RU2018144315A - КОНЪЮГАТЫ АНТИТЕЛА К cMet И ЛЕКАРСТВЕННОГО СРЕДСТВА И СПОСОБЫ ИХ ПРИМЕНЕНИЯ - Google Patents
КОНЪЮГАТЫ АНТИТЕЛА К cMet И ЛЕКАРСТВЕННОГО СРЕДСТВА И СПОСОБЫ ИХ ПРИМЕНЕНИЯ Download PDFInfo
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- 238000000034 method Methods 0.000 title claims 11
- 239000003814 drug Substances 0.000 title claims 5
- 125000003275 alpha amino acid group Chemical group 0.000 claims 21
- 206010028980 Neoplasm Diseases 0.000 claims 5
- 208000002154 non-small cell lung carcinoma Diseases 0.000 claims 5
- IEDXPSOJFSVCKU-HOKPPMCLSA-N [4-[[(2S)-5-(carbamoylamino)-2-[[(2S)-2-[6-(2,5-dioxopyrrolidin-1-yl)hexanoylamino]-3-methylbutanoyl]amino]pentanoyl]amino]phenyl]methyl N-[(2S)-1-[[(2S)-1-[[(3R,4S,5S)-1-[(2S)-2-[(1R,2R)-3-[[(1S,2R)-1-hydroxy-1-phenylpropan-2-yl]amino]-1-methoxy-2-methyl-3-oxopropyl]pyrrolidin-1-yl]-3-methoxy-5-methyl-1-oxoheptan-4-yl]-methylamino]-3-methyl-1-oxobutan-2-yl]amino]-3-methyl-1-oxobutan-2-yl]-N-methylcarbamate Chemical compound CC[C@H](C)[C@@H]([C@@H](CC(=O)N1CCC[C@H]1[C@H](OC)[C@@H](C)C(=O)N[C@H](C)[C@@H](O)c1ccccc1)OC)N(C)C(=O)[C@@H](NC(=O)[C@H](C(C)C)N(C)C(=O)OCc1ccc(NC(=O)[C@H](CCCNC(N)=O)NC(=O)[C@@H](NC(=O)CCCCCN2C(=O)CCC2=O)C(C)C)cc1)C(C)C IEDXPSOJFSVCKU-HOKPPMCLSA-N 0.000 claims 4
- 229940079593 drug Drugs 0.000 claims 4
- 239000008194 pharmaceutical composition Substances 0.000 claims 4
- 239000003080 antimitotic agent Substances 0.000 claims 3
- 239000002246 antineoplastic agent Substances 0.000 claims 3
- 201000011510 cancer Diseases 0.000 claims 3
- 150000003839 salts Chemical class 0.000 claims 3
- 208000009956 adenocarcinoma Diseases 0.000 claims 2
- 238000001574 biopsy Methods 0.000 claims 2
- 229960002173 citrulline Drugs 0.000 claims 2
- 239000003937 drug carrier Substances 0.000 claims 2
- 108010093470 monomethyl auristatin E Proteins 0.000 claims 2
- 239000004971 Cross linker Substances 0.000 claims 1
- 230000000970 DNA cross-linking effect Effects 0.000 claims 1
- 102000001301 EGF receptor Human genes 0.000 claims 1
- 108060006698 EGF receptor Proteins 0.000 claims 1
- 239000005551 L01XE03 - Erlotinib Substances 0.000 claims 1
- 239000003431 cross linking reagent Substances 0.000 claims 1
- 102000052116 epidermal growth factor receptor activity proteins Human genes 0.000 claims 1
- 108700015053 epidermal growth factor receptor activity proteins Proteins 0.000 claims 1
- AAKJLRGGTJKAMG-UHFFFAOYSA-N erlotinib Chemical compound C=12C=C(OCCOC)C(OCCOC)=CC2=NC=NC=1NC1=CC=CC(C#C)=C1 AAKJLRGGTJKAMG-UHFFFAOYSA-N 0.000 claims 1
- 229960001433 erlotinib Drugs 0.000 claims 1
- 239000003112 inhibitor Substances 0.000 claims 1
- YOHYSYJDKVYCJI-UHFFFAOYSA-N n-[3-[[6-[3-(trifluoromethyl)anilino]pyrimidin-4-yl]amino]phenyl]cyclopropanecarboxamide Chemical compound FC(F)(F)C1=CC=CC(NC=2N=CN=C(NC=3C=C(NC(=O)C4CC4)C=CC=3)C=2)=C1 YOHYSYJDKVYCJI-UHFFFAOYSA-N 0.000 claims 1
- 230000002018 overexpression Effects 0.000 claims 1
- YUOCYTRGANSSRY-UHFFFAOYSA-N pyrrolo[2,3-i][1,2]benzodiazepine Chemical class C1=CN=NC2=C3C=CN=C3C=CC2=C1 YUOCYTRGANSSRY-UHFFFAOYSA-N 0.000 claims 1
- 230000008685 targeting Effects 0.000 claims 1
- 230000001225 therapeutic effect Effects 0.000 claims 1
- 208000029729 tumor suppressor gene on chromosome 11 Diseases 0.000 claims 1
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Claims (62)
1. Конъюгат антитела к cMet и лекарственного средства ("ADC"), содержащий антимитотическое средство, связанное с антителом к cMet посредством линкера, где ADC характеризуется структурой формулы (I):
(I) [D-L-XY-]n-Ab,
или соответствующей ей соли, где
D представляет собой антимитотическое средство;
L представляет собой линкер;
Ab представляет собой антитело к cMet;
XY представляет собой ковалентную связь, связывающую линкер L с антителом Ab; и
n представляет собой целое число в диапазоне от 2 до 8;
где
L предусматривает валин-цитруллиновый (vc) линкер и характеризуется структурой формулы (IVb.2):
D представляет собой монометилауристатин E ("MMAE"), и ADC структурной формулы (I) характеризуется следующей структурой:
Ab предусматривает антитело к cMet, которое содержит (i) VH-цепь, содержащую три CDR; и (ii) VL-цепь, содержащую три CDR, где
и (iii) модифицированную шарнирную область, имеющую аминокислотную последовательность PKSCDCHCPPCP (SEQ ID NO: 170).
2. ADC по п. 1, где антитело к cMet содержит VH-цепь с SEQ ID NO: 78 и VL-цепь с SEQ ID NO: 79 или 81.
3. ADC по п. 1, где антитело к cMet содержит тяжелую цепь с SEQ ID NO: 86 или 88 и легкую цепь с SEQ ID NO: 87.
4. Фармацевтическая композиция, содержащая ADC по п. 3 и фармацевтически приемлемый носитель.
5. Фармацевтическая композиция по п. 4, характеризующаяся соотношением лекарственного средства и антитела ("DAR"), составляющим приблизительно 3,1.
6. Конъюгат антитела к cMet и лекарственного средства ("ADC"), содержащий сшивающее ДНК средство, связанное с антителом к cMet посредством линкера, где ADC характеризуется структурой формулы (I):
(I) [D-L-XY-]n-Ab,
или соответствующей ей соли, где
D представляет собой сшивающее ДНК средство;
L представляет собой линкер;
Ab представляет собой антитело к cMet;
XY представляет собой ковалентную связь, связывающую линкер L с антителом Ab; и
n представляет собой целое число в диапазоне от 2 до 8;
где
L предусматривает валин-аланиновый (va) линкер и характеризуется структурой формулы (IVd.3):
Ab предусматривает антитело к cMet, которое содержит (i) VH-цепь, содержащую три CDR; и (ii) VL-цепь, содержащую три CDR, где
и (iii) модифицированную шарнирную область, имеющую аминокислотную последовательность PKSCDCHCPPCP (SEQ ID NO: 170).
7. ADC по п. 6, где антитело к cMet содержит VH-цепь с SEQ ID NO: 78 и VL-цепь с SEQ ID NO: 79 или 81.
8. ADC по п. 6, где антитело к cMet содержит тяжелую цепь с SEQ ID NO: 171 и легкую цепь с SEQ ID NO: 172.
9. Способ лечения рака, представляющего собой солидную опухоль, при котором сверхэкспрессируется cMet, предусматривающий введение субъекту-человеку, у которого имеется указанный рак, фармацевтической композиции, содержащей конъюгат антитела к cMet и лекарственного средства ("ADC") и фармацевтически приемлемый носитель, где фармацевтическую композицию вводят в количестве и в течение периода времени, достаточных для обеспечения терапевтического эффекта, и где ADC характеризуется структурой формулы (I):
(I) [D-L-XY-]n-Ab,
или соответствующей ей соли, где
D представляет собой антимитотическое средство;
L представляет собой линкер;
Ab представляет собой антитело к cMet;
XY представляет собой ковалентную связь, связывающую линкер L с антителом Ab; и
n представляет собой целое число в диапазоне от 2 до 8;
где
L предусматривает валин-цитруллиновый (vc) линкер и характеризуется структурой формулы (IVb.2):
D представляет собой монометилауристатин E ("MMAE"), и ADC структурной формулы (I) характеризуется следующей структурой:
Ab предусматривает антитело к cMet, которое содержит (i) VH-цепь, содержащую три CDR; и (ii) VL-цепь, содержащую три CDR, где
и (iii) модифицированную шарнирную область, имеющую аминокислотную последовательность PKSCDCHCPPCP (SEQ ID NO: 170).
10. Способ по п. 9, где антитело к cMet содержит VH-цепь с SEQ ID NO: 78 и VL-цепь с SEQ ID NO: 79 или 81.
11. Способ по п. 9, где антитело к cMet содержит тяжелую цепь с SEQ ID NO: 86 или 88 и легкую цепь с SEQ ID NO: 87.
12. Способ по п. 9, где рак, характеризующийся сверхэкспрессией cMet, представляет собой немелкоклеточный рак легкого ("NSCLC").
13. Способ по п. 12, где NSCLC представляет собой плоскоклеточный NSCLC или аденокарциному.
14. Способ по п. 13, где плоскоклеточный NSCLC характеризуется IHC-показателем, составляющим от 2+ до 3+, у биоптата.
15. Способ по п. 13, где биоптат ткани опухоли, представляющей собой аденокарциному, характеризуется IHC-показателем, составляющим 3+, и/или H-показателем, превышающим 225.
16. Способ по п. 9, где ADC, нацеливающийся на cMet, вводят в дополнение к дополнительному противораковому средству.
17. Способ по п. 16, где дополнительное противораковое средство представляет собой ингибитор рецептора эпидермального фактора роста ("EGFR").
18. Способ по п. 17, где дополнительное противораковое средство представляет собой эрлотиниб.
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