comprises a sugar cleavable unit, preferably selected from a β-glucuronide or β-galactoside moiety. In another particular embodiment, L is a glutathione-sensitive linker and W comprises a disulfide moiety. In a particular embodiment, W is of the following formula (III):

[0023] [ka] During the ceremony, each R2 is independently selected from the group consisting of an electron withdrawing group and a C1-C4 alkyl; n is 0, 1 or 2; T is a sugar cleavable unit or a polypeptide cleavable unit; when T is a sugar cleavable unit, Y is O; or when T is a polypeptide cleavable unit, Y is NR3; R3 is H, C1~C 24 alkyl, C2-C6 alkenyl; optionally substituted polyether, aryl having 6-10 ring atoms, C3-C8 cycloalkyl, heterocycloalkyl having 3-10 ring atoms, heteroaryl having 5-10 ring atoms, and any combination thereof; the alkyl and alkenyl are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; R″ and R′″ are independently selected from H and C1-C6 alkyl, and pharma- ceutically acceptable salts thereof.

[0024] In a preferred embodiment, L corresponds to the linker -AW- of formula (IV),

[0025] [ka] During the ceremony, X1 is the connector unit, Z is an optional spacer, X2 is a connector unit, K is an optional hydrophobic masking entity, preferably selected from polysarcosine and polyethylene glycol; R1 is H, C1~C 24 alkyl, C2-C6 alkenyl; optionally substituted polyether, aryl having 6-10 ring atoms, C3-C8 cycloalkyl, heterocycloalkyl having 3-10 ring atoms, heteroaryl having 5-10 ring atoms, and any combination thereof; the alkyl and alkenyl are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; R4 is selected from the group consisting of H, C1-C6 alkyl and C2-C6 alkenyl, the alkyl and alkenyl being optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)- and -NR''-; R5 is selected from the group consisting of H, C1-C6 alkyl, and C2-C6 alkenyl, wherein the alkyl and alkenyl are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, and -NR''-.

[0026] In more particular embodiments, X1 and X2 are one or more amino acids, one or more N-substituted amino acids, optionally substituted polyethers, C1-C 12 Alkylene, arylene having 6 to 10 ring atoms, C3 to C8 cycloalkylene, heterocycloalkylene having 5 to 10 ring atoms, heteroarylene having 5 to 10 ring atoms, C2 to C 10 alkenylene, and any combination thereof; the alkylene and alkenylene are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; The alkylene, arylene, cycloalkylene, heterocycloalkylene, heteroarylene, and alkenylene are optionally substituted with one or more substituents selected from halogen, oxo, -OH, -NO2, -CN, C1-C6 alkyl, C3-C6 cycloalkyl, heterocyclyl having 5-10 ring atoms, aryl having 6-10 ring atoms, heteroaryl having 5-10 ring atoms, C1-C6 alkoxy, C1-C6 haloalkyl, C1-C6 haloalkoxy, -(CO)-R', -O-(CO)-R', -(CO)-O-R', -(CO)-NR''R''', -NR''-(CO)-R', and -NR''R''''; R', R'' and R''' are independently selected from H and C1-C6 alkyl.

[0027] In more particular embodiments, Z is one or more amino acids, one or more N-substituted amino acids, optionally substituted polyethers, C1-C 12 Alkylene, arylene having 6 to 10 ring atoms, C3 to C8 cycloalkylene, heterocycloalkylene having 5 to 10 ring atoms, heteroarylene having 5 to 10 ring atoms, C2 to C 10 alkenylene, and any combination thereof; the alkylene and alkenylene are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; The alkylene, arylene, cycloalkylene, heterocycloalkylene, heteroarylene, and alkenylene are optionally substituted with one or more substituents selected from halogen, oxo, -OH, -NO2, -CN, C1-C6 alkyl, C3-C6 cycloalkyl, heterocyclyl having 5-10 ring atoms, aryl having 6-10 ring atoms, heteroaryl having 5-10 ring atoms, C1-C6 alkoxy, C1-C6 haloalkyl, C1-C6 haloalkoxy, -(CO)-R', -O-(CO)-R', -(CO)-O-R', -(CO)-NR''R''', -NR''-(CO)-R', and -NR''R''''; R', R'' and R''' are independently selected from H and C1-C6 alkyl.

[0028] In certain embodiments, K is a polysarcosine, preferably a polysarcosine of formula (V):

[0029] [ka] In the formula, k is an integer of 2 to 50, preferably 4 to 30. R6 corresponds to OH or NH2.

[0030] In certain embodiments, T is a sugar cleavable unit that is a glucuronide or a galactoside.

[0031] In another particular embodiment, T is a dipeptide, preferably selected from Val-Cit, Val-Ala and Phe-Lys.

[0032] In certain embodiments, L is covalently attached to one or more thiol residues of the antibody, and preferably, L corresponds to a linker of formula (VI).

[0033] [ka]

[0034] In certain embodiments, an Ab comprises a full-length antibody or an antibody fragment that contains the antigen-binding portion.

[0035] In certain embodiments, the antibody drug conjugate corresponds to formula (VII):

[0036] [ka] where Ab is an anti-FRα antibody, typically comprising alanine substitutions at leucine 234 and leucine 235 of the IgG1 Fc constant region, such as farletuzumab, or a silent IgG1 variant thereof, and p is 4-8.

[0037] In a preferred embodiment, the antibody drug conjugate corresponds to formula (VII):

[0038] [ka] where Ab is an anti-FRα antibody, such as farletuzumab, or a silent IgG1 variant thereof, typically a mutant variant of human IgG1 that contains alanine substitutions at leucine 234 and leucine 235 of the IgG1 Fc constant region, also referred to as a LALA mutation, and p is 8.

[0039] In a more preferred embodiment of the ADC of formula (I), Ab is (i) a variable heavy chain polypeptide comprising an HCDR1 of SEQ ID NO: 1, an HCDR2 of SEQ ID NO: 2, and an HCDR3 of SEQ ID NO: 3; and (ii) a variable light chain polypeptide comprising an LCDR1 of SEQ ID NO: 4, an LCDR2 of SEQ ID NO: 5, and an LCDR3 of SEQ ID NO: 6; an anti-folate receptor alpha antibody or an antigen-binding fragment thereof comprising: L is a cleavable linker of formula -AW-, where A is an optional stretcher unit linked to Ab and W is a cleavable moiety linked to D; D is exatecan; p is 1 to 8, for example, 4 to 8, preferably 6 to 8, for example, p is 7 to 8.

[0040] Another object of the disclosure relates to an ADC as described above for use as a medicament, preferably for use in the treatment of a tumor, such as a solid tumor, more particularly selected from the group consisting of ovarian cancer, breast cancer, lung cancer, or mesothelioma.

[0041] Another object of the present disclosure relates to the use of said ADC in the preparation of a medicament or pharmaceutical composition for treating a tumor, such as a solid tumor, more particularly a tumor selected from the group consisting of ovarian cancer, breast cancer, lung cancer, or mesothelioma.

[0042] In certain embodiments, the ADCs may be preferably used to treat a cancer selected from the group consisting of ovarian cancer, triple-negative breast cancer, and non-small cell lung cancer.

[0043] The present disclosure further relates to pharmaceutical compositions comprising the antibody-drug conjugates disclosed herein, optionally in combination with one or more pharma- ceutically acceptable excipients, diluents or carriers, including other active ingredients, e.g., anti-cancer agents or immunotherapeutic agents such as immune checkpoint inhibitors.

[0044] The present disclosure also relates to a process for obtaining an ADC of the present disclosure, the method comprising: (a) culturing a host cell under conditions suitable for the production of an anti-FRα antibody as defined herein; (b) isolating the anti-FRα antibody; and (c) synthesis of exatecan linked to a linker L of formula (VIII);

[0045] [ka] (d) conjugating the anti-FRα antibody to a compound of formula (VIII); thereby obtaining an ADC of the present disclosure; and Includes. [Brief description of the drawings]

[0046] [Figure 1] 1 depicts preclinical rodent efficacy, pharmacokinetic and tolerability data for the conjugate according to Example 4. [Diagram 2] 5 shows flow cytometric assessment of extracellular expression of folate receptor alpha according to Example 5. [Diagram 3] 1 depicts in vitro cytotoxicity data of compound exatecan mesylate against several folate receptor alpha positive cancer cell lines according to Example 6. [Figure 4] 13 depicts an in vitro ELISA binding experiment of the conjugate to recombinant human folate receptor alpha protein according to Example 7. [Diagram 5] 1 depicts an in vitro surface plasmon resonance (SPR) binding experiment of the conjugate to recombinant human folate receptor alpha protein according to Example 8. [Figure 6] 1 shows the in vitro folate receptor alpha positive cancer cell binding affinity of the conjugate according to Example 9. [Figure 7] FIG. 13 depicts the ex vivo human plasma stability of the conjugate according to Example 10. [Figure 8] 13 depicts an in vitro cytotoxicity assay of the conjugates against the folate receptor alpha negative breast cancer cell line BT-474 according to Example 11. [Figure 9] 13 depicts the in vivo efficacy evaluation of the conjugate in a folate receptor alpha positive SW-620 xenograft cancer model according to Example 12. [Figure 10] FIG. 13 depicts in vivo efficacy evaluation of the conjugate in a second folate receptor alpha positive SW-620 xenograft cancer model according to Example 12. [Figure 11] FIG. 13 depicts the in vivo efficacy evaluation of the conjugates in a folate receptor alpha positive OV-90 xenograft cancer model according to Example 12. [Figure 12]FIG. 13 depicts in vivo efficacy evaluation of the conjugate in a second folate receptor alpha positive OV-90 xenograft cancer model according to Example 12. [Figure 13] FIG. 13 depicts the in vivo efficacy evaluation of the conjugate in a folate receptor alpha positive KB xenograft cancer model according to Example 12. [Figure 14] 13 depicts the in vivo efficacy evaluation of the conjugates in a folate receptor alpha positive PA-1 xenograft cancer model according to Example 12. [Figure 15] FIG. 13 depicts in vivo efficacy evaluation of the conjugate in a third folate receptor alpha positive OV-90 xenograft cancer model according to Example 12. [Figure 16] FIG. 13 depicts in vivo efficacy evaluation of conjugates in a folate receptor alpha positive IGROV-1 xenograft cancer model and tumor re-implantation challenge according to Example 12. [Figure 17] 13 depicts the in vivo efficacy evaluation of the conjugates in a folate receptor alpha negative BT-474 xenograft breast cancer model according to Example 12. [Figure 18] 13 depicts in vivo SCID and CD-1 mouse tolerability evaluation of the conjugate at high doses according to Example 13. [Figure 19] 13 shows an in vivo rat pharmacokinetic evaluation of the total mAb, total ADC and free exatecan subcomponents of the conjugate according to Example 14. [Figure 20] FIG. 16 depicts in vivo mouse lung inflammatory evaluation of the conjugates according to Example 15. [Figure 21] FIG. 16 depicts in vivo mouse lung inflammatory evaluation of the conjugates according to Example 15. [Figure 22] 1 depicts an in vivo cynomolgus monkey dose-ranging toxicity study according to Example 16. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0047] definition In order that this disclosure may be more readily understood, certain terms are first defined. Further definitions are set forth throughout the detailed description.

[0048] The term "FRα" or "folate receptor alpha," unless otherwise indicated, refers to human folate receptor alpha as defined in SEQ ID NO: 12. This sequence corresponds to the amino acid sequence of the folate receptor alpha encoded by the FOLR1 gene (Homo sapiens), also available in UniprotKB entry P15328 (FOLR1_HUMAN).

[0049] The term "antibody" as referred to herein includes whole antibodies and any antigen-binding fragment (i.e., "antigen-binding portion") or single chains thereof. A naturally occurring "antibody" is a glycoprotein comprising at least two heavy (H) chains and two light (L) chains inter-connected by disulfide bonds. Each heavy chain consists of a heavy chain variable region (abbreviated herein as VH) and a heavy chain constant region. The heavy chain constant region is composed of three domains, CH1, CH2 and CH3. Each light chain consists of a light chain variable region (abbreviated herein as VL) and a light chain constant region. The light chain constant region consists of one domain, CL. The VH and VL regions can be further subdivided into hypervariable regions, called complementarity determining regions (CDRs), interspersed with more conserved regions, called framework regions (FRs). Each VH and VL is composed of three CDRs and four FRs, arranged from the amino terminus to the carboxy terminus in the following order: FR1, CDR1, FR2, CDR2, FR3, CDR3, FR4. The variable regions of the heavy and light chains contain a binding domain that interacts with an antigen. The constant region of an antibody may mediate the binding of the immunoglobulin to host tissues or factors, including various cells of the immune system (e.g., effector cells) and the first component (Clq) of the classical complement system. The term "antigen-binding portion" of an antibody (or simply "antigen portion", as used herein) refers to a full-length or one or more fragments of an antibody that retain the ability to specifically bind to an antigen (e.g., a portion of FRα). It has been shown that the antigen-binding function of an antibody can be performed by fragments of a full-length antibody.Examples of binding fragments encompassed by the term "antigen-binding portion" of an antibody include a Fab fragment, a monovalent fragment consisting of the VL, VH, CL and CH1 domains; an F(ab)2 fragment; a bivalent fragment comprising two Fab fragments linked by a disulfide bridge at the hinge region; an Fd fragment consisting of the VH and CH1 domains; an Fv fragment consisting of the VL and VH domains of a single arm of an antibody; a UniBody consisting of a single arm with an IgG heavy chain modified at the hinge region, e.g. IgG4, a domain antibody fragment (Ward et al., 1989 Nature 341:544-546), or a Nanobody fragment consisting of the VH domain; and isolated complementarity determining regions (CDRs); or any fusion protein comprising such an antigen-binding portion. Furthermore, although the two domains of the Fv fragment, VL and VH, are encoded by separate genes, they can be linked by a synthetic linker that allows them to be produced using recombinant techniques as a single-chain protein in which the VL and VH regions pair to form a monovalent molecule (known as single-chain Fv (scFv)). See, e.g., Bird et al., 1988 Science 242:423-426; and Huston et al., 1988 Proc. Natl. Acad. Sci. 85:5879-5883). Such single-chain antibodies are also intended to be encompassed by the term "antigen-binding portion" of an antibody. These antibody fragments are obtained using conventional techniques known to those of skill in the art, and the fragments are screened for utility in the same manner as intact antibodies.

[0050] As used herein, an "isolated antibody" refers to an antibody that is substantially free of other antibodies having different antigen specificities (e.g., an isolated antibody that specifically binds to FRα is substantially free of antibodies that specifically bind to other antigens other than FRα). However, an isolated antibody that specifically binds to FRα may have cross-reactivity to other antigens, such as FRα molecules from other species. Furthermore, an isolated antibody may be substantially free of other cellular material and / or chemicals.

[0051] The phrases "an antibody that recognizes an antigen" and "an antibody specific for an antigen" are used interchangeably herein with the term "an antibody that specifically binds to an antigen."

[0052] The terms "monoclonal antibody" or "monoclonal antibody composition" as used herein refer to a preparation of antibody molecules of single molecular composition. A monoclonal antibody composition displays a single binding specificity and affinity for a particular epitope.

[0053] As used herein, "isotype" refers to the antibody class (e.g., IgM, IgE, IgG, such as IgG1 or IgG4) that is provided by the heavy chain constant region genes.

[0054] As used herein, "K D The term "k off and k on (i.e., k off / k on ) and expressed as a molar concentration (M). D Since the value is related to the concentration of the antibody (the amount of antibody needed for a particular experiment), K D Lower values ​​(lower concentrations) result in higher affinity of the antibody. K D The K value can be determined using methods well established in the art. D Preferred methods for determining K values ​​can be found in Harlow, et al., Antibodies: A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY, 1988), Coligan et al., eds., Current Protocols in Immunology, Greene Publishing Assoc. and Wiley Interscience, NY, 1992, 1993, and Muller, Meth Enzymol 1983, which references are incorporated herein by reference in their entireties. DMethods for determining affinity are by using surface plasmon resonance or by using biosensor systems such as Biacore® (see also for more information on affinity evaluation Rich RL, Day YS, Morton TA, Myszka DG. High-resolution and high-throughput protocols for measuring drug / human serum albumin interactions using BIACORE®. Anal Biochem. 2001).

[0055] As used herein, "k assoc " or "k a " or "k on " is intended to refer to the association rate of a particular antibody-antigen interaction, whereas "k dis " or "k d " or k off The term is intended to refer to the off-rate of a particular antibody-antigen interaction.

[0056] As used herein, the term "affinity" refers to the strength of the interaction between an antibody and an antigen at a single antigenic site. Within each antigenic site, the variable regions of the antibody "arms" interact with the antigen at multiple sites through weak non-covalent forces; the more interactions, the stronger the affinity.

[0057] As used herein, an antibody or protein that "specifically binds to an antigen," e.g., "specifically binds to FRα," is intended to refer to an antibody that detectably binds to an epitope presented on an antigen, such as FRα of the present disclosure, which typically has a K of 200 nM or less, 100 nM or less, 50 nM, 40 nM or less, or about 30 nM. D It is intended to refer to an antibody or ADC that binds to human FRα at D is 10 -3Typically, the ADC of the present disclosure is specific for FRα and has a K as defined above. D has.

[0058] As used herein, the term "host cell" refers to a prokaryotic or eukaryotic cell. Eukaryotic cells, such as mammalian host cells, yeast or filamentous fungi, are preferred, especially mammalian cells, as they are more likely than prokaryotic cells to assemble and secrete properly folded, immunologically active antibodies.

[0059] As used herein, the term "ADCC" or "antibody-dependent cellular cytotoxicity" activity refers to cell depletion activity. ADCC activity can be measured by a commercially available ADCC assay, for example, the ADCC Reporter Bioassay marketed by Promega under Ref#G7015.

[0060] As used herein, the term "subject" includes any human or non-human animal. The term "non-human animal" includes all vertebrates, e.g., mammals and non-mammals, e.g., non-human primates, sheep, dogs, cats, horses, cows, chickens, amphibians, and reptiles. The term "subject" also encompasses the term "patient."

[0061] As used herein, the term "drug" or D in formula (I) of an ADC also refers to the "payload", i.e., the moiety conjugated to an antibody (or fragment). The drug D should not be construed as being limited to classical chemotherapeutic agents. For example, D may include proteins, peptides or polypeptides having a desired biological activity. Preferably, it refers to a therapeutic moiety such as a cytotoxin. A "cytotoxin" or "cytotoxic agent" includes any agent that is detrimental to (e.g., kills) cells.

[0062] Unless otherwise specified, the disclosure includes the compounds or drugs or cytotoxins described herein, as well as their tautomers, enantiomers, diastereomers, racemates or mixtures, as well as hydrates, esters, solvates or pharma- ceutically acceptable salts thereof.

[0063] Any formula shown herein also includes deuterium labeled compounds or 14 It is intended to represent unlabeled and isotopically labeled forms of the compounds, such as C-labeled compounds.

[0064] The term "pharmaceutically acceptable salts" refers to salts that retain the biological effectiveness and properties of the compounds of the present disclosure and are typically not biologically or otherwise undesirable. In many cases, the compounds of the present disclosure can form acid salts and / or base salts due to the presence of amino and / or carboxyl groups or groups similar thereto. Pharmaceutically acceptable acid addition salts can be formed with organic and / or inorganic acids. Pharmaceutically acceptable base addition salts can be formed with organic and / or inorganic bases. Such salts are well known to those skilled in the art.

[0065] The term connector unit refers to a component that connects different parts of a compound to each other, for example, a connector can connect an Ab to a spacer or a spacer to an amide functional group -CO-NR1-. A connector is a scaffold that has binding sites for the components of an antibody-drug-conjugate, i.e., Ab, spacer, hydrophobic masking entity, and / or amide functional group -CO-NR1-.

[0066] The knowledge of the skilled person will allow the selection of suitable connectors. A non-exhaustive list of connectors includes amino acids such as lysine, glutamic acid, aspartic acid, serine, tyrosine, cysteine, selenocysteine, glycine, homoalanine; amino alcohols; amino aldehydes; polyamines or any combination thereof. Advantageously, the connector units X1 and / or X2 are one or more natural or unnatural amino acids. In one embodiment, the connector units X1 and / or X2 are selected from glutamic acid, lysine and glycine. The connector units X1 and X2 are one or more amino acids, one or more N-substituted amino acids, optionally substituted polyethers, C1-C 12 Alkylene, arylene having 6 to 10 ring atoms, C3 to C8 cycloalkylene, heterocycloalkylene having 5 to 10 ring atoms, heteroarylene having 5 to 10 ring atoms, C2 to C 10 alkenylene, and any combination thereof, wherein the alkylene and alkenylene are optionally interrupted by one or more heteroatoms or chemical groups selected from the group consisting of: -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''-, and triazole; The alkylene, arylene, cycloalkylene, heterocycloalkylene, heteroarylene, and alkenylene are optionally substituted with one or more substituents selected from halogen, oxo, -OH, -NO2, -CN, C1-C6 alkyl, C3-C6 cycloalkyl, heterocyclyl having 5-10 ring atoms, aryl having 6-10 ring atoms, heteroaryl having 5-10 ring atoms, C1-C6 alkoxy, C1-C6 haloalkyl, C1-C6 haloalkoxy, -(CO)-R', -O-(CO)-R', -(CO)-O-R', -(CO)-NR''R''', -NR''-(CO)-R', and -NR''R'''', where R', R'' and R'' are independently selected from H and C1-C6 alkyl.

[0067] Examples of connector units include optionally substituted polyethers, amino acids, benzyl groups, amines, ketones,

[0068] [ka] Examples include:

[0069] In particular, the connector unit may be divalent or trivalent, for example, when a hydrophobic masking entity K is present, X2 may be a trivalent connector unit.

[0070] The term "amino acid" refers to a natural or unnatural amino acid. The CO moiety of the -CONR1- or -CONR1'- group can be considered as part of the X2 connector unit when X2 consists of one or more amino acids. A non-exhaustive list of amino acids includes lysine, glutamic acid, aspartic acid, serine, tyrosine, cysteine, selenocysteine, glycine and homoalanine.

[0071] A spacer is a bivalent arm that covalently links two components of an antibody-drug-conjugate, such as two connector units.

[0072] A non-exhaustive list of spacer units includes alkylene, heteroalkylene (hence alkylene interrupted by at least one heteroatom selected from Si, N, O and S); alkoxy; polyethers, such as polyalkylene glycols and typically polyethylene glycols; one or more natural or unnatural amino acids such as glycine, alanine, proline, valine, N-methylglycine; C3-C8 heterocyclo; C3-C8 carbocyclo; arylene, and any combination thereof. For example, the spacer is a divalent linear alkylene group, preferably (CH2)4.

[0073] For example, the spacer is -C1 to -C 10 Alkylene-, -C1~C 10Heteroalkylene-, -C3~C8 carbocyclo-, -O-(C1C8 alkyl)-, -arylene-, -C1~C 10 Alkylene-arylene-, -arylene-C1~C 10 Alkylene-, -C1~C 10 Alkylene-(C3~C8 carbocyclo)-, -(C3~C8 carbocyclo)-C1~C 10 Alkylene-, -C3~C8 heterocyclo-, -C1~C 10 Alkylene-(C3-C8 heterocyclo)-, -(C3-C8 heterocyclo)-C1-C 10 Alkylene-, -C1~C 10 Alkylene-C(=O)-, -C1~C 10 Heteroalkylene-C(=O)-, -C3~C8 carbocyclo-C(=O)-, -O-(C1~C8 alkyl)-C(=O)-, -arylene-C(=O)-, -C1~C 10 Alkylene-arylene-C(=O)-, -arylene-C1~C 10 Alkylene-C(=O)-, -C1~C 10 Alkylene-(C3-C8 carbocyclo)-C(=O)-, -(C3-C8 carbocyclo)-C1-C 10 Alkylene-C(=O)-, -C3~C8Heterocyclo-C(=O)-, -C1~C 10 Alkylene-(C3-C8 heterocyclo)-C(=O)-, -(C3-C8 heterocyclo)-C1-C 10 Alkylene-C(=O)-, -C1~C 10 Alkylene-NH-, -C1~C 10 Heteroalkylene-NH-, -C3-C8 carbocyclo-NH-, -O-(C1-C8 alkyl)-NH-, -arylene-NH-, -C1-C 10 Alkylene-arylene-NH-, -arylene-C1~C 10 Alkylene-NH-, -C1~C 10 Alkylene-(C3-C8 carbocyclo)-NH-, -(C3-C8 carbocyclo)-C1-C 10 Alkylene-NH-, -C3~C8 Heterocyclo-NH-, -C1~C 10Alkylene-(C3-C8 heterocyclo)-NH-, -(C3-C8 heterocyclo)-C1-C 10 Alkylene-NH-, -C1~C 10 Alkylene-S-, -C1~C 10 Heteroalkylene-S-, -C3~C8 carbocyclo-S-, -O-(C1~C8 alkyl)-S-, -arylene-S-, -C1~C 10 Alkylene-arylene-S-, -arylene-C1~C 10 Alkylene-S-, -C1~C 10 Alkylene-(C3-C8 carbocyclo)-S-, -(C3-C8 carbocyclo)-C1-C 10 Alkylene-S-, -C3~C8 Heterocyclo-S-, -C1~C 10 Alkylene-(C3-C8 heterocyclo)-S-, -(C3-C8 heterocyclo)-C1-C 10 Alkylene-S-, -C1~C 10 Alkylene-OC(=O)-, -C3~C8 carbocyclo-OC(=O)-, -O-(C1~C8 alkyl)-OC(=O)-, -arylene-OC(=O)-, -C1~C 10 Alkylene-arylene-OC(=O)-, -arylene-C1~C 10 Alkylene-OC(=O)-, -C1~C 10 Alkylene-(C3-C8 carbocyclo)-OC(=O)-, -(C3-C8 carbocyclo)-C1-C 10 Alkylene-OC(=O)-, -C3~C8Heterocyclo-OC(=O)-, -C1~C 10 Alkylene-(C3-C8 heterocyclo)-OC(=O)- and -(C3-C8 heterocyclo)-C1-C 10 alkylene -OC(=O)-.

[0074] Any of the above groups may be -X, -R', -O - , -OR', =O, -SR', -S - , -NR'2, -NR'3 +, =NR', -CX3, -CN, -OCN, -SCN, -N=C=O, -NCS, -NO, -NO2, =N2, -N3, -NR'C(=O)R', -C(=O)R', -C(=O)NR'2, -SO3 - , -SO3H, -S(=O)2R', -OS(=O)2OR', -S(=O)2NR', -S(=O)R', -OP(=O)(OR')2, -P(=O)(OR')2, -PO3 - , -PO3H2, -C(=O)X, -C(=S)R', -CO2R', -CO2, -C(=S)OR', C(=O)SR', C(=S)SR', C(=O)NR'2, C(=S)NR'2, and C(=NR')NR'2, each X is independently a halogen: -F, -CI, -Br, or -I, and each R' is independently -H, -C1-C 20 Alkyl, -C6~C 10 Aryl or -C3~C 10 It is a heterocycle.

[0075] As used herein, the term "alkyl" refers to a univalent saturated hydrocarbon chain, having a straight or branched chain. For example, alkyl is any of C1 to C6. 20 It refers to an alkyl group. Preferably, the alkyl is a "lower alkyl", i.e., an alkyl group having 1, 2, 3, 4, 5, or 6 carbons (a straight or branched C1-C6 alkyl group). For example, this includes methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, sec-butyl, tert-butyl, n-pentyl, n-hexyl, and the like.

[0076] For example, alkylene used alone or as part of alkylene glycol, refers to a divalent saturated, straight chain or branched alkyl group, as defined herein.

[0077] Alkenyl and alkynyl refer to at least partially unsaturated linear or branched hydrocarbon groups having 2 to 20 carbon atoms, preferably 2 to 12, more preferably 2 to 6, especially 2 to 4 carbon atoms. An alkenyl group contains at least one C=C double bond, and an alkynyl group contains at least one

[0078] [ka] Contains a triple bond.

[0079] As used herein, the term "C3-C8 cycloalkyl" or "carbocycle" refers to a saturated or unsaturated cyclic group having 3 to 8, preferably 3 to 6, carbon atoms. Cycloalkyls can have a single ring or multiple rings fused together. Cycloalkyls can also include spirocycles. Suitable cycloalkyl groups include cyclopropyl, cyclobutyl, cyclopentyl, and cyclohexyl.

[0080] As used herein, the term "C3-C8 cycloalkylene" or "carbocyclo" refers to a divalent cycloalkyl, as defined herein.

[0081] As used herein, the term "halogen" refers to a fluoro (-F), chloro (-Cl), bromo (-Br), or iodo (-I) group.

[0082] As used herein, the term "C1-C6 haloalkyl" refers to a C1-C6 alkyl, as defined herein, substituted by one or more halogen groups, as defined herein. Suitable C1-C6 haloalkyl groups include trifluoromethyl and dichloromethyl.

[0083] As used herein, the term "heteroalkyl" refers to a straight or branched hydrocarbon chain consisting of 1 to 12 carbon atoms, preferably 1 to 10, more preferably 1 to 6 carbon atoms, and 1 to 3 heteroatoms selected from the group consisting of O, N, Si, and S, where the nitrogen and sulfur atoms may optionally be oxidized (e.g., sulfoxide or sulfone) and the nitrogen heteroatom may optionally be quaternized. The heteroatoms O, N, and S may be placed at any interior position of the heteroalkyl group or at the position at which the alkyl group is attached to the remainder of the molecule.

[0084] Heteroalkylene refers to a divalent heteroalkyl as defined above. For heteroalkylene groups, heteroatoms can also occupy either or both of the chain termini.

[0085] As used herein, the term "C1-C6 alkoxy" refers to an -O-alkyl group, where the alkyl group is C1-C6 alkyl as defined herein. Suitable C1-C6 alkoxy groups include methoxy, ethoxy, and propoxy.

[0086] As used herein, the term "C1-C6 haloalkoxy" refers to a C1-C6 alkoxy group, as defined herein, substituted by one or more halogen groups, as defined herein. Suitable haloalkoxy groups include trifluoromethoxy.

[0087] As used herein, the term "aryl having 6 to 10 ring atoms" refers to a polyunsaturated aromatic hydrocarbyl group having a single ring or multiple aromatic rings fused together, containing 6 to 10 ring atoms, where at least one ring is aromatic. The aromatic ring may optionally contain 1 to 2 additional rings (cycloalkyl, heterocyclyl or heteroaryl as defined herein) fused thereto. Suitable aryl groups include phenyl, naphthyl and phenyl rings fused to a heterocyclyl, such as benzopyranyl, benzodioxolyl, benzodioxanyl, etc.

[0088] Arylene refers to a divalent aryl group as defined above.

[0089] As used herein, the term "heteroaryl having 5 to 10 ring atoms" refers to a polyunsaturated aromatic ring system having a single ring or multiple aromatic rings fused together or covalently bonded, containing 5 to 10 atoms, in which at least one ring is aromatic and at least one ring atom is a heteroatom selected from N, O and S. The nitrogen and sulfur heteroatoms may be optionally oxidized and the nitrogen heteroatom may be optionally quaternized. Such rings may be fused to an aryl, cycloalkyl or heterocyclyl ring. Non-limiting examples of such heteroaryls include furanyl, thiophenyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazolyl, thiadiazolyl, tetrazolyl, oxatriazolyl, thiatriazolyl, pyridinyl, pyrimidyl, pyrazinyl, pyridazinyl, oxazinyl, dioxinyl, thiazinyl, triazinyl, indolyl, isoindolyl, benzofuranyl, isobenzofuranyl, benzothiophenyl, isobenzothiophenyl, indazolyl, benzimidazolyl, benzoxazolyl, purinyl, benzothiadiazolyl, quinolinyl, isoquinolinyl, cinnolinyl, quinazolinyl and quinalinyl.

[0090] As used herein, the term "heterocyclyl having 3-10 ring atoms", "heterocycloalkyl having 3-10 ring atoms" or "heterocyclyl" refers to a saturated or unsaturated cyclic group having 3-10 ring atoms, preferably 3-8 ring atoms, where at least one ring atom is a heteroatom selected from N, O and S. The nitrogen and sulfur heteroatoms may be optionally oxidized and the nitrogen heteroatom may be optionally quaternized. Heterocycles can include fused or bridged rings as well as spirocycles. Examples of heterocycles include, but are not limited to, tetrahydropyridyl, piperidinyl, morpholinyl, tetrahydrofuranyl, tetrahydrothienyl, piperazinyl, 1-azepanyl, imidazolinyl, 1,4-dioxanyl, and the like.

[0091] As used herein, the term "heterocyclo" or "heterocycloalkylene" refers to a divalent heterocycle, as defined herein.

[0092] Furthermore, the terms alkyl, alkenyl, alkynyl, aryl, alkylene, arylene, heteroalkyl, heteroalkylene, C3-C8 carbocycle, C3-C8 carbocycle, C3-C8 heterocycle, C3-C8 heterocycle, and polyether are intended to include -X, -R', -O - , -OR', =O, -SR', -S - , -NR'2, -NR'3, =NR', -CX3, -CN, -OCN, -SCN, -N=C=O, -NCS, -NO, -NO2, =N2, -N3, -NRC(=O)R', -C(=O)R', -C(=O)NR'2, -SO3 - , -SO3H, -S(=O)2R', -OS(=O)2OR', -S(=O)2NR', -S(=O)R', -OP(=O)(OR')2, -P(=O)(OR')2, -PO3 - , -PO3H2, -C(=O)R', -C(=O)X, -C(=S)R', -CO2R', -CO2, -C(=S)OR', C(=O)SR', C(=S)SR', C(=O)NR'2, C(=S)NR'2, and C(=NR')NR'2, where each X is independently a halogen: -F, -CI, -Br, or -I, and each R' is independently -H, -C1-C 20 Alkyl, -C6~C 10 Aryl or -C3~C 10 It is a heterocycle.

[0093] As used herein, the term "polyether" refers to a polymer containing ether bonds. The number of ether moieties in a polyether can be comprised between 2 and 100, preferably between 2 and 25, in particular between 2 and 10. Examples of polyethers include polyethylene glycol.

[0094] An electron withdrawing group refers to an atom or group that draws electron density from adjacent atoms towards itself, usually by resonance or inductive effects. Electron withdrawing groups include halogens, haloalkyls (such as -CF3), -CN, -SO3H, -NO2, and -C(O)R groups (where R = H, OH, or alkoxy). Advantageously, the electron withdrawing group is -NO2. In one embodiment, the electron withdrawing group is in the ortho position relative to the YT substituent of the phenyl ring.

[0095] As used herein, the term "protecting group" refers to a chemical substituent that can be selectively removed by readily available reagents that do not attack the regenerating or other functional groups in the molecule. Suitable protecting groups are known in the art and continue to be developed. Suitable protecting groups can be found, for example, in Wutz et al. ("Greene's Protective Groups in Organic Synthesis, Fourth Edition," Wiley-Interscience, 2007). In certain embodiments, the protecting groups for protecting amino groups described by Wutz et al. (pages 696-927) are used. Representative examples of amino protecting groups include, but are not limited to, t-butyloxycarbonyl (Boc), 9-fluorenylmethoxycarbonyl (Fmoc), acetyl (Ac), carboxybenzyl group (Cbz), benzyl group (Bn), allyl, trifluoroacetyl, allyloxycarbonyl (Alloc) group, and 2,2,2-trichloroethoxycarbonyl (Troc).

[0096] Hydrophobic masking entities refer to groups capable of reducing the apparent hydrophobicity of a compound. The hydrophobic masking entity can be selected from polysarcosine and polyethylene glycol. The number of ethylene glycol or sarcosine moieties can vary in a wide range. For example, the number of ethylene glycol or sarcosine moieties in the hydrophobic masking entity can be comprised between 2 and 500, preferably between 5 and 100, in particular between 5 and 25. In one embodiment, the hydrophobic masking entity is polysarcosine comprising 6 to 24 sarcosine moieties, preferably comprising 10 to 12 sarcosine moieties.

[0097] As used herein, the term "linked" refers to a linkage. This linkage is also represented by a dash "-" in formula (I). The linkage can be a covalent bond or a non-covalent interaction, such as by electrostatic forces. Preferably, the linkage is a covalent bond. As used herein, the "wavy line" in the formula represents a binding site between each moiety (Ab, L, Z, X, and D) of the ADC of the present disclosure.

[0098] As used herein, the terms "treat", "treating" or "treatment" refer to one or more of: (1) inhibiting a disease, e.g., inhibiting a disease, condition or disorder in an individual experiencing or exhibiting the pathology or symptomology of the disease, condition or disorder (i.e., preventing further development of the pathology and / or symptomology); (2) ameliorating a disease, e.g., ameliorating a disease, condition or disorder in an individual experiencing or exhibiting the pathology or symptomology of the disease, condition or disorder (i.e., reversing the pathology and / or symptomology), e.g., reducing the severity of the disease or alleviating or relieving one or more symptoms of the disease. In particular, with respect to the treatment of tumors, the term "treatment" can refer to inhibiting tumor growth or reducing the size of the tumor.

[0099] As used herein, a "therapeutically effective amount" or "effective amount" of an ADC is an amount sufficient to carry out a specifically recited purpose, e.g., an amount sufficient to produce a therapeutic effect following administration, e.g., inhibiting or reducing tumor growth rate or tumor volume, reducing a symptom of cancer, or some other indication of therapeutic efficacy. In the case of cancer, a therapeutically effective amount of an ADC can reduce the number of cancer cells, reduce tumor size, inhibit (e.g., slow or stop) tumor metastasis, inhibit (e.g., slow or stop) tumor growth, and / or alleviate one or more symptoms.

[0100] As used herein, the percent identity between two sequences is a function of the number of identical positions shared by the sequences (i.e., % identity = number of identical positions / total number of positions x 100), taking into account the number of gaps and the length of each gap that need to be introduced for optimal alignment of the two sequences. The comparison of sequences and determination of the percent identity between two sequences can be accomplished using a mathematical algorithm, as described below.

[0101] The percent identity between two amino acid sequences can be determined using the Needleman and Wunsch algorithm (NEEDLEMAN and Wunsch).

[0102] Percent identity between two nucleotide or amino acid sequences can also be determined, for example, using EMBOSS Needle (pairwise alignment; available at www.ebi.ac.uk). For example, EMBOSS Needle can be used with a BLOSUM62 matrix, a "gap open penalty" of 10, a "gap extend penalty" of 0.5, a false "end gap penalty", an "end gap open penalty" of 10, and an "end gap extend penalty" of 0.5. In general, "percent identity" is a function of the number of matching positions divided by the number of positions compared, multiplied by 100. For example, if after alignment, 6 out of 10 sequence positions are identical between the two compared sequences, the identity is 60%. Percent identity is typically determined over the entire length of the query sequence over which the analysis is performed. Two molecules that have the same primary amino acid or nucleic acid sequence are identical, regardless of chemical and / or biological modifications.

[0103] Antibodies Ab for use in generating the ADCs of the present disclosure An antibody Ab for use in generating the ADCs of the disclosure is an anti-folate receptor alpha (FRα) antibody that specifically binds to SEQ ID NO:12.

[0104] Preferably, such antibodies include the following antibodies that have been isolated and structurally characterized by their variable heavy and light chain amino acid sequences and human constant isotypes as set forth in Table 1 below.

[0105] [Table 1]

[0106] IgG1 LALA corresponds to a mutant IgG1 Fc region containing leucine to alanine amino acid substitutions at residues 234 and 235, which is also disclosed in J. Virol 2001 Dec;75(24):12161-8 (Hezareh et al).

[0107] The full length light and heavy chains of mAb1 and the corresponding coding sequences are shown in Table 2 below.

[0108] [Table 2]

[0109] Examples of amino acid sequences of VH CDR1 (also called HCDR1), VH CDR2 (also called HCDR2), VH CDR3 (also called HCDR1), VL CDR1 (also called LCDR1), VL CDR2 (also called LCDR2), and VL CDR3 (also called HCDR3) of the mAb1 antibody are shown in Table 3.

[0110] In Table 3, the CDR regions of several antibodies of the disclosure are depicted using the Kabat system. For ease of reading, the CDR regions are hereinafter referred to as HCDR1, HCDR2, HCDR3, LCDR1, LCDR2, LCDR3, respectively.

[0111] [Table 3]

[0112] Tables 4 and 5 below provide useful amino acid and nucleotide sequences for comparison with antibodies in ADCs.

[0113] [Table 4] * aa is the amino acid sequence nt is the nucleotide sequence

[0114] [Table 5-1]

[0115] [Table 5-2]

[0116] [Table 5-3]

[0117] In one embodiment, Ab is (i) a heavy chain variable region comprising an HCDR1 of SEQ ID NO: 1, an HCDR2 of SEQ ID NO: 2, and an HCDR3 of SEQ ID NO: 3; and (ii) a light chain variable region comprising an LCDR1 of SEQ ID NO: 4; an LCDR2 of SEQ ID NO: 5 or 8; and an LCDR3 of SEQ ID NO: 6; and wherein the antibody is an isolated recombinant antibody having the formula: The antibody specifically binds to the folate receptor alpha of SEQ ID NO:12.

[0118] In certain embodiments, Ab is (a) a variable heavy chain polypeptide comprising an HCDR1 of SEQ ID NO:1, an HCDR2 of SEQ ID NO:2, an HCDR3 of SEQ ID NO:3, and a variable light chain polypeptide comprising an LCDR1 of SEQ ID NO:4, an LCDR2 of SEQ ID NO:5, and an LCDR3 of SEQ ID NO:6; or (b) a variable heavy chain polypeptide comprising a VH of SEQ ID NO: 7 and a variable light chain polypeptide VL of SEQ ID NO: 8 A recombinant antibody comprising any one of the following:

[0119] In a particular embodiment, the Ab is a recombinant antibody comprising or consisting essentially of a heavy chain of SEQ ID NO:9 and a light chain of SEQ ID NO:10.

[0120] In a particular embodiment, the Ab is a recombinant antibody comprising or consisting essentially of a heavy chain of SEQ ID NO:11 and a light chain of SEQ ID NO:10.

[0121] In a particular embodiment, the Ab is a recombinant antibody comprising or consisting essentially of a heavy chain of SEQ ID NO:16 and a light chain of SEQ ID NO:17.

[0122] In certain embodiments, the Ab is an anti-FRα antibody that has one or more of the following properties:

[0123] (i) the Ab has a K of 100 nM or less as measured by surface plasmon resonance, such as a Biacore® assay; D and preferably a K of 50 nM or less. D binds to the folate receptor alpha (FRα) (ii) the Ab is an internalizing antibody and specifically internalizes in FRα-expressing tumor cells; (iii) The Ab allows for the conjugation of 4-8 payloads per Ab without significant stability issues or aggregation.

[0124] In certain embodiments that may be combined with the preceding embodiments, Ab is an internalizing antibody fragment of a recombinant antibody as defined above.

[0125] "Internalizing" as used herein with respect to an antibody refers to an antibody that, upon specific binding to a cell, is capable of passing through the outer lipid bilayer membrane of the cell to an internal compartment (i.e., "internalization"), preferably into a degradative compartment within the cell.

[0126] Antibody fragments include, but are not limited to, Fab, Fab', Fab'-SH, F(ab')2, Fv, UniBody and scFv fragments, diabodies, single domains or nanobodies and other fragments. The term "diabody" refers to a small antibody fragment with two antigen binding sites, which comprises a heavy chain variable domain (VH) linked to a light chain variable domain (VL) in the same polypeptide chain (VH-VL). By using a linker that is too short to allow pairing between the two domains on the same chain, the domains are forced to pair with complementary domains on another chain and create two antigen binding sites. Single domain antibodies are antibody fragments that contain all or part of the heavy chain variable domain or all or part of the light chain variable domain of an antibody. In certain embodiments, single domain antibodies are human single domain antibodies (Domantis, Inc., Waltham, MA; see, e.g., U.S. Pat. No. 6,248,516). Antibody fragments can be produced by a variety of techniques, including but not limited to, proteolytic digestion of intact antibodies as well as production by recombinant host cells as described herein.

[0127] In certain embodiments, the Ab is a humanized antibody. Typically, a non-human antibody is humanized to reduce immunogenicity to humans while having at least the same affinity (or better affinity) as the parent non-human antibody. In a preferred embodiment, the antibody of the present disclosure is a humanized antibody. In general, a humanized antibody comprises one or more variable domains in which the CDRs (or portions thereof) are derived from a non-human antibody, e.g., a mouse anti-FRα internalizing antibody, and the framework regions (or portions thereof) are derived from a human antibody sequence. The humanized antibody also optionally comprises at least a portion of a human constant region. In some embodiments, some framework residues in the humanized antibody are replaced with the corresponding residues from the non-human antibody (e.g., the anti-FRα mouse antibody from which the CDR residues are derived), e.g., to restore or improve the specificity or affinity of the antibody. In some specific embodiments, some CDR residues in the humanized antibody are also replaced, e.g., to restore or improve the specificity or affinity of the antibody. Humanized antibodies and methods for making them are reviewed, e.g., in Almagro and Fransson, Front. Biosci. 13:1619-1633 (2008), and further described, e.g., in Riechmann et al., Nature 332:323-329 (1988); Queen et al., Proc. Natl Acad. Sci. USA 86:10029-10033 (1989); U.S. Patent Nos. 5,821,337, 7,527,791, 6,982,321, and 7,087,409; Kashmiri et al., Methods 36:25-34 (2005) (describing specificity determining region (SDR) grafting); Padlan, Mol. Immunol. 28:489-498 (1991) (describing "resurfacing"); Dall'Acqua et al., Methods 36:43-60 (2005) (describing "FR shuffling"); and Osbourn et al., Methods 36:61-68 (2005) and Klimka et al., Br. J. Cancer, 83:252-260 (2000) (describing a "guided selection" approach to FR shuffling).

[0128] Preferably, the Ab is a humanized or human silenced antibody, preferably a humanized silenced IgG1 antibody.

[0129] As used herein, the term "silent" antibody refers to an antibody that exhibits no or low ADCC activity as measured in an ADCC activity assay.

[0130] In one embodiment, the term "no or low ADCC activity" means that the silenced antibody exhibits at least 10% less, for example 50% less, ADCC activity than that observed for a corresponding antibody having a wild-type corresponding IgG isotype.

[0131] Silenced effector functions can be obtained by mutations in the Fc constant part of the antibody and are described in the art: Strohl 2009 (AA&N297A) Baudino 2008, D265A (Baudino et al., J. Immunol. 181(2008):6664-69, Strohl, CO Biotechnology 20(2009):685-91) or also reviewed in Saunders 2019 (Front. Immunol., 07 June 2019, doi:10.3389 / fimmu.2019.01296). Examples of silent IgG1 antibodies include the so-called LALA mutations, which include the L234A and L235A mutations in the IgG1 Fc amino acid sequence, or Ser228Pro paired with Leu235Glu. Pro331Ser may also be used, optionally in combination with Ledu234Glu and Leu235Phe (LALA-PG), to generate silent IgG1 antibodies. Another example of a silent IgG1 antibody contains the N297A mutation, which results in an aglycosylated or non-glycosylated antibody. An example of a silent IgG4 antibody contains Ser228Pro.

[0132] In certain embodiments, the Ab is farletuzumab or other anti-FRα antibodies disclosed in WO2005080431 or WO2017151979.

[0133] In other specific embodiments, the Ab is a silent LALA mutant of mirvetuximab or mirebutuximab.

[0134] In a preferred embodiment, the Ab is a silent LALA mutant of farletuzumab or other anti-FRα antibodies disclosed in WO2005080431 or WO2017151979.

[0135] Antibodies having variant amino acid sequences can be obtained by mutagenesis (e.g., site-directed or PCR-mediated mutagenesis) of the encoding nucleic acid molecule, followed by testing the encoded altered antibody for retained functionality (i.e., the functions described above) using the functional assays described herein.

[0136] Antibodies with conservative modifications In certain embodiments, the Ab has a heavy chain variable region comprising HCDR1, HCDR2 and HCDR3 sequences, and a light chain variable region comprising LCDR1, LCDR2 and LCDR3 sequences, one or all of which CDR sequences have specific amino acid sequences based on the mAb1 (silent LALA mutant version of farletuzumab) antibody described herein, or a functional variant of that antibody having similar CDR sequences that differ from the CDR sequences of farletuzumab by one, two or three conservative amino acid modifications, and which retains the desired functional properties of the mAb1 antibody, particularly when used as an ADC.

[0137] In certain embodiments, the Ab has a heavy chain variable region comprising HCDR1, HCDR2 and HCDR3 sequences, and a light chain variable region comprising LCDR1, LCDR2 and LCDR3 sequences, where one or more of these CDR sequences have specific amino acid sequences based on the mirvetuximab (or silent LALA mutant version of mirvetuximab) antibody described herein, or a functional variant of that antibody having similar CDR sequences that differ from the CDR sequences of farletuzumab by one, two or three conservative amino acid modifications, and the antibody or protein retains the desired functional properties of the mAb1 antibody, particularly when used as an ADC.

[0138] Desirable functional properties of an anti-FRα antibody include, but are not limited to, the following: (i) the anti-FRα antibody binds to folate receptor alpha (FRα) as determined by an Elisa assay (described in the Examples) with an EC50 of less than 5 nM, e.g., about 0.5 nM; (ii) the anti-FRα antibody has a K of 100 nM or less as measured by surface plasmon resonance, such as a Biacore® assay; D and preferably a K of 50 nM or less. D binds to folate receptor receptor alpha (FRα) at ​​(e.g., as determined using the SPR Biacore affinity assay described in the Examples); (iii) anti-FRα is an internalizing antibody, and is specifically internalized in FRα-expressing tumor cells; (iv) anti-FRα allows for the conjugation of 4-8 payloads per antibody without particular stability issues or aggregation, with drug-antibody ratios determined, for example, by RPLC-MS as described in the Examples; (v) an ADC comprising such a variant anti-FRα antibody provides similar or less in vitro efficacy in an FRα-negative cell line (such as the BT-474 breast cancer cell line) than a corresponding control ADC comprising mAb1 as the anti-FRα antibody, e.g., using the in vitro efficacy assay in an FRα-negative cell line used in the Examples; and / or (vi) ADCs having such variant anti-FRα antibodies provide similar or greater in vivo efficacy in tumor-bearing mouse xenograft models than a corresponding control ADC having mAb1 as the anti-FRa antibody, e.g., using one of the xenograft models used in the Examples.

[0139] As used herein, the term "conservative sequence modifications" is intended to refer to amino acid substitutions in which an amino acid residue is replaced with an amino acid residue having a similar side chain. Families of amino acid residues with similar side chains have been defined in the art. These families include amino acids with basic side chains (e.g., lysine, arginine, histidine), acidic side chains (e.g., aspartic acid, glutamic acid), uncharged polar side chains (e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine, tryptophan), nonpolar side chains (e.g., alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine), beta-branched side chains (e.g., threonine, valine, isoleucine) and aromatic side chains (e.g., tyrosine, phenylalanine, tryptophan, histidine). Thus, one or more amino acid residues in the CDR regions of an antibody of the disclosure can be replaced with other amino acid residues from the same side chain family, and the altered antibody can be tested for retained function using the functional assays described herein.

[0140] Modifications can be introduced into an antibody of this disclosure by standard techniques known in the art, such as site-directed mutagenesis and PCR-mediated mutagenesis.

[0141] In certain embodiments, the Ab is an anti-FRα antibody comprising six CDRs that are 100% identical to the corresponding CDRs of SEQ ID NOs: 1-6, and framework amino acid regions that are at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% identical to the corresponding framework amino acid regions identified in SEQ ID NOs: 7 and 8, respectively, and the anti-FRα antibody has the following characteristics: (i) the anti-FRα antibody binds to folate receptor alpha (FRα) as determined by an Elisa assay (described in the Examples) with an EC50 of less than 5 nM, e.g., about 0.5 nM; (ii) anti-FRα has a K of 100 nM or less as measured by surface plasmon resonance, such as a Biacore® assay. D and preferably a K of 50 nM or less. D binds to the folate receptor α (FR) (iii) anti-FRα is an internalizing antibody, and is specifically internalized in FRα-expressing tumor cells; (iv) anti-FRα allows for the conjugation of 4-8 payloads per antibody without particular stability issues or aggregation, with drug-antibody ratios determined, for example, by RPLC-MS as described in the Examples; (v) an ADC comprising such a variant anti-FRα antibody provides similar or less in vitro efficacy in an FRα-negative cell line (such as the BT-474 breast cancer cell line) than a corresponding control ADC comprising mAb1 as the anti-FRα antibody, e.g., using the in vitro efficacy assay in an FRα-negative cell line used in the Examples; and / or (vi) ADCs having such variant anti-FRα antibodies provide similar or greater in vivo efficacy in tumor-bearing mouse xenograft models than a corresponding control ADC having mAb1 as the anti-FRa antibody, e.g., using one of the xenograft models used in the Examples.

[0142] In certain embodiments, the Ab is an anti-FRα antibody comprising six CDRs that are 100% identical to the corresponding CDRs of mirvetuximab and framework amino acid regions that are at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% identical to the corresponding framework amino acid regions of mirvetuximab, and the anti-FRα antibody has the following characteristics: (i) Anti-FRα binds to folate receptor alpha (FRα) as determined by an Elisa assay (described in the Examples) with an EC50 of less than 5 nM, e.g., about 0.5 nM; (ii) anti-FRα has a K of 100 nM or less as measured by surface plasmon resonance, such as a Biacore® assay. D and preferably a K of 50 nM or less. D binds to the folate receptor α (FR) (iii) anti-FRα is an internalizing antibody, and is specifically internalized in FRα-expressing tumor cells; (iv) anti-FRα allows for the conjugation of 4-8 payloads per antibody without particular stability issues or aggregation, with drug-antibody ratios determined, for example, by RPLC-MS as described in the Examples; (v) an ADC comprising such a variant anti-FRα antibody provides similar or less in vitro efficacy in an FRα-negative cell line (such as the BT-474 breast cancer cell line) than a corresponding control ADC comprising mAb1 as the anti-FRα antibody, e.g., using the in vitro efficacy assay in an FRα-negative cell line used in the Examples; and / or (vi) ADCs having such variant anti-FRα antibodies provide similar or greater in vivo efficacy in tumor-bearing mouse xenograft models than a corresponding control ADC having mAb1 as the anti-FRα antibody, e.g., using one of the xenograft models used in the Examples.

[0143] Framework or Fc manipulation For use in the ADCs of the present disclosure, Abs may also include engineered versions of the antibodies disclosed in the previous section, including those in which modifications have been made to framework residues within VH and / or VL to improve the properties of the antibody. Typically, such framework modifications are made to reduce the immunogenicity of the antibody. For example, one approach is to "backmutate" one or more framework residues to the corresponding germline sequence. More specifically, an antibody that has undergone somatic mutation may contain framework residues that differ from the germline sequence from which the antibody is derived. Such residues can be identified by comparing the antibody framework sequence to the germline sequence from which the antibody is derived. To return the framework region sequences to their germline configuration, the somatic mutations can be "backmutated" to the germline sequence, for example, by site-directed mutagenesis or PCR-mediated mutagenesis. Such "backmutated" antibodies are also intended to be encompassed by the present invention.

[0144] Another type of framework modification involves mutating one or more residues within the framework regions, or even within one or more CDR regions, to remove T-cell epitopes and thereby reduce the potential immunogenicity of the antibody.

[0145] In addition to, or as an alternative to, modifications made in the framework or CDR regions, antibodies can be engineered to contain modifications in the Fc region, typically to alter one or more functional properties of the antibody, such as serum half-life, complement fixation, Fc receptor binding, and / or antigen-dependent cellular cytotoxicity.

[0146] Additionally, an Ab is an antibody that may be chemically modified (e.g., one or more chemical moieties may be attached to the antibody) or modified to alter its glycosylation, again altering one or more functional properties of the antibody. Each of these embodiments is described in further detail below.

[0147] As used herein, the terms "isotype constant region" or "Fc region" are used interchangeably to define the C-terminal region of an immunoglobulin heavy chain, including native sequence Fc regions and variant Fc regions. The human IgG heavy chain Fc region is generally defined as comprising the amino acid residues from position C226 or P230 to the carboxyl terminus of an IgG antibody. The numbering of residues in the Fc region is that of the EU index of Kabat. The C-terminal lysine (residue K447) of the Fc region may be removed, for example, during production or purification of the antibody. Thus, the composition of antibodies of the present disclosure may include antibody populations with all K447 residues removed, antibody populations in which the K447 residue has not been removed, and antibody populations with a mixture of antibodies with and without the K447 residue.

[0148] In one particular embodiment, the hinge region of CH1 is modified to change, e.g., increase or decrease, the number of cysteine ​​residues in the hinge region. This approach is further described in U.S. Patent No. 5,677,425 by Bodmer et al. The number of cysteine ​​residues in the hinge region of CH1 is altered, for example, to facilitate assembly of the light and heavy chains or to increase or decrease the stability of the antibody.

[0149] In other embodiments, the Fc region is modified to reduce the ability of the antibody to mediate antibody-dependent cellular cytotoxicity (ADCC) and / or to reduce the affinity of the antibody for Fcγ receptors by modifying one or more amino acids. Such antibodies with reduced effector function, particularly reduced ADCC, include silenced antibodies.

[0150] In certain embodiments, an Fc domain of IgG1 isotype is used. In some specific embodiments, mutant variants of IgG1 Fc fragments are used, such as silent IgG1 Fc that reduces or eliminates the ability of ADC to mediate antibody-dependent cellular cytotoxicity (ADCC) and / or bind to Fcγ receptors. A preferred example of an IgG1 isotype silent mutant is an IgG1 in which leucine is replaced by alanine at amino acid positions 234 and 235, as described in J.Virol 2001 Dec;75(24):12161-8 (by Hezareh et al). Another example is an IgG1 isotype silent mutant with a LALA-PG triple mutation, in which in addition to the LALA mutation, proline at position 329 is replaced by glycine.

[0151] In certain embodiments, the Fc domain is a silent Fc mutant that prevents glycosylation at position 297 of the Fc domain. For example, the Fc domain comprises an amino acid substitution of asparagine at position 297. Examples of such amino acid substitutions are substitutions of N297 with glycine or alanine.

[0152] In yet another embodiment, the glycosylation of the antibody is modified. For example, an aglycosylated antibody can be made (i.e., the antibody lacks glycosylation). The glycosylation can be altered, for example, to increase the affinity of the antibody for the antigen. Such carbohydrate modification can be achieved, for example, by altering one or more sites of glycosylation within the antibody sequence. For example, one or more amino acid substitutions can be made that result in the elimination of one or more variable region framework glycosylation sites, thereby eliminating glycosylation at that site. Such aglycosylation can increase the affinity of the antibody for the antigen. Such an approach is described in further detail in U.S. Patent Nos. 5,714,350 and 6,350,861 by Co et al.

[0153] Another modification of the antibodies herein contemplated by the present disclosure is pegylation or hexylation or related techniques. Antibodies may be pegylated, for example, to extend the biological (e.g., serum) half-life of the antibody. To pegylate an antibody, the antibody or a fragment thereof is typically reacted with polyethylene glycol (PEG), such as a reactive ester or aldehyde derivative of PEG, under conditions such that one or more PEG groups become attached to the antibody or antibody fragment. Pegylation can be carried out by an acylation reaction or an alkylation reaction with a reactive PEG molecule (or an analogous reactive water-soluble polymer). As used herein, the term "polyethylene glycol" refers to a mono(1-C)-Cytidine derivative of a polyethylene glycol (PEG) or a PEG ... 10 PEG is intended to encompass any form of PEG that has been used to derivatize other proteins, such as alkoxy- or aryloxy-polyethylene glycols or polyethylene glycol-maleimides. In certain embodiments, the antibody to be pegylated is an aglycosylated antibody. Methods for pegylating proteins are known in the art and can be applied to the antibodies of the present disclosure. See, for example, European Patent No. 0154316 by Nishimura et al. and European Patent No. 0401384 by Ishikawa et al.

[0154] Another modification of the antibodies contemplated by this disclosure is a conjugate or protein fusion of at least the antigen-binding region of an antibody of this disclosure with a serum protein, such as human serum albumin or a fragment thereof, to increase the half-life of the resulting molecule. Such an approach is described, for example, in Ballance et al., European Patent No. 0322094.

[0155] Generation of Antibodies for Use in Making the ADCs of the Disclosure The antibodies of the present disclosure can be obtained using conventional techniques known to those skilled in the art. For further information regarding the generation of nucleic acids encoding the antibodies of the present disclosure as well as transfectomas producing these antibodies, those skilled in the art can also refer to International Application No. WO2005080431.

[0156] For example, to express an antibody or antibody fragment thereof, DNA encoding partial or full-length light and heavy chains can be obtained by standard molecular biology or biochemistry techniques (e.g., DNA chemical synthesis using a hybridoma expressing the antibody of interest, PCR amplification or cDNA cloning) and the DNA can be inserted into an expression vector such that the genes are operably linked to transcriptional and translational control sequences. In this context, the term "operably linked" is intended to mean that the antibody gene is ligated into a vector such that the transcriptional and translational control sequences in the vector perform their intended function of regulating the transcription and translation of the antibody gene. The expression vector and expression control sequences are selected to be compatible with the expression host cell used. The antibody light chain gene and the antibody heavy chain gene can be inserted into separate vectors or, more typically, both genes are inserted into the same expression vector. The antibody gene is inserted into the expression vector by standard methods (e.g., ligation of complementary restriction sites on the antibody gene fragment and vector, or blunt end ligation if no restriction sites are present). The light and heavy chain variable regions of the antibodies described herein can be used to generate full-length antibody genes of any antibody isotype by inserting them into an expression vector already encoding the heavy and light chain constant regions of the desired isotype, such that the VH segment is operably linked to a CH segment in the vector and the VL segment is operably linked to a CL segment in the vector. Additionally or alternatively, the recombinant expression vector can encode a signal peptide that facilitates secretion of the antibody chain from a host cell. The antibody chain gene can be cloned into the vector such that the signal peptide is attached in-frame to the amino terminus of the antibody chain gene. The signal peptide can be an immunoglobulin signal peptide or a heterologous signal peptide (i.e., a signal peptide from a non-immunoglobulin protein).

[0157] In addition to the antibody chain genes, the recombinant expression vectors disclosed herein carry regulatory sequences that control the expression of the antibody chain genes in a host cell. The term "regulatory sequence" is intended to include promoters, enhancers and other expression control elements (e.g., polyadenylation signals) that control the transcription or translation of the antibody chain genes. Those of skill in the art will appreciate that the design of the expression vector, including the selection of regulatory sequences, can depend on factors such as the choice of the host cell to be transformed, the level of expression of protein desired, and the like. Regulatory sequences for mammalian host cell expression include viral elements that direct high levels of protein expression in mammalian cells, such as promoters and / or enhancers from cytomegalovirus (CMV), simian virus 40 (SV40), adenovirus (e.g., adenovirus major late promoter (AdMLP)), and polyoma. Alternatively, non-viral regulatory sequences may be used, such as the ubiquitin promoter or P-globin promoter. In addition, regulatory elements were composed of sequences from different sources, such as the SRa promoter system, which contains sequences from the SV40 early promoter and the human T-cell leukemia virus type 1 long terminal repeat.

[0158] In addition to the antibody chain genes and regulatory sequences, the recombinant expression vectors of the disclosure may carry additional sequences, such as sequences that regulate replication of the vector in a host cell (e.g., origins of replication) and selectable marker genes. The selectable marker gene facilitates selection of host cells into which the vector has been introduced (see, e.g., U.S. Pat. Nos. 4,399,216, 4,634,665 and 5,179,017, all by Axel et al.). For example, typically the selectable marker gene confers resistance to drugs, such as G418, hygromycin or methotrexate, on a host cell into which the vector has been introduced. Selectable marker genes include the dihydrofolate reductase (DHFR) gene (for use in dhfr host cells with methotrexate selection / amplification) and the neo gene (for G418 selection).

[0159] For expression of the light and heavy chains, the expression vector(s) encoding the heavy and light chains are transfected into a host cell by standard techniques. The various forms of the term "transfection" are intended to encompass a wide variety of techniques commonly used for the introduction of exogenous DNA into prokaryotic or eukaryotic host cells, such as electroporation, calcium phosphate precipitation, DEAE-dextran transfection, etc. It is theoretically possible to express the antibodies of the present disclosure in either prokaryotic or eukaryotic host cells. Expression of antibodies in eukaryotic cells, such as mammalian host cells, yeast or filamentous fungi, is discussed because such eukaryotic cells, particularly mammalian cells, are more likely than prokaryotic cells to assemble and secrete properly folded, immunologically active antibodies.

[0160] Nucleotide sequences encoding preferred antibody heavy and light chains for use in making the ADCs of the disclosure are set forth in Tables 3 and 4 (see in particular SEQ ID NOs: 13-15).

[0161] Mammalian host cells for expressing recombinant antibodies of the disclosure include dhfr-CHO cells (described in Urlaub and Chasin, 1980), used with a DHFR selectable marker (described in Kaufman and Sharp, 1982), Chinese Hamster Ovary (CHO cells), including the CHOK1 dhfr+ cell line, NSO myeloma cells, COS cells, and SP2 cells. When a recombinant expression vector encoding an antibody gene is introduced into a mammalian host cell, the antibody is produced by culturing the host cell for a period of time sufficient for expression of the antibody in the host cell and, optionally, secretion of the antibody into the culture medium in which the host cell is grown. The antibodies can be recovered and purified from the culture medium following their secretion, for example, using standard protein purification methods.

[0162] Linker L As used herein, "linker" or "linker moiety" refers to any chemical moiety capable of covalently attaching a compound, such as a drug moiety, to another moiety, such as an antibody moiety.

[0163] The ADCs of the disclosure comprise a cleavable linker moiety L attached to an Ab on one side and to a drug D on the other side, the anti-FRα antibody being disclosed in the previous section.

[0164] In certain embodiments, the linker L is covalently attached to one or more thiol residues of the antibody Ab, such as natural or artificial cysteine ​​residues in the antibody sequence.

[0165] As used herein, the term "cleavable" refers to a linker that can be cleaved under certain environmental conditions (such as redox potential or pH) or in response to the intracellular environment, e.g., under certain lysosomal enzymes following internalization of the ADC within the cell.

[0166] In certain embodiments, L is a cleavable linker moiety of the formula -AW-, where A is an optional stretcher unit linked to Ab and W is a cleavable moiety linked to D.

[0167] In certain embodiments, the optional stretcher unit A is selected from the group consisting of one or more amino acids, one or more N-substituted amino acids, optionally substituted polyethers, C1-C 12 Alkylene, arylene having 6 to 10 ring atoms, C3 to C8 cycloalkylene, heterocycloalkylene having 5 to 10 ring atoms, heteroarylene having 5 to 10 ring atoms, C2 to C 10 alkenylene, and any combination thereof; the alkylene and alkenylene are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; The alkylene, arylene, cycloalkylene, heterocycloalkylene, heteroarylene, and alkenylene are optionally substituted with one or more substituents selected from halogen, oxo, -OH, -NO2, -CN, C1-C6 alkyl, C3-C6 cycloalkyl, heterocyclyl having 5-10 ring atoms, aryl having 6-10 ring atoms, heteroaryl having 5-10 ring atoms, C1-C6 alkoxy, C1-C6 haloalkyl, C1-C6 haloalkoxy, -(CO)-R', -O-(CO)-R', -(CO)-O-R', -(CO)-NR''R''', -NR''-(CO)-R', and -NR''R''''; R', R'' and R''' are independently selected from H and C1-C6 alkyl;

[0168] Examples of cleavable linkers that can be used in the ADCs of the disclosure include acid-sensitive or acid-labile linkers, such as an acid-labile hydrazone linker, a lysosomal protease-sensitive linker, a b-glucuronide linker, or a glutathione-sensitive disulfide linker.

[0169] In certain embodiments where L is a lysosomal protease-sensitive linker, W comprises a cleavable peptide moiety that may be selected from the group consisting of valine-citrulline (Val-Cit), alanine-alanine-asparagine (Ala-Ala-Asn), valine-alanine (Val-Ala) and phenylalanine-lysine (Phe-Lys). Preferably, W comprises a valine-alanine peptide moiety.

[0170] In other particular embodiments, where L is a protease-sensitive linker, W comprises a sugar cleavable unit, preferably selected from a β-glucuronide or a β-galactoside moiety.

[0171] In other particular embodiments, where L is a glutathione-sensitive linker, W comprises a disulfide moiety.

[0172] In a preferred embodiment, L is a cleavable linker moiety of formula -AW-, where W is of formula (III):

[0173] [ka] During the ceremony, each R2 is independently selected from the group consisting of an electron withdrawing group and a C1-C4 alkyl; n is 0, 1 or 2; T is a sugar cleavable unit or a polypeptide cleavable unit; when T is a sugar cleavable unit, Y is O; or when T is a polypeptide cleavable unit, Y is NR; R3 is H, C1~C 24 alkyl, C2-C6 alkenyl; optionally substituted polyether, aryl having 6-10 ring atoms, C3-C8 cycloalkyl, heterocycloalkyl having 3-10 ring atoms, heteroaryl having 5-10 ring atoms, and any combination thereof; the alkyl and alkenyl are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; R″ and R′″ are independently selected from H and C1-C6 alkyl, and pharma- ceutically acceptable salts thereof.

[0174] In certain embodiments, T is a sugar cleavable unit that is a glucuronide or a galactoside.

[0175] In another particular embodiment, T is a dipeptide, preferably selected from Val-Cit, Val-Ala and Phe-Lys.

[0176] In a more particular embodiment, L corresponds to the linker -AW- of formula (IV):

[0177] [ka] During the ceremony, X1 is the connector unit, Z is an optional spacer, X2 is a connector unit, K is an optional hydrophobic masking entity, preferably selected from polysarcosine and polyethylene glycol; R1 is H, C1~C 24 alkyl, C2-C6 alkenyl; optionally substituted polyether, aryl having 6-10 ring atoms, C3-C8 cycloalkyl, heterocycloalkyl having 3-10 ring atoms, heteroaryl having 5-10 ring atoms, and any combination thereof; the alkyl and alkenyl are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; R4 is selected from the group consisting of H, C1-C6 alkyl and C2-C6 alkenyl, the alkyl and alkenyl being optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)- and -NR''-; R5 is selected from the group consisting of H, C1-C6 alkyl, and C2-C6 alkenyl, wherein the alkyl and alkenyl are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, and -NR''-.

[0178] In a preferred embodiment of the linker of formula (IV), X1 and X2 are selected from one or more amino acids, one or more N-substituted amino acids, optionally substituted polyethers, C1-C12 Alkylene, arylene having 6 to 10 ring atoms, C3 to C8 cycloalkylene, heterocycloalkylene having 5 to 10 ring atoms, heteroarylene having 5 to 10 ring atoms, C2 to C 10 alkenylene, and any combination thereof; the alkylene and alkenylene are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; The alkylene, arylene, cycloalkylene, heterocycloalkylene, heteroarylene, and alkenylene are optionally substituted with one or more substituents selected from halogen, oxo, -OH, -NO2, -CN, C1-C6 alkyl, C3-C6 cycloalkyl, heterocyclyl having 5-10 ring atoms, aryl having 6-10 ring atoms, heteroaryl having 5-10 ring atoms, C1-C6 alkoxy, C1-C6 haloalkyl, C1-C6 haloalkoxy, -(CO)-R', -O-(CO)-R', -(CO)-O-R', -(CO)-NR''R''', -NR''-(CO)-R', and -NR''R''''; R', R'' and R''' are independently selected from H and C1-C6 alkyl.

[0179] In another preferred embodiment of the linker of formula (IV), Z is one or more amino acids, one or more N-substituted amino acids, optionally substituted polyethers, C1-C 12 Alkylene, arylene having 6 to 10 ring atoms, C3 to C8 cycloalkylene, heterocycloalkylene having 5 to 10 ring atoms, heteroarylene having 5 to 10 ring atoms, C2 to C 10 alkenylene, and any combination thereof; the alkylene and alkenylene are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; The alkylene, arylene, cycloalkylene, heterocycloalkylene, heteroarylene, and alkenylene are optionally substituted with one or more substituents selected from halogen, oxo, -OH, -NO2, -CN, C1-C6 alkyl, C3-C6 cycloalkyl, heterocyclyl having 5-10 ring atoms, aryl having 6-10 ring atoms, heteroaryl having 5-10 ring atoms, C1-C6 alkoxy, C1-C6 haloalkyl, C1-C6 haloalkoxy, -(CO)-R', -O-(CO)-R', -(CO)-O-R', -(CO)-NR''R''', -NR''-(CO)-R', and -NR''R''''; R', R'' and R''' are independently selected from H and C1-C6 alkyl.

[0180] In another embodiment of the linker L of formula (IV) or (V), K is preferably a polysarcosine of formula (V): [ka] In the formula, k is an integer of 2 to 50, preferably 4 to 30. R6 corresponds to OH or NH2.

[0181] In another embodiment of the linker L of formula (IV) or (V), K is a polyethylene glycol moiety (PEG), preferably containing between 2 and 50 ethylene glycol moieties.

[0182] In a preferred embodiment, L corresponds to a linker of formula (VI). [ka]

[0183] Preferably, the linker L is covalently attached to one or more thiol residues of the antibody Ab, for example to the eight thiol residues of the antibody Ab.

[0184] payload In one embodiment, D of the present disclosure is a payload linked to X at the carbonyl functional group of X. In one embodiment, the link between X and D occurs between the carbonyl functional group of X and the amino group of D.

[0185] The payload D is a key component of ADC design. The payload can be a therapeutic agent or drug. The term "drug" refers in particular to an agent capable of modulating a biological process and / or having biological activity.

[0186] In certain embodiments, payload D is a cytotoxic drug that is activated after release from the internalized ADC inside the cytoplasm of tumor cells. It should ideally be able to destroy tumor cells (when linked to an antibody) without affecting non-tumor cells. The payload should also ideally have high stability in the systemic circulation and lysosomes. It should preferably have sub-nanomolar IC50 values ​​in vitro for cancer cell lines and sufficient solubility in aqueous environments.

[0187] In certain embodiments, the cytotoxic agent is selected from DNA damaging agents such as auristatins (including monomethylauristatin E (MMAE), monomethylauristatin F (MMAF)), maytansinoids (e.g., maytansine), calicheamicins, duocarmycins, and anthracyclines (e.g., daunorubicin, doxorubicin, dihydroxyanthracinediones), or inhibitors of topoisomerase I, such as camptothecin or analogs thereof.

[0188] In certain embodiments, D is selected from the group consisting of taxon, cytochalasin B, auristatins (including monomethylauristatin E), gramicidin D, ethidium bromide, emetine, mitomycin, etoposide, tenoposide, vincristine, vinblastine, colchicine, doxorubicin, daunorubicin, dihydroxyanthracin dione, mitoxantrone, mithramycin, actinomycin D, 1-dehydrotestosterone, glucocorticoids, procaine, tetracaine, lidocaine, propranolol, and puromycin, and analogs or homologs thereof.

[0189] In certain embodiments, D is selected from the group consisting of antimetabolites (e.g., methotrexate, 6-mercaptopurine, 6-thioguanine, cytarabine, 5-fluorouracil decarbazine), ablatives (e.g., mechlorethamine, thioepacloraxumbucil, myphalan, carmustine (BSNU) and lomustine (CCNU), cyclosporinamide, busulfan, dibromomannitol, streptozotocin, mitomycin C and cis-dichlorodiamineplatinum(II) (DDP) cisplatin), anthracyclines (e.g., daunorubicin (formerly daunomycin) and doxorubicin)), antibiotics (e.g., dactinomycin (formerly actinomycin), bleomycin, mithramycin and anthramycin (AMC)), and antimitotics (e.g., vincristine and vinblastine).

[0190] Preferably, D is an inhibitor of topoisomerase I, such as a camptothecin analogue, an indocarbazole analogue, a phenanthridine analogue, a fluoroquinolone analogue, a quinoxaline, an evodiamine, an acridine, a naphthyridine, a deoxynivomicin analogue, an angustine analogue, a stilbene azole analogue, a pyrroloquinazolinoquinoline alkaloid or an indenoisoquinoline analogue (for a review, see Selas et al., A patent review of topoisomerase I inhibitors (2016-present), 2021, Expert Opinion on Therapeutic Patents, 31(6), 473-508), preferably selected from the group consisting of camptothecin and its analogues, including but not limited to irinotecan, topotecan, camptothecin, SN-38, exatecan, DXd, ciratecan, cositecan, rutotecan, gimatecan, belotecan, rubitecan (for review see Sriram et al., Camptothecin and its analogues: a review on their chemotherapeutic potential, 2005, Natural Product Research, 14(9), 393-412).

[0191] In a preferred embodiment, D is the drug moiety of exatecan of formula (II):

[0192] [ka]

[0193] The ADCs disclosed herein In one embodiment, the disclosure provides an ADC in which an anti-FRα antibody is linked to a drug, particularly exatecan, and the linker L is as defined above.

[0194] Preferably, such an ADC is capable of selectively delivering an effective dose of a drug, such as an inhibitor of topoisomerase I, preferably exatecan, to tumor cells expressing FRα.

[0195] In one embodiment, the disclosure provides an ADC of formula (I): Ab-[LD]p (I), During the ceremony, -Ab is an anti-folate receptor alpha (FRα) antibody that specifically binds to SEQ ID NO: 12, -L is a cleavable linker moiety attached to the antibody via a thiol residue, -D is a cytotoxic drug moiety attached to L, e.g., an inhibitor of topoisomerase I; -p is 1 to 8, preferably 6 to 8, and more preferably 8.

[0196] Ab, L and D are defined in the previous section.

[0197] The term "p", also referred to as drug-to-antibody ratio or "DAR", corresponds to the number of drug moieties per antibody moiety in an ADC of formula (I), or the number of -LD moieties per antibody Ab.

[0198] It is understood that while the drug-antibody ratio will in principle have a precise value for a single ADC, the value is often an average value when used to describe a composition containing many ADCs, typically due to some degree of heterogeneity associated with the conjugation process. The average loading of a sample of ADCs is also referred to herein as the drug-antibody ratio or "DAR". In some embodiments, the DAR(p) is about 1 to about 8 (i.e., 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, and 8), preferably about 4 to about 8, more preferably about 6 to about 8, and even more preferably about 8.

[0199] Thus, in a composition comprising multiple copies of an ADC of formula (I), "p" refers to the average number of -LD moieties per antibody Ab. For an average p number approaching 8, the ADC is considered to be "DAR8."

[0200] Methods for measuring the drug-antibody ratio are disclosed in the Examples or described, for example, in Conilh et al (Pharmaceuticals 2021, 14(3), 247).

[0201] Drug loading of an antibody via a linker L may be limited by the number of attachment sites on the antibody moiety. In some embodiments, the linker moiety (L) of the ADC is attached to the antibody moiety through a chemically active group on one or more amino acid residues on the antibody moiety. For example, the linker may be attached to the antibody moiety through a free amino acid, imino, hydroxyl, thiol or carboxyl group (e.g., at the N-terminus or C-terminus, the ε-amino group of one or more lysine residues, the free carboxyl group of one or more glutamic acid or aspartic acid residues, or the sulfhydryl group of one or more cysteine ​​residues). The site at which the linker is attached may be a native residue in the amino acid sequence of the antibody moiety or may be introduced into the antibody moiety by, for example, recombinant DNA techniques (e.g., by introducing a cysteine ​​or a non-natural amino acid residue into the amino acid sequence) or protein biochemistry (e.g., by reduction, pH adjustment, or hydrolysis).

[0202] When the binding site is an interchain cysteine ​​thiol group, the antibody can have only one or a few cysteine ​​thiol groups to which the linker can be attached. In fact, most reactive cysteine ​​thiols are generally present as interchain disulfide bridges. Over-binding of linker-toxin to antibody can destabilize the antibody by reducing the cysteine ​​residues available for forming interchain disulfide bridges. Therefore, the optimal drug-antibody ratio should increase the potency of the ADC (by increasing the number of drug moieties bound per antibody) without destabilizing the antibody moiety and without compromising the pharmacokinetic properties.

[0203] In certain embodiments, -LD is attached to an interchain reactive thiol residue of an antibody. A typical antibody with full-length heavy and light chains contains eight available interchain reactive thiol residues. Thus, in certain embodiments, the ADC is a DAR8 ADC in which eight -LD moieties are covalently attached to eight interchain reactive thiol residues of an antibody Ab, and most preferably, -L- corresponds to formula (VI).

[0204] In certain embodiments, the ADC of the disclosure corresponds to formula (VII):

[0205] [ka] In the formula, Ab is anti-FRα as defined in the previous section, and p is 4-8, preferably 6-8.

[0206] In a more preferred embodiment, the ADC of the disclosure corresponds to formula (VII):

[0207] [ka] where Ab is anti-FRα as defined in the previous section.

[0208] In certain embodiments, the ADCs of the disclosure correspond to formula (I): (i) Ab is a variable heavy chain polypeptide comprising an HCDR1 of SEQ ID NO: 1, an HCDR2 of SEQ ID NO: 2 and an HCDR3 of SEQ ID NO: 3, a variable light chain polypeptide comprising an LCDR1 of SEQ ID NO: 4, an LCDR2 of SEQ ID NO: 5 and an LCDR3 of SEQ ID NO: 6; an anti-folate receptor alpha antibody or an antigen-binding fragment thereof comprising: (ii) L is a cleavable linker of formula -AW-, where A is an optional stretcher unit linked to Ab and W is a cleavable moiety linked to D; (iii) D is an inhibitor of topoisomerase I, e.g., exatecan, and (iv) p is 1 to 8, preferably 8.

[0209] In certain embodiments, the ADCs of the disclosure correspond to formula (I): (i) Ab is an antibody comprising a heavy chain of SEQ ID NO: 9 and a light chain of SEQ ID NO: 10; (ii) L is a cleavable linker of formula -AW-, where A is an optional stretcher unit linked to Ab and W is a cleavable moiety linked to D; (iii) D is an inhibitor of topoisomerase I, e.g., exatecan, and (iv) p is 1 to 8, preferably 6 to 8, for example, about 8.

[0210] In certain embodiments, an ADC of the disclosure is of formula (I), wherein: (i) Ab is an antibody comprising a heavy chain of SEQ ID NO: 11 and a light chain of SEQ ID NO: 10; (ii) L is a cleavable linker of formula -AW-, where A is an optional stretcher unit linked to Ab and W is a cleavable moiety linked to D; (iii) D is an inhibitor of topoisomerase I, e.g., exatecan, and (iv) p is 1 to 8, preferably 6 to 8, for example, about 8.

[0211] In a preferred embodiment, the ADC of the disclosure is of formula (VII), where Ab is an antibody comprising a heavy chain of SEQ ID NO:9 and a light chain of SEQ ID NO:10.

[0212] In another specific embodiment, the ADC of the disclosure is an ADC of formula (VII), in which Ab is an antibody comprising a heavy chain of SEQ ID NO:11 and a light chain of SEQ ID NO:10.

[0213] Pharmaceutical Compositions and Formulations In another aspect, the disclosure provides compositions, e.g., pharmaceutical compositions, containing one or a combination of the ADCs disclosed herein (e.g., mAb1 linked to a linker L of Formula (VI), itself linked to a drug, such as exatecan), formulated with a pharma- ceutically acceptable carrier.

[0214] As used herein, "pharmaceutical acceptable carriers" include any and all physiologically compatible solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents, etc. The pharmaceutical formulations of the present disclosure may further comprise one or more pharmaceutical acceptable excipients selected from stabilizers, surfactants, buffers, antimicrobial preservatives, protectants, antioxidants, chelating agents, bulking agents.

[0215] As used herein, a "solvent" is any pharma- ceutically acceptable (i.e., safe and non-toxic for administration to humans or another mammal) and useful ingredient for the preparation of a liquid formulation, such as an aqueous formulation. Exemplary solvents include water, such as sterile water for injection (WFI) or bacteriostatic water for injection (BWFI), pH buffers (e.g., phosphate buffered saline), sterile saline, Ringer's solution or dextrose solution, and combinations thereof. Preferably, the solvent is sterile water or bacteriostatic water for injection (BWFI) for disclosure.

[0216] As used herein, a stabilizer is a compound that increases protein stability, particularly against unfolding and aggregation. Preferably, the stabilizer is recognized by an authority as a suitable additive or excipient in a pharmaceutical formulation.

[0217] The stabilizer may be a sugar. As used herein, "sugar" refers to a general group of sugars including monosaccharides, disaccharides, trisaccharides, polysaccharides, sugar alcohols, reducing sugars, non-reducing sugars, etc. (CHO) nExamples of sugars in this specification include glucose, sucrose, trehalose, lactose, fructose, maltose, dextran, glycerin, dextran, erythritol, glycerol, arabitol, syritol, sorbitol, mannitol, melibiose, melezitose, raffinose, mannotriose, stachyose, maltose, lactulose, maltulose, glucitol, maltitol, lactitol, isomaltulose, and the like.

[0218] The concentration of the stabilizer in the pharmaceutical formulation of the present disclosure is comprised between 1 and 500 mM.

[0219] As used herein, "surfactant" refers to a surface-active agent. Surfactants are generally added to protein formulations to reduce the exposure of hydrophobic regions, thus reducing protein-protein interactions and interface-induced aggregation that are also prevented by competition for adsorption sites.

[0220] Examples of surfactants herein include polysorbates (e.g., polysorbate 20 and polysorbate 80); poloxamers (e.g., poloxamer 188); Triton; sodium dodecyl sulfate; sulfate, SDS); sodium lauryl sulfate; sodium octyl glycoside; lauryl-, myristyl-, linoleyl-, or stearyl-sulfobetaine; lauryl-, myristyl-, linoleyl-, or stearyl-sarcosine; linoleyl-, myristyl-, or cetyl-betaine; lauroamidopropyl-, cocamidopropyl-, linoleamidopropyl-, myristamidopropyl-, palmidopropyl-, or isostearamidopropyl-betaine (e.g., lauroamidopropyl); myristamidopropyl-, palmidopropyl-, or isostearamidopropyl-dimethylamine; sodium methyl cocoyl-, or disodium methyl oleyl taurate; polyethyl glycol, polypropyl glycol, and copolymers of ethylene and propylene glycol (e.g., Pluronics, PF68, etc.). Other examples of pharma-ceutically acceptable surfactants include polyoxyethylene-sorbitan fatty acid esters (Tween), polyethylene-polypropylene glycol, polyoxyethylene-stearates, polyoxyethylene alkyl ethers such as polyoxyethylene monolauryl ether, alkylphenyl polyoxyethylene ethers (Triton-X), polyoxyethylene-polyoxypropylene copolymers (poloxamers, Pluronics) and sodium dodecyl sulfate (SDS).The most suitable polyoxyethylene sorbitan fatty acid esters are polysorbate 20 (sold under the trademark Tween 20®) and polysorbate 80 (sold under the trademark Tween 80®).

[0221] The most suitable polyethylene-polypropylene copolymers are those sold under the names Pluronic® F68 or Poloxamer 188™. The most suitable polyoxyethylene alkyl ethers are those sold under the trademark Brij™. The most suitable alkylphenol-polyoxyethylene ethers are those sold under the trade name Triton-X.

[0222] The concentration of the surfactant in the pharmaceutical formulation of the present disclosure may be comprised between 0.01-0.1% (w / v).

[0223] As used herein, the term "buffer" refers to an agent that causes a solution containing it to withstand changes in pH due to the action of its acid / base conjugate components. Examples of buffers that control pH in this range include acetate, succinate, gluconate, histidine, citrate, glycylglycine and other organic acid buffers.

[0224] "Preservatives" are compounds that can be added to the formulations herein to reduce contamination and / or the action of bacteria, fungi, or other infectious agents. The addition of preservatives can, for example, facilitate the manufacture of multi-use (multiple dose) formulations. Examples of possible preservatives include octadecyldimethylbenzyl ammonium chloride, hexamethonium chloride, benzalkonium chloride (a mixture of alkylbenzyldimemyl ammonium chlorides in which the alkyl group is long chain), and benzethonium chloride. Other types of preservatives include aromatic alcohols such as phenol, butyl, and benzyl alcohol, alkyl parabens such as methyl or propyl paraben, catechol, resorcinol, cyclohexanol, 3-pentanol, and w-cresol.

[0225] A "protective agent" as generally used herein is a substance that, when combined with a protein, significantly reduces the chemical and / or physical instability of the protein during lyophilization and / or subsequent refrigerated storage. Exemplary protective agents include sugars and their corresponding sugar alcohols, such as sucrose, lactose, trehalose, dextran, erythritol, arabitol, xylitol, sorbitol and mannitol; amino acids, such as arginine or histidine; lyotropic salts, such as magnesium sulfate; polyols, such as propylene glycol, glycerol, poly(ethylene glycol) or poly(propylene glycol); and combinations thereof. Further examples of protective agents include gelatin, dextrin, modified starch and carboxymethylcellulose.

[0226] The protecting agent may be added to the pre-lyophilized formulation in a "lyoprotective amount," meaning that following lyophilization of the protein in the presence of the lyoprotective amount of the protecting agent, the protein essentially retains its physical and chemical stability and integrity.

[0227] "Antioxidants" as generally used herein are pharma- ceutically acceptable excipients commonly used to limit oxidation reactions and maintain protein stability and safety. Examples of antioxidants are ascorbic acid, sodium metabisulfite, histamine, methionine, ascorbic acid, glutathione, vitamin E, and polyethyleneimine.

[0228] The antioxidant concentration in the pharmaceutical formulation of the present disclosure may be comprised between 5 and 25 mM.

[0229] "Chelating agents" are pharma- ceutically acceptable excipients commonly used to maintain protein stability. Examples of chelating agents include edetate disodium, diethylenetriaminepentaacetic acid, citric acid, hexaphosphate, thioglycolic acid, and zinc.

[0230] A "bulking agent," as generally used herein, is a pharma- ceutically acceptable excipient that is commonly used to add mass to a lyophilized mixture and contribute to the physical structure of the lyophilized cake (e.g., to facilitate the production of an essentially uniform lyophilized cake that maintains an open pore structure). Exemplary bulking agents include mannitol, glycine, lactose, modified starch, polyethylene glycol), and sorbitol.

[0231] The form of the pharmaceutical composition, the route of administration, the dosage and the regimen will naturally depend on the condition to be treated, the severity of the disease, the age, weight and sex of the patient.

[0232] The pharmaceutical compositions of the present disclosure may be formulated for topical, oral, parenteral, intraperitoneal, intranasal, intravenous, intramuscular, subcutaneous or intraocular administration, etc., preferably intraperitoneal or intravenous.

[0233] Preferably, the pharmaceutical compositions contain pharma- ceutically acceptable vehicles for injectable preparations. These may be, in particular, isotonic sterile saline (monosodium or disodium phosphate, sodium, potassium, calcium or magnesium chloride, etc., or mixtures of such salts), or dry compositions, in particular lyophilized compositions, which, if appropriate, allow the constitution of an injectable solution upon addition of sterile water or saline.

[0234] The dose used for administration can be adapted as a function of various parameters, in particular as a function of the mode of administration used, the pathology involved or the duration of the treatment desired.

[0235] To prepare a pharmaceutical composition, an effective amount of the ADC can be dissolved or dispersed in a pharma- ceutically acceptable carrier or aqueous medium.

[0236] Pharmaceutical forms suitable for injectable use include sterile aqueous solutions or dispersions; formulations containing sesame oil, peanut oil or aqueous propylene glycol; and sterile powders or lyophilisates for the extemporaneous preparation of sterile injectable solutions or dispersions. In all cases, the form must be sterile and fluid to the extent that easy syringability exists. It must be stable under the conditions of manufacture and storage and must be preserved against the contaminating action of microorganisms such as bacteria and fungi.

[0237] Solutions of the active compounds as free bases or pharmacologically acceptable salts can be prepared in water suitably mixed with a surfactant, such as hydroxypropylcellulose. Dispersions can also be prepared in glycerol, liquid polyethylene glycols, and mixtures thereof and in oils. These preparations contain a preservative to prevent the growth of microorganisms under ordinary conditions of storage and use.

[0238] The ADCs of the present disclosure can be formulated into compositions in a neutral or salt form. Pharmaceutically acceptable salts include acid addition salts (formed with the free amino groups of the protein) and are formed with inorganic acids, such as hydrochloric or phosphoric acids, or organic acids such as acetic, oxalic, tartaric, mandelic, and the like. Salts formed with the free carboxyl groups can also be derived from inorganic bases, such as sodium, potassium, ammonium, calcium, or ferric hydroxides, and organic bases such as isopropylamine, trimethylamine, histidine, procaine, and the like.

[0239] Sterile injection solution is prepared by incorporating the required amount of active compound into suitable solvent together with various other ingredients as listed above as necessary, followed by filtration sterilization.Generally, dispersion is prepared by incorporating various sterilized active ingredients into a sterile vehicle that contains basic dispersion medium and other necessary ingredients from those listed above.In the case of sterile powder for preparing sterile injection solution, the preferred preparation method is vacuum drying and freeze-drying technology, which obtains powder of active ingredient + any additional desired ingredient from its previously sterile filtered solution.

[0240] The preparation of more or more concentrated solutions for direct injection is also contemplated, and the use of DMSO as a solvent is envisioned to result in extremely rapid penetration, delivering high concentrations of active agent to small tumor areas.

[0241] Upon formulation, solutions will be administered in a manner compatible with the dosage formulation and in such amount as is therapeutically effective. The formulations are easily administered in a variety of dosage forms, such as the types of injectable solutions described above, although drug release capsules and the like can also be used.

[0242] For parenteral administration in aqueous solution, for example, the solution should be appropriately buffered if necessary, and the liquid diluent should first be rendered isotonic with sufficient saline or glucose. These particular aqueous solutions are particularly suitable for intravenous, intramuscular, subcutaneous and intraperitoneal administration. In this regard, the sterile aqueous media that can be used will be known to those skilled in the art in light of this disclosure. For example, one dose can be dissolved in 1 ml of isotonic NaCl solution and added to 1000 ml of subcutaneous infusion fluid or injected at the proposed injection site (see, for example, "Remington's Pharmaceutical Sciences" 15th Edition, pages 1035-1038 and 1570-1580). Some variation in dosage will necessarily occur depending on the condition of the subject being treated. The person responsible for administration will, in any event, determine the appropriate dose for the individual subject.

[0243] The ADCs of the disclosure may be formulated in therapeutic mixtures to contain about 0.0001 to 1.0 milligrams, or about 0.001 to 0.1 milligrams, or about 0.1 to 1.0 milligrams, or even 1.0 to about 10 milligrams per dose. Multiple doses may also be administered.

[0244] Pharmaceutical formulations comprising the ADCs of the disclosure may be "ready-to-use" injectable formulations or lyophilized formulations.

[0245] In certain embodiments, a pharmaceutical formulation comprising an ADC of the disclosure may be supplied in a pre-filled syringe.

[0246] Uses and Methods of the ADCs of the Disclosure The ADCs of the disclosure have therapeutic utility, for example, these molecules can be administered to a subject, e.g., in vivo, to treat or prevent a variety of disorders.

[0247] Contemplated herein is the use of the ADCs of the disclosure as a medicament, particularly for use in the treatment of cancer in a subject in need thereof, particularly a cancer having tumor cells that express FRα, more particularly a cancer having a solid tumor, more particularly a cancer selected from the group consisting of ovarian cancer, breast cancer, lung cancer or mesothelioma.

[0248] The term "cancer" refers to or describes a physiological condition in mammals that is typically characterized by unregulated cell proliferation. Examples of cancer include, but are not limited to, carcinoma, lymphoma, blastoma (including medulloblastoma and retinoblastoma), sarcoma (including liposarcoma and synovial cell sarcoma), neuroendocrine tumors (including carcinoid tumor, gastrinoma and islet cell carcinoma), mesothelioma, Schwannoma (including acoustic neuroma), meningioma, adenocarcinoma, melanoma, and leukemia or lymphoid malignancies. More specific examples of such cancers include squamous cell carcinoma (e.g., epithelial squamous cell carcinoma), lung cancer, including small cell lung cancer, non-small cell lung cancer, lung cancer and squamous cell carcinoma of the lung, cancer of the peritoneum, hepatocellular carcinoma, gastric cancer, including gastrointestinal cancer, pancreatic cancer, glioblastoma, cervical cancer, ovarian cancer, liver cancer, bladder cancer, hepatic cancer, breast cancer, colon cancer, rectal cancer, colorectal cancer, endometrial or uterine cancer, salivary gland cancer, kidney or renal cancer, prostate cancer, vulvar cancer, thyroid cancer, liver cancer, anal cancer, penile cancer, testicular cancer, esophageal cancer, biliary tract tumors, and head and neck cancer.

[0249] The ADCs of the disclosure are particularly useful for treating a cancer selected from the group consisting of ovarian cancer, triple-negative breast cancer, and non-small cell lung cancer.

[0250] Accordingly, the present disclosure relates to a method of treating cancer, in particular one of the cancers listed above, more preferably a cancer selected from the group consisting of ovarian cancer, triple-negative breast cancer, and non-small cell lung cancer, comprising administering a therapeutically effective amount of an ADC of Formula (I) disclosed herein.

[0251] The ADCs for use as disclosed above may be administered as the sole active ingredient, in association with, e.g., as an adjuvant, or in combination with other drugs, such as antiviral, anti-inflammatory or cytotoxic, antiproliferative, chemotherapeutic or antitumor drugs, for the treatment or prevention of the above-mentioned diseases.

[0252] For example, an ADC for use as disclosed above may be used in combination with AZT, IFN-α, anti-CD20 mAb, anti-CD25 mAb, anti-PD1 mAb, anti-PDL-1 mAb, anti-CTLA4 mAb, chemotherapeutic agents.

[0253] Examples of such anti-PD1 or anti-PDL1 antibodies include, but are not limited to, nivolumab, pembrolizumab, avelumab, durvalumab, cemiplimab, or atezolizumab.

[0254] Suitable antitumor agents include, but are not limited to, alkylating agents (e.g., cyclophosphamide, mechlorethamine, chlorambucil, melphalan, nitrosourea, temozolomide), anthracyclines (e.g., daunorubicin, doxorubicin, epirubicin, idarubicin, mitoxantrone, valrubicin), taxanes (such as paclitaxel, docetaxel, etc.), epothilones, inhibitors of topoisomerase I (such as irinotecan or topotecan), inhibitors of topoisomerase II (such as etoposide, teniposide, or tafluposide), nucleotide analogs and precursor analogs (such as azacitidine, azathioprine, capecitabine, cytarabine, flurouracil, gemcitabine, hydroxyurea, mercaptopurine, methotrexate, or thioguanine, etc. ), peptide antibiotics (such as bleomycin, colistin, gramicidin), platinum-based antineoplastic agents (such as carboplatin, cisplatin and oxaliplatin), retinoids (such as tretinoin, alitretinoin, bexarotene), vinca alkaloids and derivatives (vinblastine, vincristine, vindesine, vinorelbine), anti-VEGF agents (bevacizumab, ranibizumab, sunitinib, sorafenib, pazopanib, targeted therapies such as kinase inhibitors (e.g., ibrutinib, idelalisib, erlotinib, gefitinib, imatinib, vemurafenib, vismodegib), proteasome inhibitors (e.g., bortezomib, carfilzomib), histone deacetylase inhibitors (such as vorinostat or romidepsin).

[0255] As noted above, in still further aspects, the disclosure provides methods comprising co-administration, e.g., simultaneous or sequential administration, of a therapeutically effective amount of an ADC of the disclosure and at least one second drug substance, which is an antiviral, anti-inflammatory or cytotoxic agent, an anti-proliferative, chemotherapeutic or other anti-tumor agent, e.g., as set forth above.

[0256] A kit consisting of the composition (e.g., including ADC) disclosed herein and instructions for use is also within the scope of this disclosure. The kit can further include at least one additional reagent, or one or more additional antibodies or proteins (e.g., an antibody with complementary activity that binds to an epitope on a target antigen different from the first antibody). The kit typically includes a label indicating the intended use of the contents of the kit. The term label includes any written or recorded material that is supplied on or with the kit, or that accompanies the kit. The kit can further include a tool for diagnosing whether a patient belongs to a group that will respond to ADC treatment, as defined above, especially those with FRα-expressing tumors.

[0257] Processes for Making the ADCs of the Disclosure The antibodies of the present disclosure can be conjugated to at least one drug through a linker, L, by any technique known in the art. Such techniques are described, for example, in Greg T. Hermanson, Bioconjugate Techniques, 3rd Edition, 2013, Academic Press (eBook ISBN: 9780123822406). For further information regarding methods for conjugating therapeutic agents to antibodies, see Lyon et al., "Chapter six-Conjugation of Anticancer Drugs Through Endogenous Monoclonal Antibody Cysteine ​​Residues", 2012, Methods in Enzymology, 502, 123-138 (doi:10.1016 / B978-0-12-416039-2.00006-9); Chapter 2-7 of "Antibody-Drug Conjugates: Fundamentals, Drug Development, and Clinical Outcomes to Target Cancer", 3 November 2016, eBook ISBN:9781119060727, doi:10.1002 / 9781119060727 and Panowksi S et al. 2014 Jan 1;6(1):34-45.

[0258] In one embodiment, the process for obtaining an ADC of formula (I) comprises the steps of: - culturing the host cell under conditions suitable for the expression of a nucleic acid encoding an antibody Ab as defined in the previous section, - isolating the antibody, - the synthesis of exatecan linked to a linker L of formula (VIII),

[0259] [ka] - conjugating said antibody to a compound of formula (VIII), thereby obtaining an ADC of formula (I).

[0260] The antibody can be obtained as described above. The antibody contains four accessible interchain disulfide bonds that can be used as potential conjugation sites. The four interchain disulfide bonds can be reduced, for example, by tris(2-carboxyethyl)phosphine (TCEP) or dithiothreitol (DTT), resulting in eight thiol groups available for conjugation.

[0261] The moiety-LD of formula (VIII) can be prepared according to procedures known in the art of organic synthesis (chemical reactions, extraction, evaporation, precipitation, chromatography, filtration, trituration, crystallization, etc.) and analytical procedures known to those skilled in the art of analytical chemistry. Details of such reactions and techniques can be found in many publications, including Richard Larock, Comprehensive Organic Transformations, A Guide to Functional Group Preparations, 2nd Ed (2010), and the multi-volume series edited (by Michael B. Smith et al.) Compendium of Organic Synthetic Methods (1974 et seq.). Starting materials and reagents may be obtained from commercial sources or prepared using literature methods.

[0262] The exatecan compound can be synthesized according to known procedures (see U.S. Pat. No. 5,834,476; WO 2019044946 or Sugimori et al., 1998, J. Med. Chem., 41(13), 2308-2318 doi:10.1021 / jm970765q). Exatecan can also be purchased from reputable sources (e.g., MedChemExpress catalog number HY-13631A or Carbosynth catalog number FE72401).

[0263] The final ADC of formula (I) is obtained after conjugation of the -LD moiety to natural or engineered cysteine ​​thiol residues of the antibody according to known procedures, see for example Lyon et al., "Chapter six-Conjugation of Anticancer Drugs Through Endogenous Monoclonal Antibody Cysteine ​​Residues", 2012, Methods in Enzymology, 502, 123-138 (doi:10.1016 / B978-0-12-416039-2.00006-9) or SJ Walsh et al., Site-selective modification strategies in antibody-drug conjugates, Chem. Soc. Rev., 2021, 50, 1305-1353, doi:10.1039 / D0CS00310G. Typically, the antibody component is reduced with a reducing agent such as tris(2-carboxyethyl)phosphine (TCEP) or dithiothreitol (DTT), the -LD component is added and covalently reacted with cysteine ​​thiol residues of the antibody, and the final ADC compound is purified and buffer exchanged.

[0264] The invention now being fully described, it will be further illustrated by the following embodiments and examples, which are merely illustrative and are not intended to be further limiting.

[0265] Specific Embodiments 1. An antibody-drug conjugate of formula (I): Ab-[LD]p (I), During the ceremony, -Ab is an anti-folate receptor alpha (FRα) antibody that specifically binds to SEQ ID NO: 12, -L is a cleavable linker moiety attached to the antibody, preferably via a thiol residue; -D is a cytotoxic drug moiety attached to L, -p is 1 to 8, preferably 6 to 8, more preferably p is 8; An antibody-drug conjugate of formula (I): 2. The antibody-drug conjugate of embodiment 1, wherein D is an inhibitor of topoisomerase I, preferably selected from the group consisting of camptothecin analogues, more preferably D is the drug moiety of exatecan of formula (II) below:

[0266] [ka] 3. The antibody-drug conjugate of any one of embodiments 1-2, wherein L is a cleavable linker moiety of the formula -AW-, where A is an optional stretcher unit linked to Ab and W is a cleavable moiety linked to D. 4. The antibody-drug conjugate of embodiment 3, wherein L is a lysosomal protease-sensitive linker and W comprises a cleavable peptide moiety selected from the group consisting of, for example, valine-citrulline (Val-Cit), alanine-alanine-asparagine (Ala-Ala-Asn), valine-alanine (Val-Ala) and phenylalanine-lysine (Phe-Lys). 5. The antibody-drug conjugate of embodiment 3, wherein L is a protease-sensitive cleavable linker and W comprises a sugar cleavable unit, preferably selected from a β-glucuronide or a β-galactoside moiety. 6. The antibody-drug conjugate of embodiment 3, wherein L is a glutathione-sensitive linker and W comprises a disulfide moiety. 7. W is of formula (III):

[0267] [ka] During the ceremony, each R2 is independently selected from the group consisting of an electron withdrawing group and a C1-C4 alkyl; n is 0, 1 or 2; T is a sugar cleavable unit or a polypeptide cleavable unit; when T is a sugar cleavable unit, Y is O; or when T is a polypeptide cleavable unit, Y is NR; R3 is H, C1~C 24 alkyl, C2-C6 alkenyl; optionally substituted polyether, aryl having 6-10 ring atoms, C3-C8 cycloalkyl, heterocycloalkyl having 3-10 ring atoms, heteroaryl having 5-10 ring atoms, and any combination thereof; the alkyl and alkenyl are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; R″ and R′″ are independently selected from H and C1-C6 alkyl, and pharma- ceutically acceptable salts thereof. 8. L corresponds to the linker -AW- of formula (IV),

[0268] [ka] During the ceremony, X1 is the connector unit, Z is an optional spacer, X2 is a connector unit, K is an optional hydrophobic masking entity, preferably selected from polysarcosine and polyethylene glycol; R1 is H, C1~C 24 alkyl, C2-C6 alkenyl; optionally substituted polyether, aryl having 6-10 ring atoms, C3-C8 cycloalkyl, heterocycloalkyl having 3-10 ring atoms, heteroaryl having 5-10 ring atoms, and any combination thereof; the alkyl and alkenyl are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; R4 is selected from the group consisting of H, C1-C6 alkyl and C2-C6 alkenyl, the alkyl and alkenyl being optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)- and -NR''-; and R5 is selected from the group consisting of H, C1-C6 alkyl and C2-C6 alkenyl, the alkyl and alkenyl being optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)- and -NR''-; An antibody-drug conjugate according to embodiment 7. 9. X1 and X2 are one or more amino acids, one or more N-substituted amino acids, optionally substituted polyethers, C1-C 12 Alkylene, arylene having 6 to 10 ring atoms, C3 to C8 cycloalkylene, heterocycloalkylene having 5 to 10 ring atoms, heteroarylene having 5 to 10 ring atoms, C2 to C 10 alkenylene, and any combination thereof; the alkylene and alkenylene are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; The alkylene, arylene, cycloalkylene, heterocycloalkylene, heteroarylene, and alkenylene are optionally substituted with one or more substituents selected from halogen, oxo, -OH, -NO2, -CN, C1-C6 alkyl, C3-C6 cycloalkyl, heterocyclyl having 5-10 ring atoms, aryl having 6-10 ring atoms, heteroaryl having 5-10 ring atoms, C1-C6 alkoxy, C1-C6 haloalkyl, C1-C6 haloalkoxy, -(CO)-R', -O-(CO)-R', -(CO)-O-R', -(CO)-NR''R''', -NR''-(CO)-R', and -NR''R''''; R', R'' and R''' are independently selected from H and C1-C6 alkyl; An antibody-drug conjugate according to embodiment 8. 10. Z is one or more amino acids, one or more N-substituted amino acids, an optionally substituted polyether, C1-C12 alkylene, an arylene having 6-10 ring atoms, C3-C8 cycloalkylene, a heterocycloalkylene having 5-10 ring atoms, a heteroarylene having 5-10 ring atoms, a C2-C 10 alkenylene, and any combination thereof; the alkylene and alkenylene are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -OC(O)NR''- and triazole; The alkylene, arylene, cycloalkylene, heterocycloalkylene, heteroarylene, and alkenylene are optionally substituted with one or more substituents selected from halogen, oxo, -OH, -NO2, -CN, C1-C6 alkyl, C3-C6 cycloalkyl, heterocyclyl having 5-10 ring atoms, aryl having 6-10 ring atoms, heteroaryl having 5-10 ring atoms, C1-C6 alkoxy, C1-C6 haloalkyl, C1-C6 haloalkoxy, -(CO)-R', -O-(CO)-R', -(CO)-O-R', -(CO)-NR''R''', -NR''-(CO)-R', and -NR''R''''; R', R'' and R''' are independently selected from H and C1-C6 alkyl; An antibody-drug conjugate according to any one of embodiments 8 to 9. 11. K is preferably a polysarcosine of formula (V):

[0269] [ka] In the formula, k is an integer of 2 to 50, preferably 4 to 30. R6 corresponds to OH or NH2; An antibody-drug conjugate according to any one of embodiments 8 to 10. 12. The antibody-drug conjugate of any one of embodiments 7 to 11, wherein T is a sugar cleavable unit that is a glucuronide or a galactoside. 13. An antibody-drug conjugate according to any one of embodiments 7 to 11, wherein T is a dipeptide preferably selected from Val-Cit, Val-Ala and Phe-Lys. 14. L is covalently attached to one or more thiol residues of the antibody; Preferably, L corresponds to a linker of formula (VI): An antibody-drug conjugate according to any one of embodiments 1 to 3.

[0270] [ka] 15. The antibody-drug conjugate of any one of embodiments 1 to 14, wherein the antibody comprises a full-length antibody or an antibody fragment containing the antigen-binding portion. 16. Corresponding to the following formula (VII):

[0271] [ka] wherein Ab is an anti-FRα antibody, typically comprising alanine substitutions at leucine 234 and leucine 235 of the IgG1 Fc constant region, e.g., farletuzumab, or a silent IgG1 variant thereof, and p is 4 to 8, preferably 8; An antibody-drug conjugate according to any one of embodiments 1 to 15. 17. - the Ab is an antibody comprising a human IgG1 isotype constant region, or a mutant or chemically modified constant region which confers no or reduced ADCC activity to the antibody when compared to a corresponding antibody having a wild-type human IgG1 isotype constant region; or - the Ab is an antibody comprising a human IgG4 isotype constant region, or a mutant or chemically modified constant region which confers no or reduced ADCC activity to the antibody when compared to a corresponding antibody having a wild-type IgG4 isotype constant region, An antibody-drug conjugate according to any one of embodiments 1 to 16. 18.Ab is the following (i) a variable heavy chain polypeptide comprising an HCDR1 of SEQ ID NO:1, an HCDR2 of SEQ ID NO:2, an HCDR3 of SEQ ID NO:3, and a variable light chain polypeptide comprising an LCDR1 of SEQ ID NO:4, an LCDR2 of SEQ ID NO:5, and an LCDR3 of SEQ ID NO:6; or (ii) a variable heavy chain polypeptide comprising a VH of SEQ ID NO: 7 and a variable light chain polypeptide comprising a VL of SEQ ID NO: 8 The antibody-drug conjugate according to any one of embodiments 1 to 17, wherein the antibody-drug conjugate is an anti-FRα antibody comprising any one of the following: 19. Ab is (i) a heavy chain of SEQ ID NO: 9 and a light chain of SEQ ID NO: 10; or (ii) a heavy chain of SEQ ID NO: 11 and a light chain of SEQ ID NO: 10 19. The antibody-drug conjugate according to any one of embodiments 1 to 18, comprising or consisting essentially of any one of: 20. (i) Ab is a variable heavy chain polypeptide comprising an HCDR1 of SEQ ID NO: 1, an HCDR2 of SEQ ID NO: 2 and an HCDR3 of SEQ ID NO: 3, a variable light chain polypeptide comprising an LCDR1 of SEQ ID NO: 4, an LCDR2 of SEQ ID NO: 5 and an LCDR3 of SEQ ID NO: 6; an anti-folate receptor alpha antibody or an antigen-binding fragment thereof comprising: (ii) L is a cleavable linker of formula -AW-, where A is an optional stretcher unit linked to Ab and W is a cleavable moiety linked to D; (iii) D is an inhibitor of topoisomerase I, e.g., exatecan, and (iv) p is 1 to 8, preferably 8; An antibody-drug conjugate according to any one of embodiments 1 to 19. 21.Ab is below (i) an antibody or antigen-binding fragment comprising a heavy chain of SEQ ID NO: 9 and a light chain of SEQ ID NO: 10; or (ii) the antibody or antigen-binding fragment comprises a heavy chain of SEQ ID NO: 11 and a light chain of SEQ ID NO: 10; 21. The antibody-drug conjugate of embodiment 20, wherein 22. An antibody-drug conjugate according to any one of embodiments 1 to 21 for use as a medicament, preferably for use in the treatment of a tumor, such as a solid tumor, more particularly a tumor selected from the group consisting of ovarian cancer, breast cancer, lung cancer or mesothelioma, in a subject in need of such treatment. 23. The antibody-drug conjugate of any one of embodiments 1 to 21 for use in treating cancer in a subject in need thereof, the cancer being selected from the group consisting of ovarian cancer, triple-negative breast cancer, and non-small cell lung cancer. 24. A pharmaceutical composition comprising an antibody-drug conjugate according to any one of embodiments 1 to 21 in combination with one or more pharma- ceutically acceptable excipients, diluents or carriers, optionally including other active ingredients. 25. A process for obtaining an antibody-drug conjugate according to any one of claims 1 to 23, comprising: - culturing a host cell under conditions suitable for the production of an anti-FRα antibody as defined in any one of embodiments 1 to 21; - isolating said anti-FRα antibody; and - the synthesis of exatecan linked to a linker L of formula (VIII),

[0272] [ka] - conjugating said anti-FRα antibody to a compound of formula (VIII); thereby obtaining an ADC as defined in any one of embodiments 1 to 21; A process for obtaining an antibody-drug conjugate according to any one of claims 1 to 23, comprising: EXAMPLES

[0273] Functional assays Human FRα binding affinity by ELISA Sandwich ELISA assay is performed using 96-well high-binding ELISA plates (Corning Inc., New York, NY, USA, Catalog No. 3590). Plates are coated with 100 μL / well of recombinant human FRa protein (Sino Biological, Catalog No. 11241-H08H) at 2 μg / mL in PBS (pH 7.4) and incubated overnight at 4° C. After washing twice with PBS-T (PBS+0.05% Tween-20), plates are blocked with 200 μL / well of incubation buffer (PBS-T+0.1% BSA) for 1 h at room temperature. Plates are washed four times with PBS-T and 100 μL of a 3-fold dilution series of test compounds (antibodies or antibody-drug conjugates) are added. Plates are then incubated in the dark at room temperature for 2 h. After 5 washes with PBS-T, the plate is incubated for 1 h at room temperature with 100 μL / well of goat anti-human IgG (H+L) HRP-conjugated antibody (Jackson Immunoresearch, Cat. No. 109-035-088), previously diluted 1:250000 in incubation buffer. After 5 washes with PBS-T, TMB substrate solution (Thermo-Fisher, Cat. No. N301) is added. Peroxidase activity is stopped with 0.18 M H2SO4 and absorbance is read at 450 nm (reference wavelength 650 nm) using a Thermo Scientific MultiSkan EX microplate reader. Sigmoidal immobilization was performed using GraphPad Prism 9 software.

[0274] SPR Biacore affinity Surface plasmon resonance (SPR) experiments are performed on a Biacore T200 instrument at 25°C. Antibodies or ADCs to be tested are captured at low density (300-500RU) on a CM5 series S sensor chip pre-functionalized with the Human Antibody Capture kit (Cytiva, Cat. No. BR100839). A similarly treated functionalized surface / flow cell, but omitting the ligand, is used as a reference. To measure kinetic rates and affinities, recombinant human FRα (Sino Biological, Cat. No. 11241-H08H) analyte samples are injected in duplicate at five concentrations (0.5, 1, 2, 4, 8 nM) in succession, with a 300 s contact pulse, at a constant 70 μL / mL flow rate of running buffer (HBS-EP+, Cytiva, Cat. No. BR100669) using a single cycle kinetic strategy. The dissociation phase is measured by injecting the running buffer for 900 s. Between duplicates, the surface / flow cell is regenerated with 3M MgCl2 to remove both analyte and ligand, and fresh ligand capture is performed using identical conditions. Data analysis is performed using Biacore Evaluation software after subtraction of the reference surface and zero concentration signal of the analyte. Data are processed and fitted to a 1:1 binding model to determine the binding rate constant, k a (on speed) and k d (off rate), and K D Determine the equilibrium dissociation constant (also called "affinity"). Report the mean and standard deviation of replicate experiments.

[0275] Cell-binding affinity by flow cytometry Antibody or ADC binding to extracellular human FRα expressed on cancer cell lines is evaluated by flow cytometry. Antibody or ADC to be tested is conjugated to APC fluorophore using LYNX Rapid APC Antibody Conjugation Kit according to manufacturer's protocol (Bio-Rad, Cat. No. LNK032APC). 500000 cells (suspended in 100 μL PBS in flow cytometry plastic tubes) are added with 5 μL of 10 μg / mL solution of APC-labeled antibody or ADC to be tested. Cells are incubated for 20 minutes in the dark, washed three times with PBS by centrifugation, and resuspended in 200 μL PBS for analysis. Flow cytometry is performed using a BD Fortessa flow cytometer controlled by BD FACSDiva software (BD Biosciences), and data is analyzed using FlowJo software (BD Bioscience).

[0276] Stability assay in human plasma ADC samples (>6 mg / mL solution in PBS) are diluted with pure sterile human plasma (GeneTex, Cat. No. GTX73265) in screw-cap centrifuge tubes to obtain a final ADC concentration of 200 μg / mL (less than 5% v / v residual PBS volume). Samples are incubated at 37° C. and aliquots are taken at 5 min, 6 h, 1 day, 2 days, 3 days, and 7 days (aliquots were kept frozen at −80° C. until analysis). ADCs are isolated from plasma by immunocapture using Dynabeads™ M-280 streptavidin (Thermo Scientific) magnetic beads pre-coated with biotinylated human folate receptor alpha recombinant protein (Sino Biologicals, Cat. No. 11241-H08H). Briefly, 600 μL of commercial bead solution is washed twice with HBS-EP buffer (Cytiva, Cat. No. BR100188) and resuspended in 1.2 mL of HBS-EP buffer. 65 μL of biotinylated recombinant FRα solution (protein amount 48 μg) is added and the solution is stirred at room temperature for 2 h. The beads are then washed three times with HBS-EP buffer and resuspended in 1.2 mL of HBS-EP buffer. For one round of immunocapture, 100 μL of the previous bead solution is added onto 100 μL of HBS-EP in a microcentrifuge tube. 10 μL of ADC solution in plasma (theoretical ADC amount 2 μg) is added and the solution is stirred at room temperature for 2 h. After incubation, the bead-ADC complexes are washed twice with HBS-EP buffer, resuspended in 200 μL of HBS-EP buffer, and deglycosylated by adding 2 μL / 1000U of PNGase F (New England Biolabs, Cat. No. P0705L) overnight at 37° C. with gentle agitation. The beads are then washed twice with HBS-EP buffer, twice with distilled water, and once with 10% acetonitrile in water (v / v). The beads are incubated with 50 μL of 30% aqueous acetonitrile (v / v) containing 0.1% (v / v) formic acid for 30 minutes at room temperature with gentle agitation.The eluted samples containing the deglycosylated ADCs are then analyzed by denaturing reversed-phase chromatography-mass spectrometry using a Thermo UltiMate 3000 UHPLC system equipped with a Bruker Impact II™ Q-ToF mass spectrometer. Mobile phase A is water + 0.1% formic acid and mobile phase B is acetonitrile + 0.1% formic acid. The column is an Agilent PEEK PLRP-S 1000 Å 2.1×100 mm 5 μm (80° C.). The linear gradient is 20% B to 50% B in 25 min. The flow rate is 0.4 mL / min. UV detection is monitored at 280 nm. The Q-ToF mass spectrometer is run over the m / z range 500-5000 (ESI. + ). Data are deconvoluted using the MaxEnt algorithm included in the Bruker Compass® software. For stability data analysis, deconvolution of raw spectra within selected light chain (LC) and heavy chain (HC) elution time windows is performed. Drug-linker losses or modifications are identified according to the corresponding mass shifts from the starting ADC material. The relative ratios of ADCs with different DARs are calculated by dividing the intensity of a particular ADC subspecies by the intensity from the total ADC species. Final DAR values ​​are calculated as described in Xu et al., Anal. Biochem., 2011, 412(1), 56-66.

[0277] In vitro efficacy in FRa negative cell lines (BT-474 cell lines) To evaluate the non-specific (off-target) cytotoxicity of the ADCs, an in vitro cytotoxicity assay is realized in the BT-474 (FRa negative) cancer cell line. Cells are seeded in 96-well plates at an appropriate density (1000-10000 cells / well in 100 μL of the appropriate culture medium) depending on the cell line and incubated at 37 °C for 24 h. Serial dilutions (50 μL) of the test compounds pre-dissolved in culture medium are added and incubation is performed at 37 °C for 144 h. MTT (5 mg / mL, 20 μL, Sigma-Aldrich) is added to the wells and incubation was continued at 37 °C for 1-2 h. The culture medium is then carefully removed and the well contents are dissolved homogeneously with acidified isopropanol. Absorbance values ​​are measured using a wavelength of 570 nm (reference wavelength 690 nm) on a MultiskanTM Sky microplate reader (Thermo Scientific). IC50 concentration values ​​compared to untreated control cells were determined using inhibition dose-response curve fitting (GraphPad Prism 9).

[0278] In vivo efficacy in cancer xenograft models Obtain 4-5 week old female CB-17 severe combined immunodeficiency (SCID) mice and quarantine for 7 days before the start of the study. Mice are inoculated subcutaneously with cells (5-10 x 106 cells per mouse) resuspended in PBS (OV-90, SW-620, KB, BT-474 cell lines) or 50% BD Matrigel (Corning®) (PA-1, IGROV-1, OVCAR-3, NCI-H2110 cell lines) in PBS. Once the average tumor volume reaches approximately 120-150 mm3, mice are randomized (typically 7 mice per group) and treated by a single (unless otherwise stated) intravenous injection of PBS (negative control) or antibody-drug conjugates are examined. Tumor volumes are measured every 3-5 days using a caliper device (length x width) and calculated using the following formula: V = 4 / 3 x π x R3, where R represents the radius. Mice are sacrificed when tumor volumes exceed 1500 mm3 or when tumors become ulcerated.

[0279] Drug-to-Antibody Ratio (DAR) Assessment by Reversed Phase Liquid Chromatography-Mass Spectrometry (RPLC-MS): Denaturing RPLC-QToF analysis is used to assess the drug-to-antibody ratio (DAR) of the conjugates. Briefly, ADCs were eluted on an Agilent PLRP-S 1000 Å 2.1 × 150 mm 8 μm (80 °C) using a mobile phase gradient of water / acetonitrile + 0.1% formic acid (0.4 mL / min) and analyzed by HPLC in the 500–3500 m / z range (ESI + ) using a Bruker Impact II™ Q-ToF mass spectrometer. Data are deconvoluted using the MaxEnt algorithm included in the Bruker Compass® software.

[0280] Example 1: Synthesis of Exatecan-Based Chemical Drug-Linker Materials and general organic synthesis methods All solvents and reagents were obtained from reliable commercial sources (Sigma-Aldrich, Fluorochem, TCI Chemicals, Acros Organics, Alfa Aesar, Enamine, Thermo Fisher, Carbosynth, WuXi AppTec, Iris Biotech) and used without further purification unless otherwise stated. Anhydrous solvents were purchased from Sigma-Aldrich. Fmoc-amino acids, 2-chlorotrityl, Wang and Rink amide polystyrene 1% DVB 100-200 mesh resin (preloaded with the first Fmoc-sarcosine amino acid) were purchased from Christof Senn Laboratories and Sigma-Aldrich. Exatecan mesylate was purchased from MedChemExpress.

[0281] On-resin synthesis was carried out in empty SPE plastic tubes equipped with 20 μm polyethylene frits (Sigma-Aldrich). A Titramax 101 platform shaker (Heidolph) was used for agitation. All chemical reactions were carried out at room temperature under an inert argon atmosphere unless otherwise stated.

[0282] Liquid nuclear magnetic resonance spectra were recorded on a Bruker Fourier 300HD or Bruker AVANCE III HD400 spectrometer using the residual solvent peak for calibration. Mass spectrometry was performed by the Centre Commun de Spectrometrie de Masse (CCSM), CNRS Institute, UMR5246, University Claude Bernard Lyon 1.

[0283] Normal-phase flash chromatography was performed on a Teledyne Isco CombiFlash® Rf200 device using Macherey-Nagel Chromabond® flash cartridges (40-63 μm). Reverse-phase chromatography was performed on a Teledyne Isco Combiflash® Rf200 device using Biotage® Sfar C18 Duo 100 Å 30 μm cartridges or Interchim PuriFlash RP-AQ (30 μm) cartridges, or on an Agilent 1100 preparative dual HPLC system.

[0284] Chemical reactions and compound characterization were monitored and analyzed by thin-layer chromatography using pre-coated 40-63 μm silica gel (Macherey-Nagel), HPLC-UV (Agilent 1100 system) or UHPLC-UV / MS (Thermo UltiMate 3000 UHPLC system equipped with a Bruker Impact II™ Q-ToF mass spectrometer or Agilent 1260 HPLC system equipped with a Bruker MicrOTOF-QII mass spectrometer), respectively.

[0285] HPLC Method 1: Agilent 1100 HPLC system with DAD detection. Mobile phase A was water + 0.1% TFA and mobile phase B was acetonitrile. The column was an Agilent Zorbax SB-Aq 4.6 x 150 mm 5 μm (room temperature). The linear gradient was from 0% B to 50% B in 30 min followed by a 5 min hold at 50% B. The flow rate was 1.0 mL / min.

[0286] HPLC Method 2: Agilent 1100 HPLC system with DAD detection. Mobile phase A was water + 0.1% TFA and mobile phase B was acetonitrile. The column was an Agilent Poroshell 120 EC-C18 3.0 x 50 mm 2.7 μm (room temperature). The linear gradient was 5% B to 80% B in 9 min followed by a 1 min hold at 80% B. The flow rate was 0.8 mL / min.

[0287] HPLC Method 3: Agilent 1100 HPLC system with DAD detection. Mobile phase A was water + 0.1% TFA and mobile phase B was acetonitrile. The column was an Agilent Poroshell 120 EC-C18 3.0 x 50 mm 2.7 μm (room temperature). The linear gradient was 5% B to 80% B in 20 min, followed by a 2 min hold at 80% B. The flow rate was 0.8 mL / min.

[0288] HPLC Method 4: Thermo UltiMate 3000 UHPLC system + Bruker Impact II™ Q-ToF mass spectrometer. Mobile phase A was water + 0.1% formic acid and mobile phase B was acetonitrile + 0.1% formic acid. The column was an Agilent PLRP-S 1000 Å 2.1 × 150 mm 8 μm (80 °C). The linear gradient was 10% B to 50% B in 25 min. The flow rate was 0.4 mL / min. UV detection was monitored at 280 nm. The Q-ToF mass spectrometer was run over the m / z range of 500-3500 (ESI + ). Data were deconvoluted using the MaxEnt algorithm included in the Bruker Compass® software.

[0289] HPLC Method 5 (Preparative Method): Teledyne Isco CombiFlash® Rf200 Binary MPLC System with DAD detection. Mobile phase A was water + 0.1% TFA and mobile phase B was acetonitrile. The reusable cartridge was Biotage® Sfar C18 Duo 100 Å 30 μm (30 g). The linear gradient was 10% B to 50% B in 35 min followed by a 5 min hold at 50% B. The flow rate was 25 mL / min.

[0290] HPLC Method 6 (Preparative Method): Agilent 1100 preparative binary HPLC system equipped with a dual loop autoinjector, DAD detection and fraction collector. Mobile phase A was water + 0.1% TFA and mobile phase B was acetonitrile. The column was a Waters SunFire C18 OBD Prep Column, 100 Å, 5 μm, 19 mm x 250 mm (room temperature). The linear gradient went from 10% B to 60% B in 40 min followed by a 5 min hold at 60% B. The flow rate was 25 mL / min.

[0291] 1.1) Monodisperse polysarcosine intermediate 1.1.1) General method On-resin synthesis of monodisperse polysarcosines was realized using a submonomer synthesis iterative procedure (described in WO2019081455) for Rink amide and 2-chlorotrityl resins, or following classical Fmoc / SPPS methodology with the commercially available Fmoc-Sar-Sar-OH dipeptoid building block (catalog no. 2313534-20-0) for Wang resin. The on-resin dimerization step (n=2) was avoided due to diketopiperazine formation. All synthesis yields are reported based on the initial Fmoc-sarcosine loading indicated by the manufacturer. All reactions were performed at room temperature unless otherwise stated. Rink amide, 2-chlorotrityl or Wang polystyrene 1% DVB 100-200 mesh resins preloaded with the first Fmoc-sarcosine residue (Christof Senn Laboratories) were used (typical initial loadings of 0.6-1 mmol / g). Laboratories) was used (typical initial loading of 0.6-1 mmol / g).

[0292] 1.1.2) Polysarcosine elongation Rink amide, 2-chlorotrityl or Wang resin preloaded with Fmoc-sarcosine was treated with 20% piperidine in DMF (1 mL per 100 mg of resin) twice for 15 min at room temperature. The resin was then washed with DMF (4 times) and DCM (4 times). To the resin was added a solution of Fmoc-Sar-Sar-OH (3 eq.), HATU (2.9 eq.) and DIPEA (6 eq.) in DMF (1 mL per 100 mg of resin). The reaction vessel was agitated for 2 h and the resin was washed with DMF (4 times) and DCM (4 times). The resin was treated with 20% piperidine in DMF (1 mL per 100 mg of resin) twice for 15 min at room temperature. The resin was then washed with DMF (4 times) and DCM (4 times).

[0293] For synthesis on Rink amide or 2-chlorotrityl resin, a classical submonomer synthesis procedure was used as described in WO2019081455. Elongation of n=3 polysarcosine oligomers was performed until the desired length was obtained by alternating bromoacetylation and amine displacement steps. The bromoacetylation step was performed by adding 10 equivalents of bromoacetic acid and 13 equivalents of diisopropylcarbodiimide (2 mL per 100 mg of resin) in DMF. The mixture was stirred for 30 min, drained and washed with DMF (4 times). For the amine displacement step, 40% (wt) methylamine in water (1.5 mL per 100 mg of resin) was added and the vessel was shaken for 30 min, drained and washed with DMF (4 times) and DCM (4 times).

[0294] For synthesis on Wang resin, a classical Fmoc / SPPS procedure was used. Elongation of the n=3 polysarcosine oligomer was achieved by iterative coupling of the Fmoc-Sar-Sar-OH dipeptoid building block (catalog no. 2313534-20-0). To the resin was added a solution of Fmoc-Sar-Sar-OH (3 eq.), HATU (2.9 eq.) and DIPEA (6 eq.) in DMF (1 mL per 100 mg of resin). The reaction vessel was agitated for 90 min and the resin was washed extensively with DMF (4 times) and DCM (4 times). The resin was then treated twice with 20% piperidine in DMF (1 mL per 100 mg of resin) for 15 min at room temperature. The resin was washed with DMF (4 times) and DCM (4 times). This coupling / Fmoc deprotection cycle was repeated until the desired polysarcosine length was obtained. If necessary, the final coupling is carried out using commercially available Fmoc-Sar-OH amino acids in place of the Fmoc-Sar-Sar-OH dipeptoid unit to obtain a final polysarcosine of even length.

[0295] 1.1.3) Final on-resin side functionalization of polysarcosine, optional capping, resin cleavage and purification When the desired on-resin polysarcosine monodisperse oligomer length is reached, orthogonal chemical functionalization is performed. Optionally, this is followed by final capping with Fmoc-amino acids (e.g., Fmoc-Gly-OH, Fmoc-β-Ala-OH, Fmoc-amino-3,6-dioxaoctanoic acid, Fmoc-9-amino-4,7-dioxanoic acid). The Fmoc protecting group capping the N-terminus of the final compound can be removed before or after resin cleavage, depending on the orthogonal functionalization chemistry used (see below).

[0296] 1.1.3.1) 2-Azidoethane-1-amine functionalized polysarcosine To the Rink or 2-chlorotrityl resin, 10 equivalents of bromoacetic acid and 13 equivalents of diisopropylcarbodiimide in DMF (2 mL per 100 mg of resin) are added. The mixture is stirred for 30 min, drained, and washed with DMF (4 times). A 3 molar solution of 2-azidoethan-1-amine in DMF (1 mL per 100 mg of resin) is added, the vessel is shaken for 45 min, drained, and washed with DMF (4 times) and DCM (4 times). This is followed by 1 h of Fmoc-Gly-OH coupling (5 equivalents of Fmoc-Gly-OH, 4.9 equivalents of HATU, 10 equivalents of DIPEA in DMF (1 mL per 100 mg of resin)) and Fmoc deprotection with 20% piperidine in DMF (1 mL per 100 mg of resin) for 2 times at room temperature for 15 min. The resin is washed with DMF (4 times) and DCM (4 times).

[0297] The final polysarcosine compound was cleaved from the resin (2 times 30 min with 100% TFA for Rink and Wang resins, 2 times 15 min with 20% TFA for 2-chlorotrityl). The resin was filtered and the volatiles were removed under reduced pressure to give the crude product, which was purified on an Interchim® RP-AQ (30 μm) cartridge. Mobile phase A was water + 0.1% TFA and mobile phase B was acetonitrile.

[0298] 1.1.3.2) Glutamic acid side functionalized polysarcosine To Rink, Wang or 2-chlorotrityl resin was added a solution of Fmoc-Glu(OAll)-OH (3 eq.), HATU (2.9 eq.) and DIPEA (6 eq.) in DMF (1 mL per 100 mg of resin). The reaction vessel was agitated for 90 min and the resin was washed extensively with DMF (4 times) and DCM (4 times). The resin was then treated twice with 20% piperidine in DMF (1 mL per 100 mg of resin) for 15 min at room temperature. The resin was washed with DMF (4 times) and DCM (4 times). It was then coupled with Fmoc-amino-3,6-dioxaoctanoic acid (3 eq.), HATU (2.9 eq.), DIPEA (6 eq.) in DMF (1 mL per 100 mg of resin) for 1 h. The resin was washed with DMF (4 times) and DCM (4 times). The alloc protecting group was removed by two 30 min treatments with a DCM solution containing 0.25 equivalents of Pd(PPh3)4 and 20 equivalents of phenylsilane (gently stirred under argon flow). The resin was then washed with DMF (5 times) and DCM (5 times). Optionally, N-hydroxysuccinimide (NHS) esters were introduced onto the carboxylic acid side chains of the final polysarcosine compounds by treatment with a DMF solution containing 50 equivalents of DIC and 60 equivalents of N-hydroxysuccinimide (1.5 mL per 100 mg of resin) for 90 min. The resin was then washed with DMF (4 times) and DCM (4 times).

[0299] The final polysarcosine compound was cleaved from the resin (2 times 30 min 100% TFA for Rink and Wang resins, 2 times 15 min 20% TFA in DCM for 2-chlorotrityl). The resin was filtered and the volatiles removed under reduced pressure to give the crude product, which was purified on an Interchim® RP-AQ (30 μm) cartridge. Mobile phase A was water + 0.1% TFA and mobile phase B was acetonitrile.

[0300] 1.1.4) Final polysarcosine intermediate The compounds obtained are shown in Table 6 below.

[0301] [Table 6]

[0302] 1.2) Synthesis of intermediate compounds 1.2.1) Synthesis of compound INT1

[0303] [ka] Compound INT1 was synthesized according to the procedure described in patent application WO 2019081455. This compound is an equimolar diastereoisomeric mixture (stereocenter indicated by an asterisk).

[0304] 1.2.2) Synthesis of compounds INT2, INT2-S and INT2-R

[0305] [ka]

[0306] 1.2.2.1) Synthesis of tert-butyl (2-hydroxy-2-(4-hydroxy-3-nitrophenyl)ethyl)carbamate (±)-Octopamine hydrochloride (1690 mg / 11 mmol) was weighed in a round bottom flask and suspended in 4 mL of distilled water. The flask was cooled at 0 °C and 4 mL of pre-chilled 65% nitric acid solution was slowly added. The reaction was kept at 0 °C for 20 min and assessed by HPLC, which showed complete mononitration of the starting material. The contents of the flask were transferred to a pre-chilled 250 mL Erlenmeyer flask and slowly neutralized at 0 °C with saturated NaHCO3 solution (~50 mL) until a pH value of 8-9 was reached. 30 mL of dioxane was then added followed by Boc2O (7202 mg / 13.2 mmol). The reaction was then allowed to reach room temperature and stirred overnight. The reaction was then diluted with EtOAc and washed three times with saturated citric acid solution and once with saturated NaCl solution. The organic phase was dried over MgSO4, filtered and evaporated in vacuo to give the crude product, which was purified by silica gel chromatography (petroleum ether / EtOAc, gradient 70:30 to 20:80) to give the title compound (1320 mg / 40%) as a thick yellow-brown oil. 1H NMR (300 MHz, DMSO-d6) δ 10.79 (s, 1H), 7.79 (d, J = 2.1 Hz, 1H), 7.47 (dd, J = 8.6, 2.1 Hz, 1H), 7.08 (d, J = 8.6 Hz, 1H), 6.74 (t, J = 5.9 Hz, 1H), 4.56 (t, J = 6.3 Hz, 1H), 3.07 (td, J = 6.1, 1.6 Hz, 2H), 1.31 (s, 9H). MS m / z(ESI+):Calc[M+H]+=299.1;Exp[M+H]+=299.1. HPLC method 2, retention time = 5.5 minutes.

[0307] 1.2.2.2) Synthesis of (2S,3R,4S,5S,6S)-2-(4-(2-((tert-butoxycarbonyl)amino)-1-hydroxyethyl)-2-nitrophenoxy)-6-(methoxycarbonyl)tetrahydro-2H-pyran-3,4,5-triyl triacetate. In a round bottom flash, Ag2CO3 (1500mg / 5.4mmol) and 1,1,4,7,10,10-hexamethyltriethylenetetramine (251mg / 1.1mmol) were dissolved in 4mL of anhydrous acetonitrile and stirred at room temperature for 2 hours. The previous compound tert-butyl (2-hydroxy-2-(4-hydroxy-3-nitrophenyl)ethyl)carbamate (292mg / 0.98mmol) and 1-bromo-2,3,4-tri-O-acetyl-α-D-glucuronide methyl ester (583mg / 1.46mmol) were added at 0°C and the solution mixture was stirred at room temperature for 4 hours. The reaction was then filtered through Celite, diluted with EtOAc, and washed three times with saturated citric acid solution and once with saturated NaCl solution. The organic phase was dried over MgSO4, filtered and evaporated in vacuo to give the crude product, which was purified by silica gel chromatography (petroleum ether / EtOAc, gradient 70:30 to 30:70) to give the title compound (244 mg / 48%) as a yellow foam. 1H NMR (300 MHz, DMSO-d6) δ 7.76 (dd, J = 3.3, 2.1 Hz, 1H), 7.60 (t, J = 7.6 Hz, 1H), 7.36 (dd, J = 8.7, 2.6 Hz, 1H), 6.77 (s, 1H), 5.71 (d, J = 7.8 Hz, 1H), 5.61 (s, 1H), 5.46 (td, J = 9.5, 1.1 Hz ,1H),5.21-5.02(m,3H),4.75(dd,J=9.9,1.4Hz,1H),4.62(s,1H),3.65(s,3H),3.17(s, 2H), 3.10(t,J=6.1Hz,2H),2.81-2.59(m,6H),2.05-1.96(m,9H),1.30(d,J=1.7Hz,9H). MS m / z(ESI+):Calc[M+Na]+=637.2;Exp[M+Na]+=637.2. HPLC method 2, retention time = 6.75 minutes.

[0308] 1.2.2.3) Synthesis of (2S,3R,4S,5S,6S)-2-(4-(2-((tert-butoxycarbonyl)amino)-1-(((4-nitrophenoxy)carbonyl)oxy)ethyl)-2-nitrophenoxy)-6-(methoxycarbonyl)tetrahydro-2H-pyran-3,4,5-triyl triacetate The previous compound (2S,3R,4S,5S,6S)-2-(4-(2-((tert-butoxycarbonyl)amino)-1-hydroxyethyl)-2-nitrophenoxy)-6-(methoxycarbonyl)tetrahydro-2H-pyran-3,4,5-triyl triacetate (334 mg / 0.54 mmol) and 4-nitrophenyl chloroformate (219 mg / 1.09 mmol) were dissolved in 6 mL of dry DCM at 0° C. Anhydrous pyridine (112 mg / 1.41 mmol) was added and the mixture was stirred at room temperature for 30 min. The reaction was filtered through a 0.45 μm PTFE filter and purified by silica gel chromatography (petroleum ether / EtOAc, gradient 85:15 to 30:70) to give the title compound (380 mg / 90%) as a yellow foam. 1H NMR(300MHz,DMSO-d6)δ8.39-8.26(m,2H),7.93(d,J=2.2Hz,1H),7.75(d,J=8.8Hz,1H) ,7.55(dd,J=9.2,1.2Hz,2H),7.46(d,J=8.8Hz,1H),7.20(d,J=4.8Hz,1H),5.77(dd,J= 7.7,3.7Hz,1H),5.47(t,J=9.5Hz,1H),5.11(q,J=9.6Hz,2H),4.77(d,J=9.9Hz,1H),3. 73-3.59(m,3H),3.59-3.37(m,2H),2.05-1.96(m,9H),1.48-1.35(m,1H),1.32(s,9H). MS m / z(ESI+):Calc[M+Na]+=802.15;Exp[M+Na]+=802.15. HPLC method 2, retention time = 8.5 minutes.

[0309] 1.2.2.4) Synthesis of compound INT2 381 mg (0.49 mmol) of the previous compound (2S,3R,4S,5S,6S)-2-(4-(2-((tert-butoxycarbonyl)amino)-1-(((4-nitrophenoxy)carbonyl)oxy)ethyl)-2-nitrophenoxy)-6-(methoxycarbonyl)tetrahydro-2H-pyran-3,4,5-triyl triacetate, 200 mg (0.38 mmol) of exatecan mesylate and 51 mg (0.38 mmol) of HOBt were dissolved in 5 mL of an 85:15 (v / v) mixture of anhydrous DMF / pyridine. 53.5 mg (0.51 mmol) of DIPEA was added. The reaction was stirred at 40° C. for 2 h and the volatiles were evaporated under reduced pressure. The crude residue was purified by silica gel chromatography (DCM / MeOH gradient from 99:1 to 95:5) to give 360 ​​mg (87%) of the intermediate compound (2S,3R,4S,5S,6S)-2-(4-(2-((tert-butoxycarbonyl)amino)-1-((((1R,9R)-9-ethyl-5-fluoro-9-hydroxy-4-methyl-10,13-dioxo-2,3,9,10,13,15-hexahydro-1H,12H-benzo[de]pyrano[3',4':6,7]indolizino[1,2-b]quinolin-1-yl)carbamoyl)oxy)ethyl)-2-nitrophenoxy)-6-(methoxycarbonyl)tetrahydro-2H-pyran-3,4,5-triyl triacetate as a yellow / greenish solid. ESI+[M+Na]+=1098.3. HPLC Method 3, retention time=14.7 and 14.9 min (diastereoisomeric mixture).

[0310] 355 mg (0.33 mmol) of this intermediate compound was dissolved in 8 mL of MeOH / THF 75:25 at 0° C. LiOH monohydrate (138 mg / 3.3 mmol) was dissolved in water (1 mL) and added to the reaction vessel. After stirring at 0° C. for 30 min (reaction followed by HPLC), the mixture was neutralized with acetic acid (258 mg / 4.3 mmol) and concentrated under reduced pressure. The resulting crude product was redissolved with a TFA / DCM (30:70 v / v) solution at 0° C. and stirred at room temperature for 20 min. The volatiles were evaporated under reduced pressure and the crude residue was dissolved in a water / ACN (1:1 v / v) solution and purified using HPLC preparative method 5 to give 172 mg (62%) of compound INT2 as a yellow solid. ESI+[M+H]+=836.2. HPLC method 3, retention time=7.3 and 7.8 min (diastereoisomeric mixture).

[0311] 1.2.2.5) Synthesis of stereochemically pure compounds INT2-S and INT2-R

[0312] [ka]

[0313] 1.2.2.5.1) Chiral separation of the racemic mixture of tert-butyl (2-hydroxy-2-(4-hydroxy-3-nitrophenyl)ethyl)carbamate Chiral separation of racemic tert-butyl (2-hydroxy-2-(4-hydroxy-3-nitrophenyl)ethyl)carbamate (synthesized as described above) was carried out using a Chiralflash® IC MPLC column 30x100mm, 20μm (Daicel catalogue no. 83M73) on a Teledyne Isco CombiFlash® Rf200 system. The mobile phase was DCM+0.2% (v / v) EtOH (isocratic gradient). The flow rate was 12mL / min. The sample solvent was DCM+0.2% (v / v) EtOH. Mass recovery of the two enantiomers after separation was greater than 80%.

[0314] The retention time for tert-butyl (S)-(2-hydroxy-2-(4-hydroxy-3-nitrophenyl)ethyl)carbamate was 15 min, whereas the retention time for tert-butyl (R)-(2-hydroxy-2-(4-hydroxy-3-nitrophenyl)ethyl)carbamate was 25 min.

[0315] To determine the absolute configuration, the phenolic position of both enantiomers was esterified with 1.2 molar equivalents of 4-nitrobenzoyl chloride and 2 molar equivalents of triethylamine in anhydrous THF. The compound was purified by chromatography on silica gel (petroleum ether / EtOAc, gradient 90:10 to 10:90) to give 4-(2-((tert-butoxycarbonyl)amino)-1-hydroxyethyl)-2-nitrophenyl 4-nitrobenzoate. 1H NMR (300MHz, DMSO-d6) δ 8.51 (d, J = 9.1 Hz, 2H), 8.44 (d, J = 9.1 Hz, 2H), 8.19 (d, J = 1.9 Hz, 1H), 7.88 (d, J = 10.2 Hz, 1H), 7.72 (d, J = 8.4 Hz, 1H), 6.93 (t, J = 5.9 Hz, 1H), 5.84 (d, J = 4.7 Hz, 1H), 4.86-4.76 (m, 1H), 3.24 (t, J = 6.1 Hz, 2H), 1.38 (s, 9H). ESI+ [M+Na]+ = 470.1. The absolute configuration of the enantiomer (previously dissolved in a 1:1 mixture of heptane / dichloromethane and slowly evaporated for 3 weeks to induce crystal formation) was confirmed by X-ray crystallography. Block-shaped crystals were mounted on nylon loops in perfluoroether oil. Data were collected using Xcalibur, Atlas, and Gemini ultradiffractometers equipped with Oxford Cryosystems cryostats operating at T = 150.00(5) K. Data were measured using ω-scans with CuKα radiation. The structure was solved by using the ShelXT solution program and Olex2 (OV Dolomanov et al., Olex2: A complete structure solution, refinement and analysis program, J. Appl. Cryst., 2009, 42, 339-341) using a dual method. The model was refined in ShelXL 2018 / 3 (Sheldrick, GM, Crystal structure finement with ShelXL, Acta Cryst., 2015, C71, 3-8) using full matrix least-squares minimization of F2.

[0316] 1.2.2.5.2) Synthesis of stereo-pure INT2-S and INT2-R compounds Stereopure compounds INT2-S and INT2-R were synthesized as described in Section 1.2.2 above, without any appreciable changes in reaction conditions, reactivity or overall yield.

[0317] Final purification using HPLC Prep Method 5 afforded 33 mg of compound INT2-S as a yellow solid. ESI+[M+H]+=836.2. HPLC Method 3, retention time=7.3 min.

[0318] Final purification using HPLC Prep Method 5 afforded 21 mg of compound INT2-R as a yellow solid. ESI+[M+H]+=836.2. HPLC Method 3, retention time=7.8 min.

[0319] 1.2.3) Synthesis of compound INT3

[0320] [ka]

[0321] 1.2.3.1) Synthesis of Ac-Val-Ala-OH (Acetyl-L-valyl-L-alanine) To a solution of L-alanine benzyl ester hydrochloride (542 mg / 2.5 mmol) in 30 mL of DCM, triethylamine (254 mg / 2.5 mmol), distilled water (30 mL), N-α-acetyl-L-valine (400 mg / 2.5 mmol) and HOBt (339 mg / 2.5 mmol) were added sequentially. The mixture was then cooled to 0° C. and EDC-HCl (530 mg / 2.75 mmol) was added. The resulting mixture was stirred at 0° C. overnight. The reaction was diluted with 20 mL of 2M HCl and the layers were separated. The organic phase was washed twice with 2M HCl, twice with saturated NaHCO3 solution and once with saturated NaCl solution. The organic phase was dried over MgSO4, filtered and evaporated under vacuum to give 714 mg (89%) of benzylacetyl-L-valyl-L-alaninate as a white solid intermediate.

[0322] This intermediate was solubilized in 10 mL of EtOAc / MeOH 1:1 (v / v) and transferred to a stainless steel hydrogenation reactor. After an initial argon purge, a catalytic amount of 5% wt Pd / C was added. The reactor was then purged twice with H2 and kept under 10 bar H2 pressure at room temperature overnight. The reaction was filtered through a 0.45 μm PTFE filter, and after removal of the solvent under vacuum, a quantitative amount of pure acetyl-L-valyl-L-alanine was obtained as a white solid. 1H NMR(300MHz,DMSO-d6)δ12.45(s,1H),8.23(d,J=6.9Hz,1H),7.85(d,J=9.0Hz,1H),4.25-4.11(m,2 H),1.94(dt,J=13.6,6.8Hz,1H),1.85(s,3H),1.26(d,J=7.3Hz,3H),0.85(dd,J=12.1,6.8Hz,6H).

[0323] 1.2.3.2) Synthesis of (2S)-2-acetamido-N-((2S)-1-((4-(1-hydroxybut-3-yn-1-yl)phenyl)amino)-1-oxopropan-2-yl)-3-methylbutanamide In a round-bottom flash, 420 mg (2.60 mmol) of 1-(4-aminophenyl)but-3-yn-1-ol (synthesized according to the procedure described in Sharma A. et al., Chem 2018,4(10),2370-2383) and 600 mg (2.60 mmol) of the previous compound Ac-Val-Ala-OH were suspended in 20 mL of anhydrous THF. Then, 676 mg (2.74 mmol) of 2-ethoxy-1-ethoxycarbonyl-1,2-dihydroquinoline (EEDQ), previously dissolved in 5 mL of anhydrous DMF, were added to the flask and the cloudy reaction mixture was stirred overnight at room temperature. The volatiles were then evaporated under reduced pressure and the crude residue was dry loaded and purified by silica gel chromatography (DCM / MeOH gradient from 99:1 to 85:15) to give 809 mg (83%) of the title compound as a white solid. 1H NMR(300MHz,DMSO-d6)δ9.84(s,1H),8.18(d,J=7.0Hz,1H),7.90(d,J=8.6Hz,1H),7.5 3(d,J=8.6Hz,2H),7.28(d,J=8.6Hz,2H),5.44(d,J=4.4Hz,1H),4.62(q,J=6.2Hz,1H), 4.39(p,J=7.6,7.2Hz,1H),4.17(dd,J=8.5,6.8Hz,1H),2.70(t,J=2.6Hz,1H),1.96(dt ,J=13.2,6.6Hz,1H),1.88(s,3H),1.30(d,J=7.1Hz,3H),0.86(dd,J=10.9,6.8Hz,6H). ESI+[M+H]+=374.2. HPLC method 2, retention time = 3.95 minutes.

[0324] 1.2.3.3) Synthesis of 1-(4-((S)-2-((S)-2-acetamido-3-methylbutanamido)propanamido)phenyl)but-3-yn-1-yl(4-nitrophenyl)carbonate 94 mg (0.25 mmol) of (2S)-2-acetamido-N-((2S)-1-((4-(1-hydroxybut-3-yn-1-yl)phenyl)amino)-1-oxopropan-2-yl)-3-methylbutanamide and 153 mg (0.50 mmol) of bis(4-nitrophenyl)carbonate were dissolved in 2 mL of anhydrous DMF. 98 mg (0.76 mmol) of DIPEA was added and the reaction mixture was stirred at room temperature overnight. The volatiles were removed under reduced pressure and the crude residue was purified by silica gel chromatography (DCM / MeOH gradient from 99:1 to 90:10) to give 118 mg (87%) of the title compound as a yellow solid. 1H NMR(300MHz,DMSO-d6)δ9.99(s,1H),8.35-8.26(m,2H),8.22(d,J=7.0Hz,1H),7.89(d ,J=8.6Hz,1H),7.63(d,J=8.7Hz,2H),7.58-7.48(m,2H),7.43(d,J=8.7Hz,2H),5.74( d,J=7.5Hz,1H),4.39(p,J=7.2Hz,1H),4.17(dd,J=8.5,6.9Hz,1H),3.01-2.84(m,3H) ,1.99-1.91(m,1H),1.88(s,3H),1.31(d,J=7.1Hz,3H),0.86(dd,J=11.2,6.8Hz,6H). ESI+[M+H]+=539.1. HPLC method 2, retention time = 6.48 minutes.

[0325] 1.2.3.4) Synthesis of compound INT3 43 mg (0.081 mmol) of the previous compound 1-(4-((S)-2-((S)-2-acetamido-3-methylbutanamido)propanamido)phenyl)but-3-yn-1-yl(4-nitrophenyl)carbonate, 55.5 mg (0.11) of exatecan mesylate and 11.0 mg (0.08 mmol) of HOBt were dissolved in 2 mL of anhydrous DMF / pyridine 85:15 (v / v) mixture. 11.5 mg (0.09 mmol) of DIPEA was added. The reaction was stirred at 40° C. for 3 h. After removing the volatiles under reduced pressure, the reaction mixture was purified by silica gel chromatography (DCM / MeOH gradient from 99:1 to 95:5) to give 42 mg (62%) of compound INT3 as a yellow / greenish solid. ESI+[M+H]+=835.3. HPLC method 2, retention time = 6.50 and 6.60 min (mixture of diastereoisomers).

[0326] 1.2.4) Synthesis of compounds INT4, INT4-S and INT4-R

[0327] [ka]

[0328] 1.2.4.1) Synthesis of tert-butyl (2-(4-aminophenyl)-2-hydroxyethyl)carbamate A solution of 911 mg (3.23 mmol) of commercially available tert-butyl (2-hydroxy-2-(4-nitrophenyl)ethyl)carbamate (CAS no. 939757-25-2) in MeOH was transferred to a stainless steel hydrogenation reactor. After an initial argon purge, a catalytic amount of 5% wt Pd / C was added. The reactor was then purged twice with H2 and the reaction was kept under 10 bar H2 pressure with stirring at room temperature for 5 h. The reaction was filtered through a 0.45 μm PTFE filter and after removal of MeOH under vacuum, 749 mg (92%) of the title compound was obtained as a white solid. ESI+[M+H]+=253.2. HPLC method 2, retention time=2.73 min.

[0329] 1.2.4.2) Synthesis of tert-butyl (2-(4-((S)-2-((S)-2-acetamido-3-methylbutanamido)propanamido)phenyl)-2-hydroxyethyl)carbamate 150 mg (0.60 mmol) of the previous compound tert-butyl (2-(4-aminophenyl)-2-hydroxyethyl)carbamate, 222 mg (0.71 mmol) of Fmoc-Ala-OH and 81 mg (0.62 mmol) of DIPEA were dissolved in 5 mL of anhydrous DMF. 181 mg (0.71 mmol) of HATU was added and the reaction was stirred at room temperature overnight. The volatiles were then removed under reduced pressure and the crude residue was purified by chromatography on silica gel (DCM / MeOH gradient from 100:0 to 90:10) to quantitatively obtain the first intermediate tert-butyl (2-(4-((S)-2-((((9H-fluoren-9-yl)methoxy)carbonyl)amino)propanamido)phenyl)-2-hydroxyethyl)carbamate directly involved in the Fmoc deprotection. HPLC Method 2 retention time = 7.7 min.

[0330] tert-Butyl (2-(4-((S)-2-((((9H-fluoren-9-yl)methoxy)carbonyl)amino)propanamido)phenyl)-2-hydroxyethyl)carbamate was dissolved in 5 mL of DMF / piperidine 9:1 (v / v) and stirred at room temperature for 15 min. The volatiles were then removed under reduced pressure and the crude residue was purified by silica gel chromatography (DCM / MeOH gradient from 99:1 to 80:20) to afford 130 mg (68% over two steps) of the second intermediate tert-butyl (2-(4-((S)-2-aminopropanamido)phenyl)-2-hydroxyethyl)carbamate as a white foamy solid. HPLC method 2, retention time = 3.75 min.

[0331] 130 mg (0.40 mmol) of tert-butyl (2-(4-((S)-2-aminopropanamido)phenyl)-2-hydroxyethyl)carbamate and 124 mg (0.48 mmol) of commercially available Ac-Val-OSu (CAS number 56186-37-9) were dissolved in 3 mL of anhydrous DMF and the reaction mixture was stirred at room temperature overnight. The volatiles were then removed under reduced pressure and the crude residue was triturated with 3 mL of DCM to give 95 mg (51%) of the title compound as a white solid. 1H NMR(300MHz,DMSO-d6)δ9.82(s,1H),8.16(d,J=7.1Hz,1H),7.88(d,J=8.6Hz,1H) ,7.53(d,J=8.4Hz,2H),7.22(d,J=8.5Hz,2H),6.73-6.58(m,1H),5.27(d,J=4.4Hz ,1H),4.58-4.47(m,1H),4.40(q,J=7.1Hz,1H),4.17(dd,J=8.4,6.8Hz,1H),3.15 -2.90(m,2H),1.88(s,4H),1.35(s,9H),1.30(d,J=7.1Hz,3H),0.92-0.73(m,6H). ESI+[M+H]+=487.3. HPLC method 2, retention time = 4.50 minutes.

[0332] 1.2.4.3) Synthesis of tert-butyl (2-(4-((S)-2-((S)-2-acetamido-3-methylbutanamido)propanamido)phenyl)-2-(((4-nitrophenoxy)carbonyl)oxy)ethyl)carbamate 286 mg (0.62 mmol) of tert-butyl (2-(4-((S)-2-((S)-2-acetamido-3-methylbutanamido)propanamido)phenyl)-2-hydroxyethyl)carbamate and 375 mg (1.23 mmol) of bis(4-nitrophenyl)carbonate were dissolved in 3 mL of anhydrous DMF. 318 mg (2.46 mmol) of DIPEA were added and the reaction mixture was stirred at room temperature for 3 h. The volatiles were removed under reduced pressure and the crude residue was purified by silica gel chromatography (DCM / MeOH gradient from 99:1 to 90:10) to give 336 mg (87%) of the title compound as a yellow solid. 1H NMR(300MHz,DMSO-d6)δ9.99(s,1H),8.36-8.26(m,2H),8.22(d,J=6.9Hz,1H),7.89(d,J=8.6H) z,1H),7.63(d,J=8.6Hz,2H),7.56-7.46(m,2H),7.34(d,J=8.6Hz,2H),7.22(t,J=5.6Hz,1H),5 .68(t,J=6.0Hz,1H),4.38(p,J=7.1Hz,1H),4.17(dd,J=8.5,6.9Hz,1H),3.49-3.34(m,2H),2. 01-1.90(m,1H),1.87(s,3H),1.37(s,9H),1.30(d,J=7.1Hz,3H),0.86(dd,J=11.1,6.8Hz,6H). ESI+[M+Na]+=652.2. HPLC HPLC method 2, retention time = 7.13 minutes.

[0333] 1.2.4.4) Synthesis of compound INT4 231 mg (0.37 mmol) of the previous compound tert-butyl (2-(4-((S)-2-((S)-2-acetamido-3-methylbutanamido)propanamido)phenyl)-2-(((4-nitrophenoxy)carbonyl)oxy)ethyl)carbamate, 150 mg (0.28) of exatecan mesylate and 38 mg (0.28 mmol) of HOBt were dissolved in 5 mL of anhydrous DMF / pyridine 85:15 (v / v) mixture. 40 mg (0.31 mmol) of DIPEA was added. The reaction was stirred at 40° C. for 3 h and the volatiles were evaporated under reduced pressure. The crude residue was purified by silica gel chromatography (DCM / MeOH gradient from 99:1 to 90:10). 220 mg (85%) of intermediate compound 1-(4-((S)-2-((S)-2-acetamido-3-methylbutanamido)propanamido)phenyl)-2-((tert-butoxycarbonyl)amino)ethyl ((1R,9R)-9-ethyl-5-fluoro-9-hydroxy-4-methyl-10,13-dioxo-2,3,9,10,13,15-hexahydro-1H,12H-benzo[de]pyrano[3',4':6,7]indolizino[1,2-b]quinolin-1-yl)carbamate was obtained as a brown-yellow solid. ESI+[M+H]+=926.4. HPLC Method 2, retention time=6.7 and 6.8 min (diastereoisomeric mixture).

[0334] The resulting solid was redissolved with TFA / DCM (30:70 v / v) solution at 0° C. and stirred at room temperature for 20 min. The volatiles were evaporated under reduced pressure and the crude residue was dissolved in water / ACN (1:1 v / v) solution and purified using HPLC preparative method 5 to give 171.4 mg (73%) of compound INT4 as a yellow solid. ESI+[M+H]+=826.4. HPLC method 3, retention time=8.3 and 8.75 min (diastereoisomeric mixture).

[0335] 1.2.4.5) Synthesis of stereochemically pure compounds INT4-S and INT4-R

[0336] [ka]

[0337] 1.2.4.5.1) Chiral separation of the racemic mixture of tert-butyl (2-(4-aminophenyl)-2-hydroxyethyl)carbamate Chiral separation of racemic tert-butyl (2-(4-aminophenyl)-2-hydroxyethyl)carbamate was performed using a Chiralflash® IC MPLC column 30x100mm, 20μm (Daicel catalogue no. 83M73) on a Teledyne Isco CombiFlash® Rf200 system. The mobile phase was DCM+0.2% (v / v) EtOH (isocratic gradient). The flow rate was 12mL / min. The sample solvent was DCM+0.2% (v / v) EtOH. The mass recovery of the two enantiomers after separation was greater than 75%.

[0338] tert-Butyl (S)-(2-(4-aminophenyl)-2-hydroxyethyl)carbamate had a retention time of 21 min, whereas tert-butyl (R)-(2-(4-aminophenyl)-2-hydroxyethyl)carbamate had a retention time of 29 min. The absolute configuration of the enantiomers (previously dissolved in a 1:1 mixture of heptane / ethanol and allowed to slowly evaporate for a week to induce crystal formation) was confirmed by X-ray crystallography. Block-shaped crystals were mounted on nylon loops in perfluoroether oil. Data were collected using Xcalibur, Atlas, and Gemini ultradiffractometers equipped with Oxford Cryosystems cryostats operating at T=150.00(10) K. Data were measured using omega scans with CuKα radiation. The structure was solved by using the ShelXT solution program and Olex2 (OV Dolomanov et al., Olex2: A complete structure solution, refinement and analysis program, J. Appl. Cryst., 2009, 42, 339-341) using a dual method. The model was refined in ShelXL 2018 / 3 (Sheldrick, GM, Crystal structure finement with ShelXL, Acta Cryst., 2015, C71, 3-8) using full matrix least-squares minimization of F2.

[0339] 1.2.4.5.2) Synthesis of stereo-pure INT4-S and INT4-R compounds Stereopure compounds INT4-S and INT4-R were synthesized as described in Section 1.2.4 above, without any appreciable changes in reaction conditions, reactivity or overall yields.

[0340] Final purification using HPLC Prep Method 5 afforded 54 mg of compound INT4-S as a yellow solid. ESI+[M+H]+=826.4. HPLC Method 3, retention time=8.45 min.

[0341] Final purification using HPLC Prep Method 5 afforded 46 mg of compound INT4-R as a yellow solid. ESI+[M+H]+=826.4. HPLC Method 3, retention time=8.90 min.

[0342] 1.3) Drug-Linker Synthesis 1.3.1) Synthesis of Glucuronide-Based Drug-Linkers 1.3.1.1) Synthesis of compound LNK1

[0343] [ka] 44.5 mg (0.049 mmol) of compound PSR1 (azido-polysarcosine intermediate) and 27.5 mg (0.033 mmol) of compound INT1 (alkyne-payload) were dissolved in a 1:1 (v / v) solution of 100 mM PBS (pH=7.5) and DMSO to reach a 0.060 M concentration of compound INT1. Freshly prepared CuSO4 pentahydrate and sodium ascorbate solutions (approximately 250 mg / mL) were then added sequentially to the reaction vial to reach 0.08 molar equivalents of Cu and 1 molar equivalent of sodium ascorbate (based on the compound INT1 molar equivalents in the reaction mixture). The reaction is purged with argon and stirred at 40° C. The reaction was monitored by HPLC and was complete in less than 2 hours. The reaction mixture was then diluted with 0.1% TFA in water / ACN Dilution 1:1 (v / v) and purification using HPLC preparative method 5 yielded 44 mg (77% based on starting compound INT1) of the intermediate compound (2S,3S,4S,5R,6S)-6-(4-(2-(1-(35-amino-3-glycyl-6,9,12,15,18,21,24,27,30,33-decamethyl-5,8,11,14,17,20,23,26,29,32,35-undecaoxo-3,6,9,12,15,18,21,24,27,30,33-undecaazapentatriaconitr (1R,9R)-9-ethyl-5-fluoro-9-hydroxy-4-methyl-10,13-dioxo-2,3,9,10,13,15-hexahydro-1H,12H-benzo[de]pyrano[3',4':6,7]indolizino[1,2-b]quinolin-1-yl)carbamoyl)oxy)ethyl)-2-nitrophenoxy)-3,4,5-trihydroxytetrahydro-2H-pyran-2-carboxylic acid as a yellow solid. ESI+[M+H]+=1755.7. HPLC Method 3, Retention Time=7.51 min and 7.82 min (mixture of diastereoisomers).

[0344] 26.0 mg (0.015 mmol) of this compound and 4.11 mg (0.016 mmol) of maleimidoacetic acid N-hydroxysuccinimide ester were dissolved in anhydrous DMF (0.1 M concentration of maleimido compound). 2.25 mg (0.022 mmol) of triethylamine was added and the reaction was stirred for 2 hours until complete conversion of the reaction was observed by HPLC. The reaction mixture was then diluted with 1% aqueous TFA / ACN 1:1 (v / v) and purified using HPLC preparative method 6 to give 16.0 mg (57%) of compound LNK1 as a yellow solid. ESI+[M+H]+=1892.7. HPLC method 3, retention times=7.95 min and 8.20 min (equimolar diastereoisomeric mixture).

[0345] 1.3.1.2) Synthesis of compound LNK2.

[0346] [ka] 409 mg (0.31 mmol) of compound PSR3 (NHS-activated polysarcosine intermediate) and 172 mg (0.21 mmol) of compound INT2 (NH2-payload) were dissolved in anhydrous DMF in a small vial (0.080 M concentration of compound INT2). 83.5 mg (0.83 mmol) of triethylamine was added and the reaction was stirred at room temperature for 30 min. After the entire conversion of the reaction observed by HPLC, piperidine is added directly to the reaction vial to reach an 8% (v / v) piperidine solution in DMF. The reaction is then stirred at room temperature for 5-10 min until the entire Fmoc deprotection is observed by HPLC. The reaction is then diluted with 10% TFA in water / ACN 1:1 (v / v) and purified using HPLC preparative method 5 to give 254 mg (67% yield based on starting compound INT2) of the intermediate compound (2S,3S,4S,5R,6S)-6-(4-((9S)-40-amino-9-(2-(2-(2-aminoethoxy)ethoxy)acetamido)-1-(((1S,9S)-9-ethyl-5-fluoro-9-hydroxy-4-methyl-10,13-dioxo-2,3,9,10,13,15-hexahydro-1H,12H-benzo[de]pyrano[3',4 ':6,7]indolizino[1,2-b]quinolin-1-yl)amino)-11,14,17,20,23,26,29,32,35,38-decamethyl-1,6,10,13,16,19,22,25,28,31,34,37,40-tridecaoxo-2-oxa-5,11,14,17,20,23,26,29,32,35,38-undecaazatetracontan-3-yl)-2-nitrophenoxy)-3,4,5-trihydroxytetrahydro-2H-pyran-2-carboxylic acid was obtained as a yellow solid. ESI+[M+H]+=1819.7. HPLC Method 2, retention time=4.60 min and 4.69 min (equimolar diastereoisomeric mixture).

[0347] 254 mg (0.14 mmol) of this compound and 39.1 mg (0.15 mmol) of maleimidoacetic acid N-hydroxysuccinimide ester were dissolved in anhydrous DMF (0.1 M concentration of maleimido compound). 22.6 mg (0.22 mmol) of triethylamine was added and the reaction was stirred for 1 h until complete conversion of the reaction was observed by HPLC. The reaction mixture was then diluted with 1% aqueous TFA / ACN 1:1 (v / v) and purified using HPLC preparative method 6 to obtain 161 mg (58%) of the final compound LNK2 as a yellow solid. HRMS m / z (ESI+): Calc[M+2H]2+=985.8900; Exp[M+2H]2+=985.8896; Error=0.4 ppm. HPLC method 2, retention times=7.9 min and 8.1 min (equimolar diastereoisomeric mixture).

[0348] 1.3.1.3) Synthesis of compounds LNK2-S and LNK2-R

[0349] [ka] Compounds LNK-2-S and LNK2-R were synthesized as described above using the same procedure as used for compound LNK2. The starting materials were compounds INT2-S and INT2-R (NH2-payload) and compound PSR3 (NHS-activated polysarcosine intermediate), respectively.

[0350] Obtained 53.4 mg of compound LNK2-S as a yellow solid. ESI+[M+2H]2+=985.9. HPLC Method 3, Retention Time=7.8 min.

[0351] Obtained 44.0 mg of compound LNK2-R as a yellow solid. ESI+[M+2H]2+=985.9. HPLC Method 3, Retention Time=8.1 min.

[0352] 1.3.2) Synthesis of dipeptide-based drug-linkers 1.3.2.1) Synthesis of compound LNK3

[0353] [ka] The final compound LNK3 was synthesized as described above using the same procedure used for compound LNK1. The starting materials were compound PSR2 (azide-polysarcosine intermediate) and compound INT3 (alkyne-payload).

[0354] Obtained 14.0 mg (36% over two steps) of compound LNK3 as a yellow solid. ESI+[M+H]+=1883.8. HPLC Method 3, retention time=8.82 min and 9.07 min (equimolar diastereoisomeric mixture).

[0355] 1.3.2.2) Synthesis of compound LNK4

[0356] [ka] Compound LNK4 was synthesized as described above using the same procedure used for compound LNK2. The starting materials were compound PSR4 (NHS-activated polysarcosine intermediate) and compound INT4 (NH2-payload).

[0357] Obtained 34.9 mg (46% for 2 steps) of compound LNK4 as a yellow solid. HRMS m / z (ESI+): Calc[M+2H]2+=981.4394; Exp[M+2H]2+=981.4398; Error=-0.4 ppm. HPLC Method 3, retention time=8.81 min and 8.94 min (equimolar diastereoisomeric mixture).

[0358] 1.3.2.3) Synthesis of compounds LNK4-S and LNK4-R

[0359] [ka] Compounds LNK4-S and LNK4-R were synthesized as described above using the same procedure as used for compound LNK2. The starting materials were compounds INT4-S and INT4-R (NH2-payload) and compound PSR4 (NHS-activated polysarcosine intermediate), respectively.

[0360] Obtained 18.1 mg of compound LNK4-S as a yellow solid. ESI+[M+2H]2+=981.4. HPLC Method 3, Retention Time=8.78 min.

[0361] Obtained 16.3 mg of compound LNK4-R as a yellow solid. ESI+[M+2H]2+=981.4. HPLC Method 3, Retention Time=8.96 min.

[0362] Example 2: Preparation and characterization of antibody-drug conjugates 2.1) Antibody production The amino acid sequences of the monoclonal antibodies were obtained from the literature. The farletuzumab light chain (SEQ ID NO: 10) and heavy chain (SEQ ID NO: 11) sequences were obtained from the International Nonproprietary Names for Pharmaceutical Substances (INN) List 62 published in World Health Organization (WHO) Drug Information Vol 23, No. 3, 2009 and WO 2017151979. Farletuzumab-LALA was also produced (heavy chain "LALA" sequence SEQ ID NO: 9) containing Fc silencing mutations L234A and L235A ("LALA") on the heavy chain of farletuzumab (Wines et al. The Journal of Immunology May 15, 2000, 164 (10) 5313-5318). The mirvetuximab light chain (SEQ ID NO: 17) and heavy chain (SEQ ID NO: 16) sequences were obtained from patent application WO 2011106528. Human IgG1k non-binding isotype control was from Sino Biologicals, catalog number HG1K (proprietary amino acid sequence). Trastuzumab (Herceptin® 150 mg) was purchased from Roche. Enhertu® (trastuzumab delactecan) was purchased from Daiichi Sankyo / AstraZeneca.

[0363] Monoclonal antibodies were produced by transient transfection of CHO K1 cells using art-recognized techniques (subcontracted to Evitria AG, Switzerland). cDNA was cloned into Evitria's vector system using conventional (non-PCR-based) cloning techniques. pDNA was prepared under low-endotoxin conditions based on anion-exchange chromatography. DNA concentration was determined by measuring absorbance at 260 nm wavelength. Sequence accuracy was verified by Sanger sequencing (maximum of two sequencing reactions per plasmid). Suspension-adapted CHO K1 cells (originally received from ATCC and adapted to serum-free growth in suspension culture at Evitria) were used for antibody production. Seeds were grown in Evitria's proprietary animal component and serum-free medium. Cells were transfected with Evitria's proprietary transfection reagent. Supernatants were harvested by centrifugation and subsequent filtration (0.2 μm filter). Antibodies were purified using MabSelect SuRe Protein A purification resin (Cytiva) and SEC preparative resin. Purity of antibody material was >95% as confirmed by SDS-PAGE and size exclusion chromatography. Endotoxin content was measured using the Charles River Endosafe PTS system.

[0364] 2.2) Preparation of Cysteine-Conjugated Antibody-Drug Conjugates A solution of antibody (10 mg / mL in PBS 7.4 + 1 mM EDTA) was treated with the required amount of tris(2-carboxyethyl)phosphine (TCEP) (2.2 molar equivalents for the final ∼DAR4 ADC or 14 molar equivalents for the final DAR8 ADC) for 1-2 hours at 37 °C. The reduced antibody was buffer exchanged into potassium phosphate 100 mM pH 7.4 + 1 mM EDTA by 3x dilution / centrifugation using Amicon 30K centrifugal filter devices (Millipore). For the final ∼DAR4 ADC, 6 molar equivalents of drug-linker (from a 12 mM DMSO stock solution) were added to the antibody. For the final DAR8 ADC, 10-12 molar equivalents of drug-linker were added. The solution was incubated at room temperature for 30 minutes. The final conjugate was buffer exchanged / purified into either PBS pH 7.4 buffer or histidine sucrose buffer (20 mM histidine buffer pH 6.0, 4% (w / v) sucrose + 75 mM NaCl) by 4x dilution / centrifugation using an Amicon 30K centrifugal filter device and sterile filtered (0.20 μm PES filter).

[0365] Final protein concentrations were assessed spectrophotometrically at 280 nm using a Nanodrop One device (Thermo Fisher Scientific).

[0366] 2.3) Characterization of Cysteine-Conjugated Antibody-Drug Conjugates The resulting conjugate was characterized as follows: Drug-to-Antibody Ratio (DAR) Assessment by Reversed Phase Liquid Chromatography-Mass Spectrometry (RPLC-MS): Modified RPLC-QToF analysis was performed using HPLC method 4 described above in Example 1. Briefly, conjugates were eluted on an Agilent PLRP-S 1000Å 2.1×150 mm 8 μm (80° C.) using a mobile phase gradient of water / acetonitrile+0.1% formic acid (0.4 mL / min) and detected using a Bruker Impact II™ Q-ToF mass spectrometer scanning the 500-3500 m / z range (ESI+). Data were deconvoluted using the MaxEnt algorithm included in the Bruker Compass® software.

[0367] Reversed Phase Liquid Chromatography (RPLC-UV): Denaturing RPLC-UV analysis was also performed on an Agilent 1100 HPLC-DAD system using a slightly modified version of the HPLC method 4 described above. The mobile phase modifier 0.1% formic acid was replaced with 0.1% TFA, and detection was performed using DAD UV absorbance only (no mass spectrometry detector).

[0368] Size Exclusion Chromatography (SEC): SEC was performed on an Agilent 1100 HPLC system (equipped with a short section of Peak tubing with an internal diameter of 0.12 mm and a microvolume UV flow cell) with an extra-column volume of less than 15 μL. The column was an Agilent AdvanceBioSEC 300 Å 4.6×150 mm 2.7 μm (maintained at 30° C.). The mobile phase was 100 mM sodium phosphate and 200 mM sodium chloride, pH 6.8. 10% acetonitrile (v / v) was added to the mobile phase to minimize secondary hydrophobic interactions with the stationary phase and prevent bacterial growth. The flow rate was 0.35 mL / min. UV detection was monitored at 280 nm or any other relevant wavelength.

[0369] 2.4) Preparation of Lysine-Conjugated Antibody-Drug Conjugates A solution of the antibodies mirvetuximab or farletuzumab (10 mg / mL in 100 mM KH2PO4 pH 8.0) was treated with a 12 mM DMSO solution of sulfo-SPDB-DM4 CAS number 1626359-59-8 (MedChemExpress) to a final concentration of 7.5 molar equivalents of sulfo-SPDB-DM4. The solution was incubated at room temperature for 3 hours and filtered using a 0.20 μm PES filter. The final conjugate was buffer exchanged / purified into either PBS pH 7.4 buffer or histidine sucrose buffer (20 mM histidine buffer pH 6.0, 4% (w / v) sucrose + 75 mM NaCl) by 5 times dilution / centrifugation using an Amicon 30K centrifugal filter device and sterile filtered (0.20 μm PES filter).

[0370] Final protein concentrations were assessed spectrophotometrically at 280 nm using a Nanodrop One device (Thermo Fisher Scientific).

[0371] 2.5) Characterization of Lysine-Conjugated Antibody-Drug Conjugates The resulting conjugate was characterized as follows: Average Drug-to-Antibody Ratio (DAR) Assessment by Native SEC-MS: Prior to analysis, ADCs were deglycosylated by adding 50 U of IgGZERO® (Genovis) enzyme per 50 μg of ADC. ADCs were separated on an Agilent AdvanceBio SEC 200A 1.9 μm 2.1 × 150 mm PEEK column (catalog no. PL1980-3201PK) maintained at 30 °C. The column was equilibrated in 50 mM ammonium acetate + 10% (v / v) HPLC grade isopropanol. The flow rate was maintained at 0.075 mL / min throughout the run and ADCs were typically eluted between 3.5-4.5 min. After elution of the mAb or ADC, the flow and buffer composition was maintained. The column eluate was directed to a Bruker Impact II™ Q-ToF mass spectrometer and analyzed over a 300-8000 m / z range (ESI +) was scanned. The feed capillary voltage was set at 4500 V. The feed drying gas was set at 8.0 L / min and the nebulizer gas at 25 Psi. The source drying temperature was set at 200° C. The ADC mass spectra were deconvoluted using the MaxEnt algorithm contained in the Bruker Compass® software and the DAR was calculated using the ion intensity peak heights of each ADC subspecies.

[0372] Size Exclusion Chromatography (SEC): SEC was performed on an Agilent 1100 HPLC system (equipped with a short section of Peak tubing with an internal diameter of 0.12 mm and a microvolume UV flow cell) with an extra-column volume of less than 15 μL. The column was an Agilent AdvanceBioSEC 300 Å 4.6×150 mm 2.7 μm (maintained at 30° C.). The mobile phase was 100 mM sodium phosphate and 200 mM sodium chloride, pH 6.8. 10% isopropanol (v / v) was added to the mobile phase to minimize secondary hydrophobic interactions with the stationary phase and prevent bacterial growth. The flow rate was 0.35 mL / min. UV detection was monitored at 280 nm or any other relevant wavelength.

[0373] 2.6) Overview of synthesized antibody-drug conjugates

[0374] [Table 7-1]

[0375] [Table 7-2] LC-0d: light chain; LC-1d: light chain with one drug-linker; HC-0d: heavy chain; HC-1d: heavy chain with one drug-linker; HC-2d: heavy chain with two drug-linkers; HC-3d: heavy chain with three drug-linkers. Major glycoforms have been reported for HC.

[0376] Example 3: General cell culture practices and animal studies Human cancer cell lines used in this project were purchased from either the American Type Culture Collection (ATCC), The Leibniz Institute DSMZ German Collection of Microorganisms and Cell Cultures GmbH (DSMZ) or the European Collection of Authenticated Cell Cultures (ECACC). For experimental use, cells were cultured according to well-established cell culture practices and following instructions from the original ATCC / DSMZ / ECACC supplier for cell culture media and supplements, cryopreservation, and subculture procedures. Cells were incubated at 37°C in a 5% CO2 atmosphere for no longer than 2 months.

[0377] All animal procedures were performed in accordance with the European Union Directive 86 / 609 / EEC. Experiments were performed in an animal housing facility certified by the French Ministry of Agriculture under individual permits. The study was approved by the local animal ethics committee (CECCAPP).

[0378] Example 4: Rodent Therapeutic Index Comparison of Glucuronide or Dipeptide Drug-Linker Designs The mouse therapeutic index of drug-linker constructs LNK1 (glucuronide-exatecan) and LNK3 (dipeptide Val-Ala-exatecan) was evaluated to compare the mouse therapeutic index of the two enzyme cleavage modalities glucuronide and dipeptide Val-Ala. Using the model human HER2 targeting trastuzumab monoclonal antibody as the targeting moiety, T-GLC-EXA ADC and T-VA-EXA ADC were formulated. These ADCs were compared for in vivo efficacy and tolerability (therapeutic index) in a HER2+ gastric cancer model. Since trastuzumab does not cross-react in mice, this assay gives useful information on the apparent toxicity of the drug-linker component of the ADC (potential target-mediated toxicity is excluded).

[0379] In vivo efficacy evaluation: NCI-N87 gastric cancer cells were implanted subcutaneously in female SCID mice (4 weeks old). ADCs were administered to mice with tumors of approximately 150 mm 3 Tumor volumes were measured every 3–5 days by a caliper device and calculated using the formula (L × W). 2 ) / 2. 3 When the immunization time exceeded 1 h, the mice were sacrificed.

[0380] Evaluation of pharmacokinetic profile: PK profile in rats after a single intravenous 3 mg / kg dose of the conjugate (total antibody-drug conjugate concentration based on mAb component over time). The ADC was injected at 3 mg / kg into female Sprague-Dawley rats (4-6 weeks old, Charles River) via the tail vein (3 animals per group, randomly assigned). Blood was collected at various time points via retro-orbital bleeding into citrate tubes, processed to plasma, and stored at -80°C until analysis. The ADC concentration based on antibody component was assessed using a human IgG ELISA kit (Stemcell™ Technologies) according to the manufacturer's protocol. A standard curve of the corresponding monoclonal antibody was used for quantification. PK parameters (clearance, half-life and AUC) were calculated by two-compartment analysis using Microsoft® Excel® software incorporating the PK function (add-in developed by Usansky et al., Department of Pharmacokinetics and Drug Metabolism, Allergan, Irvine, USAA).

[0381] Assessment of in vivo tolerability: Female SCID mice (n=3) were treated with a single intraperitoneal high dose of 200 mg / kg of the ADC compound. Mice were observed for weight loss or overt signs of toxicity over a 12 day period. Enhertu® (trastuzumab deruxtecan) was used as a positive control in this study.

[0382] The results of this study are shown in Figure 1. T-GLC-EXA and T-VA-EXA showed similar in vivo efficacy (Figure 1A) and similar rat PK profile (Figure 1B), but showed significant differences in mouse tolerability at higher doses (Figure 1C). It was concluded that the dipeptide Val-Ala cleavable modality offered a better efficacy / tolerability profile, at least for use with the exatecan payload. Therefore, this entity was preferred over other ADC constructs.

[0383] Example 5: Flow cytometric assessment of folate receptor alpha (FRa) extracellular binding sites For FRa cell surface quantification, cells were incubated with PE anti-FOLR1 antibody (BioLegend, Cat. No. 908304) for 20 min at room temperature. Cell viability was assessed using the eBioscience™ Fixable Viability Dye eFluor™ 780 kit (Thermo Fisher Scientific, Cat. No. 65-0865-18) according to the manufacturer's instructions. Analysis was performed using a BD Fortessa flow cytometer controlled by BD FACSDiva software (BD Biosciences) and data were analyzed using FlowJo software (BD Bioscience).

[0384] The results are shown in Figure 2. The cell lines in this research program showed different levels of extracellular expression of FRa. BT-474 breast cancer cells did not express extracellular FRa and were therefore considered to be a negative control cell line in the context of this research program.

[0385] Example 6: In vitro cytotoxicity assay of exatecan mesylate against FRa+ cancer cell lines The in vitro cytotoxicity of the compound exatecan mesylate was evaluated in several FRa-positive cancer cell lines. Cells were seeded in 96-well plates at an appropriate density (1000-10000 cells / well in 100 μL of the appropriate culture medium) depending on the cell line and incubated at 37 °C for 24 h. Serial dilutions of test compounds pre-dissolved in culture medium (50 μL) were added and incubation was performed at 37 °C for 144 h. MTT (5 mg / mL, 20 μL, Sigma-Aldrich) was added to the wells and incubation was continued at 37 °C for 1-2 h. The culture medium was then carefully removed and the well contents were dissolved homogeneously with acidified isopropanol. Absorbance values ​​were measured using a wavelength of 570 nm (reference wavelength 690 nm) on a MultiskanTM Sky microplate reader (Thermo Scientific). IC50 concentration values ​​compared to untreated control cells were determined using inhibition dose-response curve fitting (GraphPad Prism 9).

[0386] The results are shown in Figure 3. Exatecan mesylate demonstrated in vitro potency with sub-nM to low nM IC50, prompting the inventors to investigate the use of this compound as an ADC payload for FRa-expressing malignancies.

[0387] Example 7: Recombinant FRα binding affinity by ELISA Sandwich ELISA assays were performed using 96-well high-binding ELISA plates (Corning Inc., New York, NY, USA, Cat. No. 3590). Plates were coated with 100 μL / well of recombinant human FRa protein (Sino Biological, Cat. No. 11241-H08H); recombinant cynomolgus monkey FRa protein (Sino Biological, Cat. No. 90950-C08H); recombinant rat FRa protein (Sino Biological, Cat. No. 81073-R08H) or recombinant mouse FRa protein (Sino Biological, Cat. No. 50573-M08H) at 2 μg / mL in PBS (pH 7.4) and incubated overnight at 4° C. After washing twice with PBS-T (PBS+0.05% Tween-20), plates were blocked with 200 μL / well of incubation buffer (PBS-T+0.1% BSA) at room temperature for 1 h. Plates were washed 4 times with PBS-T and 100 μL of a 3-fold dilution series of test compounds (antibodies or antibody-drug conjugates) was added. Plates were then incubated for 2 hours at room temperature in the dark. After 5 washes with PBS-T, plates were incubated for 1 hour at room temperature with 100 μL / well of goat anti-human IgG (H+L) HRP-conjugated antibody (Jackson Immunoresearch, Cat. No. 109-035-088), pre-diluted 1:250000 in incubation buffer. After 5 washes with PBS-T, TMB substrate solution (Thermo-Fisher, Cat. No. N301) was added. Peroxidase activity was stopped with 0.18 M H2SO4 and absorbance was read at 450 nm (reference wavelength 650 nm) using a Thermo Scientific MultiSkan EX microplate reader. Sigmoidal immobilization was performed using GraphPad Prism 9 software.

[0388] The results are shown in Figure 4. Figure 4A: All antibodies and ADCs had approximately EC 50=0.1 nM. No loss of binding was observed between the native antibodies and their respective ADC constructs. No loss of binding was observed between farletuzumab and farletuzumab-LALA and their respective ADC constructs. No significant loss of binding was observed between mirvetuximab and M-SORAV ADC constructs. No human FRα binding was detected for the negative control ADC NEG-VA-EXA. Figure 4B: F-LALA-VA-EXA binds equally to human and cynomolgus recombinant FRa proteins, but not to rat and mouse recombinant FRa proteins. Thus, F-LALA-VA-EXA is cynomolgus cross-reactive, but not rodent cross-reactive.

[0389] Example 8: Human FRα binding affinity by SPR Surface plasmon resonance (SPR) experiments were performed on a Biacore T200 instrument at 25 °C. Tested antibodies or ADCs were captured at low density (300-500 RU) on a CM5 series S sensor chip pre-functionalized with the Human Antibody Capture kit (Cytiva, Cat. No. BR100839). A similarly treated functionalized surface / flow cell, but omitting the ligand, was used as a reference. To measure kinetic rates and affinities, recombinant human FR (Sino Biological, Cat. No. 11241-H08H) analyte samples were injected in duplicate at five concentrations (0.5, 1, 2, 4, 8 nM) in series with a 300 s contact pulse at a constant 70 μL / mL flow rate of running buffer (HBS-EP+, Cytiva, Cat. No. BR100669) using a single cycle kinetic strategy. The dissociation phase was measured by injecting running buffer for 900 s. Between duplicates, the surface / flow cell was regenerated with 3M MgCl2 to remove both analyte and ligand, and fresh ligand capture was performed using identical conditions. Data analysis was performed using Biacore Evaluation software after subtraction of the baseline and zero concentration signals of analyte. Data were processed and fitted to a 1:1 binding model to determine the binding rate constant, k a (on speed) and kd (off rate), and K D (equilibrium dissociation constant, also called "affinity") was determined. Means and standard deviations of replicate experiments are reported.

[0390] The results are shown in Figure 5. No loss of recombinant human FRa binding was observed between the native antibody and the respective ADC constructs. No loss of binding was observed between farletuzumab and farletuzumab-LALA and the respective ADC constructs. Surprisingly, there was an approximately 10-fold reduced K for farletuzumab and farletuzumab-LALA-based constructs compared to mirvetuximab and mirvetuximab-based constructs. D Values ​​(affinity constants) of k for farletuzumab and farletuzumab-LALA-based constructs were observed compared to mirvetuximab and mirvetuximab-based constructs. d This resulted in an increase in the dissociation rate constant (the association rate constant k a (Considering that the binding events of human FRα were similar.) For the negative control IgG1 (Sino Biologicals, Cat. No. HG1K), no human FRα binding events were detected.

[0391] Example 9: Cell Binding Affinity by Flow Cytometry Antibody or ADC binding to extracellular human FRa expressed on cancer cell lines was assessed by flow cytometry. Tested antibodies or ADCs were conjugated to APC fluorophores using the LYNX Rapid APC Antibody Conjugation Kit according to the manufacturer's protocol (Bio-Rad, Cat. No. LNK032APC). 500000 cells (suspended in 100 μL PBS in flow cytometry plastic tubes) were added with 5 μL of a 10 μg / mL solution of the tested APC-labeled antibody or ADC. Cells were incubated for 20 min in the dark, washed three times with PBS by centrifugation, and resuspended in 200 μL PBS for analysis. Flow cytometry was performed using a BD Fortessa flow cytometer controlled by BD FACSDiva software (BD Biosciences), and data were analyzed using FlowJo software (BD Bioscience).

[0392] The results are shown in Figure 6. Comparable human FRα cell binding was observed between farletuzumab and farletuzumab-LALA and their respective ADC constructs. The binding affinity between native mirvetuximab and native farletuzumab appeared to be identical. Surprisingly, a significant loss of binding was observed for the ADC derivative of mirvetuximab (M-SORAV) compared to its parent antibody mirvetuximab. This can be explained by either (1) heterogeneous stochastic conjugation of the sulfo-SPDB-DM4 drug-linker, which can react with lysine amino acids that are part of the antibody variable region, thus reducing the binding affinity; (2) a lower APC labeling efficiency of M-SORAV when the LYNX Rapid APC conjugation kit reacts with lysine amino acids like sulfo-SPDB-DM4, or (3) a combination of (1) and (2). No binding was observed in the FRa negative control cell line BT-474 for all compounds tested.

[0393] Example 10: Ex vivo ADC human plasma stability F-VA-EXA and F-LALA-VA-EXA ADC samples (>6 mg / mL solution in PBS) were diluted with pure sterile human plasma (GeneTex, Cat. No. GTX73265) in screw-cap centrifuge tubes to give a final ADC concentration of 200 μg / mL (less than 5% v / v residual PBS volume). Samples were incubated at 37° C. and aliquots were taken at 5 min, 6 h, 1 day, 2 days, 3 days and 7 days (aliquots remained frozen at −80° C. until analysis). ADCs were isolated from plasma by immunocapture using Dynabeads™ M-280 streptavidin (Thermo Scientific) magnetic beads pre-coated with biotinylated human folate receptor alpha recombinant protein (Sino Biologicals, Cat. No. 11241-H08H). Briefly, 600 μL of commercial bead solution was washed twice with HBS-EP buffer (Cytiva, Cat. No. BR100188) and resuspended in 1.2 mL of HBS-EP buffer. 65 μL of biotinylated recombinant FRa solution (protein amount 48 μg) was added and the solution was stirred at room temperature for 2 h. The beads were then washed three times with HBS-EP buffer and resuspended in 1.2 mL of HBS-EP buffer. For one round of immunocapture, 100 μL of the previous bead solution was added onto 100 μL of HBS-EP in a microcentrifuge tube. 10 μL of ADC solution in plasma (theoretical ADC amount 2 μg) was added and the solution was stirred at room temperature for 2 h. After incubation, the bead-ADC complexes were washed twice with HBS-EP buffer, resuspended in 200 μL of HBS-EP buffer, and deglycosylated by adding 2 μL / 1000U of PNGase F (New England Biolabs, Cat. No. P0705L) overnight at 37° C. with gentle agitation. The beads were then washed twice with HBS-EP buffer, twice with distilled water, and once with 10% acetonitrile in water (v / v). The beads were incubated with 50 μL of 30% aqueous acetonitrile (v / v) containing 0.1% (v / v) formic acid for 30 min at room temperature with gentle agitation.The eluted samples containing the deglycosylated ADCs were then analyzed by denaturing reversed-phase chromatography-mass spectrometry using a Thermo UltiMate 3000 UHPLC system equipped with a Bruker Impact II™ Q-ToF mass spectrometer. Mobile phase A was water + 0.1% formic acid and mobile phase B was acetonitrile + 0.1% formic acid. The column was an Agilent PEEK PLRP-S 1000 Å 2.1×100 mm 5 μm (80° C.). The linear gradient was 20% B to 50% B in 25 min. The flow rate was 0.4 mL / min. UV detection was monitored at 280 nm. The Q-ToF mass spectrometer was run over the m / z range 500-5000 (ESI. + ). Data were deconvoluted using the MaxEnt algorithm included in the Bruker Compass® software. For stability data analysis, deconvolution of raw spectra within selected light chain (LC) and heavy chain (HC) elution time windows was performed. Drug-linker losses or modifications were identified according to the corresponding mass shifts from the starting ADC material. The relative ratios of ADCs with different DARs were calculated by dividing the intensity of a particular ADC subspecies by the intensity from the total ADC species. Final DAR values ​​were calculated as described in Xu et al., Anal. Biochem., 2011, 412(1), 56-66.

[0394] The results are shown in Figure 7. Greater than 90% drug-linker human plasma stability was observed for both the F-VA-EXA and F-LALA-VA-EXA ADCs. With the exception of a mass shift of +18 Da (+H2O) from the self-stabilizing hydrolysis of the maleimide group, which was complete after 48-72 h ADC incubation time, no mass shift of the drug-linker was observed during this study (no premature exatecan release or metabolism). The only instability observed was caused by retro-Michael maleimide deconjugation of the entire drug-linker on the heavy chain of the ADC (no deconjugation was observed on the light chain).

[0395] Example 11: In vitro cytotoxicity experiments against FRa-negative cell lines To evaluate the non-specific (off-target) cytotoxicity of the ADCs, an in vitro cytotoxicity assay was realized in the BT-474 (FRa negative) cancer cell line. Cells were seeded in 96-well plates at an appropriate density (1000-10000 cells / well in 100 μL of the appropriate culture medium) depending on the cell line and incubated at 37 °C for 24 h. Serial dilutions (50 μL) of test compounds pre-dissolved in culture medium were added and incubation was performed at 37 °C for 144 h. MTT (5 mg / mL, 20 μL, Sigma-Aldrich) was added to the wells and incubation was continued at 37 °C for 1-2 h. The culture medium was then carefully removed and the well contents were dissolved homogeneously with acidified isopropanol. Absorbance values ​​were measured using a wavelength of 570 nm (reference wavelength 690 nm) on a Multiskan™ Sky microplate reader (Thermo Scientific). IC50 concentration values ​​compared to untreated control cells were determined using inhibition dose-response curve fitting (GraphPad Prism 9).

[0396] The results are shown in Figure 8. Soravtansine (sulfo-SPDB-DM4)-based ADCs showed a higher level of off-target (non-FRa-mediated) cell killing potency compared to VA-EXA (LNK4-S drug-linker)-based ADCs. This has been observed in both mirvetuximab-based and farletuzumab-based ADCs. The VA-EXA drug-linker moiety has less off-target toxicity compared to the soravtansine drug-linker, which is a good prerequisite for increasing the tolerability of ADCs in clinical settings.

[0397] [Table 8]

[0398] Example 12: In vivo efficacy xenograft model Four- to five-week-old female CB-17 severe combined immunodeficiency (SCID) mice were obtained from Janvier labs (Le Genest-Saint-Isle, France) and quarantined for 7 days before the start of the study. Cells (5–10 × 10 per mouse) resuspended in 50% BD Matrigel (Corning®) in PBS (OV-90, SW-620, KB, BT-474 cell lines) or PBS (PA-1, IGROV-1, OVCAR-3, NCI-H2110 cell lines) were 6 The average tumor volume was approximately 120–150 mm. 3 Once tumor volume reached 100 mg / kg, mice were randomized (typically 7 mice per group) and treated with a single (unless otherwise stated) intravenous injection of PBS (negative control) or antibody-drug conjugates. Tumor volumes were measured every 3-5 days using a caliper device (length x width) and calculated according to the following formula: V = 4 / 3 x π x R 3 where R represents the radius. Mice were sacrificed when the tumor volume exceeded 1500 mm3 or when the tumor became ulcerated.

[0399] In the IGROV-1 tumor model, a tumor reimplantation challenge was performed on day 94 of the study. Mice treated with F-LALA-VA-EXA (12 mg / kg i.v. single dose) were reimplanted with IGROV-1 cells using the same procedure used at the beginning of the study (on the other flank of the animals). A control group of five new SCID animals were also reimplanted following the exact same procedure.

[0400] Figure 9 shows a tumor xenograft study in the SW-620 cancer model. F-VA-EXA and M-SORAV conjugates were injected IV at 5, 10 or 15 mg / kg. F-VA-EXA was highly active at doses of 5 mg / kg and above, whereas the comparator M-SORAV was inactive even at 15 mg / kg.

[0401] Figure 10 shows a tumor xenograft study in the SW-620 cancer model. F-VA-EXA and F-LALA-VA-EXA were injected intravenously once at 1, 3 and 6 mg / kg. The non-targeted isotype-matched negative control ADC NEG-VA-EXA was injected IV at 6 mg / kg. F-VA-EXA and F-LALA-VA-EXA were equally highly active at doses of 1 mg / kg and above. The non-targeted conjugate NEG-VA-EXA was inactive at the highest tested dose of 6 mg / kg, demonstrating that the anti-tumor activity of the conjugates is target selective.

[0402] Figure 11 shows a tumor xenograft experiment in an OV-90 cancer model. F-VA-EXA, F-LALA-VA-EXA and M-SORAV conjugates were injected intravenously at 30 mg / kg in a single dose. All conjugates were highly active with 100% remission rates in all groups. However, significant toxicity was observed with the M-SORAV conjugate: 6 out of 6 mice showed a disheveled appearance (dry and lackluster hair coat), 3 out of 6 mice showed signs of collapse, and 2 out of 6 mice had diarrhea. No toxicity was observed with the F-VA-EXA and F-LALA-VA-EXA conjugates. These data suggest a better preclinical therapeutic window for the F-VA-EXA and F-LALA-VA-EXA constructs compared to M-SORAV.

[0403] Figure 12 shows a tumor xenograft study in the OV-90 cancer model. F-VA-EXA, F-LALA-VA-EXA and M-SORAV conjugates were injected IV once at sub-curative doses of 5 and 10 mg / kg. At 5 mg / kg, F-VA-EXA and F-LALA-VA-EXA showed similar and improved efficacy when compared to M-SORAV. At 10 mg / kg, F-VA-EXA and M-SORAV showed similar efficacy (although more heterogeneity was observed within the M-SORAV group). At 10 mg / kg, F-LALA-VA-EXA was superior to both F-VA-EXA and M-SORAV.

[0404] Figure 13 shows a tumor xenograft study in the KB cancer model. F-VA-EXA, F-LALA-VA-EXA and M-SORAV conjugates were injected IV once at 3, 6 and 12 mg / kg. The non-targeted isotype-matched negative control ADC NEG-VA-EXA was injected IV once at 12 mg / kg. F-VA-EXA, F-LALA-VA-EXA and M-SORAV were equally active at doses of 3 mg / kg and above. The non-targeted conjugate NEG-VA-EXA was inactive at the highest tested dose of 12 mg / kg, demonstrating that the anti-tumor activity of the conjugates is target selective.

[0405] Figure 14 shows tumor xenograft experiments in the PA-1 cancer model. F-LALA-VA-EXA and M-SORAV conjugates were injected IV once at sub-curative doses of 3, 6 and 12 mg / kg. The non-targeted isotype-matched negative control ADC NEG-VA-EXA was injected IV once at 12 mg / kg. At 3 mg / kg, F-LALA-VA-EXA outperformed M-SORAV. At 6 mg, F-LALA-VA-EXA slightly outperformed M-SORAV. At 12 mg, M-SORAV was superior to F-LALA-VA-EXA. Overall, both conjugates showed similar levels of efficacy. At the highest tested dose of 12 mg / kg, the non-targeted conjugate NEG-VA-EXA showed a slightly reduced tumor growth rate compared to the untreated control group.

[0406] Figure 15 shows a tumor xenograft study in an OV-90 cancer model. F-LALA-VA-EXA and M-SORAV conjugates were injected IV once at doses of 3, 6 and 12 mg / kg. F-LALA-VA-EXA outperformed M-SORAV at 3, 6 and 12 mg / kg.

[0407] Figure 16 shows a tumor xenograft study in the IGROV-1 cancer model. F-LALA-VA-EXA and M-SORAV conjugates were injected IV once at doses of 3, 6 and 12 mg / kg. The non-targeted isotype-matched negative control ADC NEG-VA-EXA was injected IV once at 12 mg / kg. At 3, 6 and 12 mg / kg, F-LALA-VA-EXA and M-SORAV showed similar levels of efficacy and demonstrated robust tumor regression. At the highest dose tested of 12 mg / kg, the non-targeted conjugate NEG-VA-EXA showed a level of efficacy that was less pronounced than the other FRa-targeted ADCs in the study. Tumor regrowth rechallenge performed 94 days after the study confirmed that F-LALA-VA-EXA was capable of inducing a protective immune memory response, as no tumor growth was observed after reimplantation in the group treated with F-LALA-VA-EXA at ​​a single 12 mg / kg IV dose (a positive control group using fresh naive SCID mice showed tumor growth after implantation).

[0408] Figure 17 shows a tumor xenograft study in a folate receptor alpha negative (FRa neg) BT-474 breast cancer model. F-LALA-VA-EXA and M-SORAV conjugates were injected IV once at 5 and 10 mg / kg doses. Enhertu® (HER2-targeted trastuzumab deruxtecan) was used as a positive control and was injected IV once at 10 mg / kg dose. No efficacy was observed for F-LALA-VA-EXA and M-SORAV at both doses, confirming that the efficacy of these conjugates is FRa selective. As expected and previously observed (Conilh et al., 2021, Pharmaceuticals, 14(3), 247, doi:10.3390 / ph14030247), Enhertu® was effective in this HER2-positive BT-474 cancer model.

[0409] [Table 9]

[0410] Example 13: Mouse Tolerance Study To assess the preclinical therapeutic index in mice, a mouse tolerability study was performed with F-VA-EXA, F-LALA-VA-EXA and M-SORAV conjugates. Female SCID mice (n=5 mice per group) were treated with a single intraperitoneal dose of F-VA-EXA (200 mg / kg), F-LALA-VA-EXA (200 mg / kg) or M-SORAV (100 mg / kg). Mice were closely monitored for weight loss or overt signs of toxicity over a 21 day period.

[0411] The same experiment was also performed in female CD-1 mice treated once with 0, 50, 100, 150 or 200 mg / kg IV of F-LALA-VA-EXA.

[0412] The results are shown below (for SCID mouse experiments) and in FIG. 18. F-VA-EXA and F-LALA-VA-EXA were well tolerated at the 200 mg / kg dose with no obvious signs of toxicity. In contrast, all mice treated with M-SORAV at the 100 mg / kg dose showed significant signs of toxicity (disheveled appearance with shaggy fur, diarrhea, prostration, closed eyes, inhibited behavior) and were found dead on days 2-3 or had to be euthanized. These results, together with the xenograft efficacy data described above, indicate a superior preclinical therapeutic index of the F-VA-EXA and F-LALA-VA-EXA constructs compared to the comparative M-SORAV.

[0413] In female CD-1 mice, MBK-103 did not cause any dose-dependent adverse systemic or local effects at all dose levels examined (up to 200 mg / kg, IV, 1 dose). No weight loss or behavioral changes were observed. The only notable observation was a slight decrease in thymus and spleen weights in all groups compared to the control group during terminal necropsy.

[0414] [Table 10]

[0415] Example 14: Sprague-Dawley rat pharmacokinetic study F-VA-EXA and F-LALA-VA-EXA conjugates were injected at 5 mg / kg into female Sprague-Dawley rats (4-6 weeks old-Charles River) via the tail vein (six animals per randomly assigned group). Blood was collected via retro-orbital bleed into citrate tubes at 5 min, 4 h, 1 day, 2 days, 4 days, 7 days, 14 days, and 21 days, processed to plasma, and stored at -80°C until analysis.

[0416] Total mAb concentrations were assessed by ELISA using a goat polyclonal anti-human IgG (H+L) primary antibody (Jackson Immunoresearch) as capture reagent and a mouse polyclonal anti-human IgG (H+L) HRP conjugate (Jackson Immunoresearch) as secondary detection antibody. Total ADC concentrations were assessed by ELISA using a rabbit polyclonal anti-exatecan antibody (ref#6294 / 00000920, custom made at Biotem, Apprieu, France) as capture reagent and a mouse polyclonal anti-human IgG (H+L) HRP conjugate (Jackson Immunoresearch) as secondary detection antibody. A standard curve of ADC was used for quantification.

[0417] Pharmacokinetic parameters (clearance, half-life, Vss and AUC) were calculated by two-compartment analysis using Microsoft Excel software incorporating PK functions (add-in developed by Usansky et al., Department of Pharmacokinetics and Drug Metabolism, Allergan, Irvine, CA, USA).

[0418] Free exatecan concentration was assessed using an LC / MS-MS method using an Agilent 1100 HPLC system and a Sciex API 4000 MS / MS system. Rat plasma samples were protein precipitated using an organic solution consisting of 80:20 (v / v) acetonitrile / methanol + 1% formic acid + d5-exatecan (20 ng / mL) as an internal standard. Samples were analyzed using gradient elution mode on a Phenomenex Kinetex® C8 2.1×30 mm 2.6 μm 100A column (Phenomenex, Cat. No. 00D-4497-AN) maintained at 45° C. Mobile phase A was water + 0.15% formic acid and mobile phase B was acetonitrile / isopropanol 80:20 (v / v) + 0.15% formic acid. The flow rate was 0.8 mL / min. For detection, MRM scanning in positive ion mode was used. Linear least-squares regression with 1 / x weighting was used to plot calibration curves using peak area ratio analyte / deuterated internal standard versus nominal analyte concentration. Calibration curves ranged from 0.2 (LLOQ) to 500 ng / mL.

[0419] The results are shown in Figure 19. F-VA-EXA and F-LALA-VA-EXA exhibited biphasic PK profiles in circulation (fast distribution phase followed by a slow elimination phase) with similar volumes of distribution, slow clearance rates and half-lives in the range of 13-15 days. The total mAb and total ADC curves were similar in intensity, slope and shape, suggesting good ADC stability (no major payload deconjugation over time). Free exatecan payload was only detected during the 0-48 hour period of the experiment (10 times higher than the parent ADC component). 6 2x less concentrated), suggesting good ADC stability and no premature deconjugation of exatecan.

[0420] Example 15: Pulmonary inflammation and toxicity assessment in mice Bleomycin has been widely used in rodents to model pulmonary fibrosis for the study of mechanisms involved in fibrogenesis and for the evaluation of potential therapeutics. To evaluate ADC pulmonary toxicity, bleomycin-induced pulmonary fibrosis was induced in mice following known procedures as described by Walter and Kleeberger, Mouse Models of Bleomycin-Induced Pulmonary Fibrosis, 2008, Curr. Protoc. Pharmacol. 40:5.46.1-5.46.17. On days 0, 4, and 8, female C57 / BL6 mice (Janvier Labs, Le Genest-Saint-Isle, France) were lightly anesthetized with isoflurane and administered 20 μL of 1 mg / kg bleomycin PBS solution (bleomycin veron, 15 mg for injection) or PBS (negative control mice) intranasally. Non-bleomycin-adapted mice were included as a negative control group. On day 11, mice (n=6 / group) were treated with the tested conjugates (10 mg / kg ip) and monitored for obvious signs of toxicity and weight loss throughout the experiment. A positive control group was included that was treated with the clinically approved conjugate Enhertu® (10 mg / kg ip), which is known to induce interstitial lung disease and pneumonitis preclinically and in a small proportion of patients. On day 25, all mice were sacrificed, bronchoalveolar supernatants were obtained (by bronchoalveolar lavage), and lung organs were collected, weighed, and fixed in 0.1% (w / v) formaldehyde in PBS. After fixation, lungs were rinsed with 0.02% (w / v) sodium azide in PBS solution and embedded in paraffin for histological staining. Slides were stained with anti-CD45 antibody (Abcam, Cat. No. ab10558, 1:500) to quantify the level of leukocyte infiltration in the lungs. Secondary biotinylated goat anti-rabbit antibody (Vector Laboratories, Cat. No. BA-1000, 1:300) and avidin-HRP (Vector Laboratories, Cat. No. A-2004) were used for detection.Histological experiments and imaging were outsourced at the Centre d'Imagerie Quantitative Lyon-Est (CiQLE) platform (Lyon, France). Random sections (30% zoom) of IHC images were processed using native functions of Fiji software (developed and maintained by the Laboratory for Optical and Computational Instrumentation, University of Wisconsin-Madison, US) to count CD45 positive cells in slides (one slide per lung) and to evaluate the level of leukocyte infiltration. Monitoring of the total numbers of lymphocytes (CD3 / CD4), eosinophils (CCR3 / SiglecF), neutrophils (Ly6g / Ly6C) and macrophages (F4 / 80) in bronchoalveolar supernatants obtained from non-bleomycin-adapted mice was performed by flow cytometry. Inflammatory cytokine levels in bronchoalveolar supernatants obtained from non-bleomycin-adapted mice were quantified by ELISA. IL-2, IL-4, IL-5, IL-6, IL-9, IL-10, IL-13 were quantified using Bio-Plex Pro™ Mouse Cytokine Th2 Panel (Bio-Rad, Cat. No. L60000UKVT) according to the manufacturer's instructions. TGF-β and IL-17 were quantified using Mouse TGF-β1 DuoSet and Mouse IL-17 DuoSet ELISA kits (R&D systems, Cat. Nos. DY1679 and DY421), respectively, according to the manufacturer's instructions.

[0421] Statistical significance was assessed using one-way ANOVA (Tukey's method) using GraphPad Prism 9 software. p values ​​were: * (p<0.033), ** (p<0.002), *** (p<0.0002), and **** (p<0.0001) and "ns" indicates non-significant (p>0.123).

[0422] Quantitative IHC CD45 results are shown in Figure 20. The positive control Enhertu® ADC was treated with untreated ( *** ) and bleomycin-conditioned ( **** ) negative control group. The F-VA-EXA ADC did not cause a significant increase in leukocyte inflammatory infiltration when compared to the untreated group, and the bleomycin-conditioned ( *** ) control group. F-LALA-VA-EXA did not cause a significant increase in leukocyte inflammatory infiltration when compared to both the untreated and bleomycin-conditioned negative control groups. Based on these preclinical results, it can be hypothesized that F-VA-EXA, especially F-LALA-VA-EXA (Fc silent variant), will induce little or no interstitial lung disease or pneumonitis in a clinical setting.

[0423] Inflammatory cytokine levels in bronchoalveolar supernatants are shown in Figure 21A. The positive control Enhertu® ADC caused a significant increase in IL-13, IL-17 and TGF-β cytokine levels compared to the untreated group. The F-VA-EXA and F-LALA-VA-EXA ADCs did not cause a significant increase in cytokine levels when compared to the untreated group.

[0424] The total numbers of lymphocytes, eosinophils, neutrophils and macrophages in the bronchoalveolar supernatant are shown in Figure 21B. The positive control Enhertu® caused a significant increase in lymphocyte, macrophage, neutrophil and eosinophil counts compared to the untreated control group. F-VA-EXA and F-LALA-VA-EXA showed a significant increase in lymphocyte counts compared to the untreated control group, but did not show a statistically significant increase in macrophages, neutrophils and eosinophils compared to the untreated control group.

[0425] [Table 11]

[0426] Example 16: Dose-ranging toxicity study in cynomolgus monkeys A non-human primate dose-ranging toxicity study was performed using purpose-reared natural female cynomolgus monkeys (Macaca fascicularis) of Vietnamese origin. The study was conducted at Cynbiose SAS (Marcy-l'Etoile, France). The study protocol was approved by the animal care committee of the study facility. F-LALA-VA-EXA ADC was administered intravenously (5 mL / kg / h over a 30-minute injection period) at dose levels of 30, 40, 50 or 60 mg / kg, 3 weeks apart (total of 3 doses). Two female monkeys / group were used in the study (total of 8 animals). After terminal sacrifice 5 days after the last dose, gross necropsy, organ weight measurements and histopathological examinations were performed. Parameters evaluated during the study included mortality, clinical signs (including estimates of food consumption), body weight, ophthalmology, temperature, hematology, coagulation, clinical chemistry, urinalysis, organ weights, and gross and microscopic examination of an extensive list of tissues. The ADC formulation buffer was 20 mM histidine pH 6.0, 4% (w / v) sucrose and 75 mM NaCl. The vehicle was saline 0.9%.

[0427] Results are shown in Figure 22. The F-LALA-VA-EXA ADC was well tolerated, with a predicted highest non-severe toxic dose (HNSTD) of 50 mg / kg, three times. Dosing at 60 mg / kg was not tolerated due to acute renal failure in one of the two animals (likely target-related, since folate receptor alpha is endogenously expressed in the kidney). The preclinical therapeutic window of F-LALA-VA-EXA appears favorable, as the cynomolgus monkey HNSTD is well above the therapeutic dose efficacious in rodent cancer models (after allometric scaling of dose).

Claims

1. An antibody-drug conjugate of formula (I): Ab-[LD]p(I), During the ceremony, -Ab is an anti-folate receptor alpha (FRα) antibody that specifically binds to SEQ ID NO: 12, -L is a cleavable linker moiety attached to the antibody, preferably via a thiol residue; -D is a cytotoxic drug moiety attached to L; - p is 1 to 8, preferably 6 to 8, more preferably p is 8; An antibody-drug conjugate of formula (I):

2. 2. The antibody-drug conjugate of claim 1, wherein D is an inhibitor of topoisomerase I, preferably selected from the group consisting of camptothecin analogues, more preferably D is the drug moiety of exatecan of formula (II): 【Chemistry 1】

3. 3. The antibody-drug conjugate of any one of claims 1 to 2, wherein L is a cleavable linker moiety of the formula -A-W-, where A is an optional stretcher unit linked to Ab and W is a cleavable moiety linked to D.

4. W is represented by the following formula (III): 【Chemistry 2】 During the ceremony, Each R ２ is independently selected from the group consisting of an electron withdrawing group and C1-C4 alkyl; n is 0, 1 or 2; T is a sugar cleavable unit or a polypeptide cleavable unit; When T is a sugar cleavable unit, Y is O, or when T is a polypeptide cleavable unit, Y is NR ３ and R3 is selected from the group consisting of H, C1-C24 alkyl, C2-C6 alkenyl; optionally substituted polyether, aryl having 6-10 ring atoms, C3-C8 cycloalkyl, heterocycloalkyl having 3-10 ring atoms, heteroaryl having 5-10 ring atoms, and any combination thereof; said alkyl and alkenyl are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -O-C(O)NR''- and triazole; R″ and R′″ are independently selected from H and C1-C6 alkyl; The antibody-drug conjugate of claim 3, which is of formula (III): and pharma- ceutically acceptable salts thereof.

5. L corresponds to the linker -A-W- of formula (IV), 【Chemistry 3】 During the ceremony, X １ is in connector units, Z is an optional spacer, X ２ is in connector units, K is an optional hydrophobic masking entity, preferably selected from polysarcosine and polyethylene glycol; R １ is H, C1-C24 alkyl, C ２ ~C ６ alkenyl, optionally substituted polyether, aryl having 6 to 10 ring atoms, C3-C8 cycloalkyl, heterocycloalkyl having 3 to 10 ring atoms, heteroaryl having 5 to 10 ring atoms, and any combination thereof; said alkyl and alkenyl are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, -NR''-, -C(O)NR''-, -NR''-C(O)-, -NR''-C(O)-NR'''-, -NR''-C(O)-O-, -O-C(O)NR''- and triazole; R ４ is selected from the group consisting of H, C1-C6 alkyl, and C2-C6 alkenyl, said alkyl and alkenyl being optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, and -NR''-; and R ５ is H, C １ ~C ６ Alkyl and C ２ ~C ６ alkenyl, wherein said alkyl and alkenyl are optionally interrupted by one or more heteroatoms or groups selected from -O-, -S-, -C(O)-, and -NR''-; The antibody-drug conjugate according to claim 4.

6. K is preferably a polysarcosine of formula (V): 【Chemistry 4】 In the formula, k is an integer from 2 to 50, preferably from 4 to 30; R ６ is OH or NH ２ Corresponding to, The antibody-drug conjugate according to claim 5.

7. The antibody-drug conjugate of any one of claims 5 to 6, wherein T is a sugar cleavable unit that is a glucuronide or a galactoside.

8. The antibody-drug conjugate of any one of claims 5 to 7, wherein T is a dipeptide preferably selected from Val-Cit, Val-Ala and Phe-Lys.

9. L, Corresponding to a linker of formula (VI): 【Chemistry 5】 L is covalently attached to one or more thiol residues of the antibody; The antibody-drug conjugate according to any one of claims 1 to 3.

10. Corresponding to the following formula (VII): 【Chemistry 6】 wherein Ab is an anti-FRα antibody, typically comprising alanine substitutions at leucine 234 and leucine 235 of the IgG1 Fc constant region, e.g., farletuzumab, or a silent IgG1 variant thereof, and p is 4-8; The antibody-drug conjugate according to any one of claims 1 to 9.

11. Ab is any of the following: (i) a variable heavy chain polypeptide comprising an HCDR1 of SEQ ID NO:1, an HCDR2 of SEQ ID NO:2, an HCDR3 of SEQ ID NO:3, and a variable light chain polypeptide comprising an LCDR1 of SEQ ID NO:4, an LCDR2 of SEQ ID NO:5, and an LCDR3 of SEQ ID NO:6; or (ii) a variable heavy chain polypeptide comprising a VH of SEQ ID NO: 7 and a variable light chain polypeptide comprising a VL of SEQ ID NO: 8 The antibody-drug conjugate according to any one of claims 1 to 10, which is an anti-FRα antibody comprising:

12. (i) Ab is a variable heavy chain polypeptide comprising a HCDR1 of SEQ ID NO:1, a HCDR2 of SEQ ID NO:2, a HCDR3 of SEQ ID NO:3, and a variable light chain polypeptide comprising an LCDR1 of SEQ ID NO:4, an LCDR2 of SEQ ID NO:5 and an LCDR3 of SEQ ID NO:6; an anti-folate receptor alpha antibody or an antigen-binding fragment thereof comprising: (ii) L is a cleavable linker of formula -A-W-, where A is an optional stretcher unit linked to Ab and W is a cleavable moiety linked to D; (iii) D is an inhibitor of topoisomerase I, e.g., exatecan, and (iv) p is 1 to 8, preferably 4 to 8, more preferably about 8; The antibody-drug conjugate according to any one of claims 1 to 11.

13. The antibody-drug conjugate according to any one of claims 1 to 12 for use as a medicament, preferably for use in the treatment of a tumor, such as a solid tumor, more particularly a tumor selected from the group consisting of ovarian cancer, breast cancer, lung cancer, or mesothelioma, in a subject in need of such treatment.

14. The antibody-drug conjugate of any one of claims 1 to 12 for use in treating cancer in a subject in need thereof, the cancer being selected from the group consisting of ovarian cancer, triple-negative breast cancer, and non-small cell lung cancer.

15. A pharmaceutical composition comprising the antibody-drug conjugate of any one of claims 1 to 12 in combination with one or more pharma- ceutically acceptable excipients, diluents or carriers, optionally including other active ingredients.

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