The present invention relates to a
saponin-based
saponin derivative comprising a
triterpene aglycone and a first and / or second
sugar chain, the
saponin derivative comprising: an
aglycone core structure containing a derivatized
aldehyde group; and / or the first
sugar chain containing a derivatized carboxyl group; and / or the second
sugar chain containing at least one derivatized
acetoxy group. The present invention also relates to a first pharmaceutical composition comprising the saponin derivative of the present invention. In addition, the present invention relates to a pharmaceutical combination comprising the first pharmaceutical composition of the present invention and a second pharmaceutical composition comprising any one or more of an
antibody-
toxin conjugate, a
receptor-ligand-
toxin conjugate, an
antibody-
drug conjugate, a
receptor-ligand-
drug conjugate, an
antibody-
oligonucleotide conjugate, or a
receptor-ligand-
oligonucleotide conjugate. The present invention also relates to the first pharmaceutical composition or the pharmaceutical combination of the present invention for use as a medicament or in the treatment or prevention of
cancer, an infectious
disease, a
viral infection, hypercholesterolemia, primary hyperoxaluria, hemophilia A, hemophilia B, alpha-1 antitrypsin-associated
liver disease, acute hepatic porphyria,
transthyretin-mediated
amyloidosis, or an
autoimmune disease. Furthermore, the present invention relates to an
in vitro or
ex vivo method for translocating a molecule from outside a
cell into the
cell, which method comprises contacting the
cell with the molecule and with a saponin derivative of the present invention.