WO2009095479A2 - Prodrug comprising a self-cleavable linker - Google Patents
Prodrug comprising a self-cleavable linker Download PDFInfo
- Publication number
- WO2009095479A2 WO2009095479A2 PCT/EP2009/051079 EP2009051079W WO2009095479A2 WO 2009095479 A2 WO2009095479 A2 WO 2009095479A2 EP 2009051079 W EP2009051079 W EP 2009051079W WO 2009095479 A2 WO2009095479 A2 WO 2009095479A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- prodrug
- group
- mmol
- poly
- alkyl
- Prior art date
Links
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- 239000000651 prodrug Substances 0.000 title claims abstract description 74
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- 125000005647 linker group Chemical group 0.000 claims abstract description 49
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- 229910052739 hydrogen Inorganic materials 0.000 claims abstract description 29
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- QYJVBVKFXDHFPQ-UHFFFAOYSA-N tert-butyl n-(2-aminoethyl)-n-methylcarbamate Chemical compound NCCN(C)C(=O)OC(C)(C)C QYJVBVKFXDHFPQ-UHFFFAOYSA-N 0.000 description 1
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Classifications
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- A61K31/553—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole having at least one nitrogen and one oxygen as ring hetero atoms, e.g. loxapine, staurosporine
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- C07D207/46—Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom with hetero atoms directly attached to the ring nitrogen atom
Definitions
- Prodrug comprising a drug linker conjugate
- the present invention relates to a prodrug or a pharmaceutically acceptable salt thereof comprising a drug linker conjugate D-L.
- the invention also relates to pharmaceutical compositions comprising said prodrugs and their use as medicaments.
- Such drug can be conjugated with a carrier.
- carriers in drug delivery are either used in a non-covalent fashion, with the drug physicochemically formulated into a solvent-carrier mixture, or by covalent attachment of a carrier reagent to one of the drug's functional groups.
- the drugs may be conjugated to a carrier through covalent bonds.
- This approach is applied to various classes of molecules, from so-called small molecules, through natural products up to larger proteins.
- Covalent drug carrier conjugates can be divided into two groups. Firstly, conjugates, where the covalent bond between carrier and drug is mostly present during the action of the drug ("permanent covalent bond"), i.e. a derivative of the drug exhibits its pharmacological effects as it is known for the drug as such. Secondly, the covalent bond is mostly previously cleaved to release the drug as such, which can exhibit its known pharmacological effects. In the latter case the covalent drug carrier conjugate is called carrier linked prodrug or carrier prodrug. In order to ensure cleavage of the covalent bond between carrier and drug easy removal of said bond in vivo is required to release the drug (prodrug activation).
- Prodrug activation may occur by enzymatic or non-enzymatic cleavage of the bond between the carrier and the drug molecule, or a sequential combination of both, i.e. an enzymatic step followed by a non-enzymatic rearrangement.
- Enzymatically induced prodrug activation is characterized in that the cleavage in enzyme-free in-vitro environment such as an aqueous buffer solution, of, e.g., an ester or amide may occur, but the corresponding rate of hydrolysis may be much too slow and not therapeutically useful.
- enzyme-free in-vitro environment such as an aqueous buffer solution
- esterases or amidases are typically present and the esterases and amidases may cause significant catalytic acceleration of the kinetics of hydrolysis from twofold up to several orders of magnitude. Therefore, the cleavage is predominantly controlled by the enzymatic reaction.
- Enzyme levels may differ significantly between individuals resulting in biological variation of prodrug activation by the enzymatic cleavage.
- the enzyme levels may also vary depending on the site of administration. For instance it is known that in the case of subcutaneous injection, certain areas of the body yield more predictable therapeutic effects than others. To reduce this unpredictable effect, non-enzymatic cleavage or intramolecular catalysis is of particular interest.
- enzyme-independent autocatalytic cleavage of carrier and biologically active moiety is preferred. In most cases this is achieved by an appropriately designed linker moiety between the carrier and the biologically active moiety, which is directly attached to the functional group of a biologically active moiety via covalent bond.
- ester based prodrugs where the carrier is water-soluble and the biologically active moiety is derived from HIV-I protease inhibitor KNI-727.
- the linker used is attached to the biologically active moiety via ester group.
- the mechanism of this prodrug system is cyclization-activation by cyclic imide formation for the cleavage of ester bonds.
- ester groups may be less chemoselectively addressable for the conjugation of the carrier or linker and the drug.
- prodrug system based on N,N-bis-(2-hydroxyethyl)glycine amide (bicine) linker is described.
- two PEG carrier molecules are linked to a bicine molecule coupled to an amino group of the drug molecule.
- the first two steps in prodrug activation is the enzymatic cleavage of the first linkages connecting both PEG carrier molecules with the hydroxy groups of the bicine activating group.
- Different linkages between PEG and bicine are described resulting in different prodrug activation kinetics.
- the second step in prodrug activation is the cleavage of the second linkage connecting the bicine activating group to the amino group of the drug molecule.
- an object of the present invention is to provide such drug linker conjugates, where the linker is covalently attached via a cleavable bond to a biologically active moiety (representing the drug after release), and where the linker is further covalently attached via a permanent bond to a carrier directly or via a spacer to form the carrier- linked prodrug.
- -D is a nitrogen containing biologically active moiety
- -L is a non-bio logically active linker moiety -L 1 represented by formula (I),
- X is C(R 4 R 4a ); N(R 4 ); O; C(R 4 R 4a )-C(R 5 R 5a ); C(R 5 R 5a )-C(R 4 R 4a ); C(R 4 R 4a )-N(R 6 ); N(R 6 )- C(R 4 R 4a ); C(R 4 R 4a )-O; or O-C(R 4 R 4a );
- X I is C; or S(O);
- X 2 is C(R 7 , R 7a ); or C(R 7 , R 7a )-C(R 8 , R 8a );
- X 3 is O; S; or N-CN;
- R 1 , R la , R 2 , R 2a , R 3 , R 3a , R 4 , R 4a , R 5 , R 5a , R 6 , R 7 , R 7a , R 8 , R 8a are independently selected from the group consisting of H; and Ci_ 4 alkyl;
- one or more of the pairs R la /R 4a , R la /R 5a , R 4a /R 5a , R 7a /R 8a form a chemical bond;
- one or more of the pairs RVR la , R 2 /R 2a , R 4 /R 4a , R 5 /R 5a , R 7 /R 7a , R 8 /R 8a are joined together with the atom to which they are attached to form a C 3 _ 7 cycloalkyl; or 4 to 7 membered heterocyclyl;
- R 4 /R 6 are joined together with the atoms to which they are attached to form a saturated 4 to 7 membered heterocyclyl;
- one or more of the pairs RVR 4 , RVR 5 , RVR 6 , R 4 /R 5 , R 4 /R 6 , R 7 /R 8 , R 2 /R 3 are joined together with the atoms to which they are attached to form a ring A;
- R 3 /R 3a are joined together with the nitrogen atom to which they are attached to form a 4 to 7 membered heterocycle;
- A is selected from the group consisting of phenyl; naphthyl; indenyl; indanyl; tetralinyl; C 3-10 cycloalkyl; 4 to 7 membered heterocyclyl; and 9 to 11 membered heterobicyclyl; and
- L 1 is substituted with one to four groups L 2 -Z and optionally further substituted, provided that the hydrogen marked with the asterisk in formula (I) is not replaced by a substituent;
- L 2 is a single chemical bond or a spacer; and Z is a carrier group.
- Examples for such preferred cyclic cleavage products are substituted succinimide or glutarimide ring structures.
- Prerequisite for such cyclization activation is the presence of an amine-containing nucleophile in the linker structure and another amide bond which is not the amide prodrug bond but an amide bond substituted with a hydrogen atom.
- the amine-containing nucleophile serves as a neighbouring group to enhance the nucleophilicity of the nitrogen contained in the permanent amide bond which in turn attacks the prodrug amide carbonyl group and consequently induces intramolecular acylation of the permanent amide bond generating the cyclic imide ring.
- linker structures comprise a permanent linkage to a carrier, an amine- containing nucleophile, and a permanent amide bond with a hydrogen attached to the nitrogen of the amide bond.
- Corresponding carrier- linked prodrugs comprise a linker containing a permanent linkage to a carrier, an amine-containing nucleophile and said permanent amide bond, and a nitrogen containing biologically active moiety derived from the drug conjugated to the linker by means of a cleavable amide bond.
- Fig. 1 shows an example of the cleavage resulting in a cyclic imide.
- the nitrogen of the biologically active moiety is shown as hydrogen containing amine, which results in a drug having a primary amine functional group.
- a secondary amine may be part of the drug.
- the one to four mandatory substituents L 2 -Z including the carrier are not shown.
- Preferred properties of the prodrug are given by a half- life of hydrolysis in aqueous buffer at pH 7.4 and 37°C between 1 h and 3 months; similar rates of hydrolysis under physiological conditions in buffer and plasma.
- the prodrug according to the present invention may show excellent in vivo/in vitro correlation of linker cleavage, a high degree of enzyme independence and can be stored at lower pH (pH dependent cleavage).
- Bioly active moiety D means the part of the drug linker conjugate, which results after cleavage in a drug D-H of known biological activity.
- Non-active linker means a linker which does not show the pharmacological effects of the drug derived from the biologically active agent.
- Alkyl means a straight-chain or branched carbon chain. Each hydrogen of an alkyl carbon may be replaced by a substituent.
- Ci_ 4 alkyl means an alkyl chain having 1 - 4 carbon atoms, e.g. if present at the end of a molecule: methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, sec-butyl tert-butyl, or e.g. - CH 2 -, -CH 2 -CH 2 -, -CH(CH 3 )-, -CH 2 -CH 2 -CH 2 -, -CH(C 2 H 5 )-, -C(CH 3 ) 2 -, when two moieties of a molecule are linked by the alkyl group.
- Each hydrogen of a Ci_4 alkyl carbon may be replaced by a substituent.
- Ci_6 alkyl means an alkyl chain having 1 - 6 carbon atoms, e.g. if present at the end of a molecule: Ci_ 4 alkyl, methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, sec-butyl; tert-butyl, n-pentyl, n-hexyl, or e.g.
- Ci_6 alkyl carbon when two moieties of a molecule are linked by the alkyl group.
- Each hydrogen of a Ci_6 alkyl carbon may be replaced by a substituent.
- C 1-18 alkyl means an alkyl chain having 1 to 18 carbon atoms and "C 8-18 alkyl” means an alkyl chain having 8 to 18 carbon atoms. Accordingly, “Ci_ 5 o alkyl” means an alkyl chain having 1 to 50 carbon atoms.
- Each hydrogen of a C 2 _ 5 o alkenyl carbon may be replaced by a substituent as further specified. Accordingly, the term "alkenyl” relates to a carbon chain with at least one carbon carbon double bond. Optionally, one or more triple bonds may occur.
- C 2 _ 5 o alkynyl means a branched or unbranched alkynyl chain having 2 to 50 carbon atoms, e.g. if present at the end of a molecule: -C ⁇ CH, -CH 2 -C ⁇ CH, CH 2 -CH 2 -C ⁇ CH, CH 2 -C ⁇ C- CH 3 , or e.g. -C ⁇ C- when two moieties of a molecule are linked by the alkynyl group.
- Each hydrogen of a C2-50 alkynyl carbon may be replaced by a substituent as further specified.
- alkynyl relates to a carbon chaim with at lest one carbon carbon triple bond. Optionally, one or more double bonds may occur.
- C 3 _ 7 cycloalkyl or “C 3 _ 7 cycloalkyl ring” means a cyclic alkyl chain having 3 to 7 carbon atoms, which may have carbon-carbon double bonds being at least partially saturated, e.g. cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cyclohexenyl, cycloheptyl. Each hydrogen of a cycloalkyl carbon may be replaced by a substituent.
- the term “C 3 _ 7 cycloalkyl” or “C 3 _ 7 cycloalkyl ring” also includes bridged bicycles like norbonane or norbonene. Accordingly, "C 3 _ 5 cycloalkyl” means a cycloalkyl having 3 to 5 carbon atoms.
- C3_io cycloalkyl means a cyclic alkyl having 3 to 10 carbon atoms, e.g. C3_7 cycloalkyl; cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cyclohexenyl, cycloheptyl, cyclooctyl, cyclononyl, cyclodecyl.
- C 3-10 cycloalkyl also includes at least partially saturated carbomono- and -bicycles.
- Halogen means fluoro, chloro, bromo or iodo. It is generally preferred that halogen is fluoro or chloro.
- Examples for a 4 to 7 membered heterocycles are azetidine, oxetane, thietane, furan, thiophene, pyrrole, pyrroline, imidazole, imidazoline, pyrazole, pyrazoline, oxazole, oxazoline, isoxazole, isoxazoline, thiazole, thiazoline, isothiazole, isothiazoline, thiadiazole, thiadiazoline, tetrahydro furan, tetrahydrothiophene, pyrrolidine, imidazolidine, pyrazolidine, oxazolidine, isoxazolidine, thiazolidine, isothiazolidine, thiadiazolidine, sulfolane, pyran, dihydropyran, tetrahydropyran, imidazolidine, pyridine, pyridazine, pyrazine, pyr
- Examples for a 9 to 11 membered heterobicycle are indole, indoline, benzofuran, benzothiophene, benzoxazole, benzisoxazole, benzothiazole, benzisothiazole, benzimidazole, benzimidazoline, quinoline, quinazoline, dihydroquinazoline, quinoline, dihydroquinoline, tetrahydroquinoline, decahydroquinoline, isoquinoline, decahydroisoquinoline, tetrahydroisoquinoline, dihydroisoquinoline, benzazepine, purine or pteridine.
- 9 to 11 membered heterobicycle also includes spiro structures of two rings like l,4-dioxa-8-azaspiro[4.5]decane or bridged heterocycles like 8-aza-bicyclo[3.2.1]octane.
- the invention also comprises their corresponding pharmaceutically or toxicologically acceptable salts, in particular their pharmaceutically utilizable salts.
- the compounds of the formula (I) which contain acidic groups can be used according to the invention, for example, as alkali metal salts, alkaline earth metal salts or as ammonium salts. More precise examples of such salts include sodium salts, potassium salts, calcium salts, magnesium salts or salts with ammonia or organic amines such as, for example, ethylamine, ethanolamine, triethanolamine or amino acids.
- Compounds of the formula (I) which contain one or more basic groups i.e.
- acids which can be protonated, can be present and can be used according to the invention in the form of their addition salts with inorganic or organic acids.
- suitable acids include hydrogen chloride, hydrogen bromide, phosphoric acid, sulfuric acid, nitric acid, methanesulfonic acid, p-toluenesulfonic acid, naphthalenedisulfonic acids, oxalic acid, acetic acid, tartaric acid, lactic acid, salicylic acid, benzoic acid, formic acid, propionic acid, pivalic acid, diethylacetic acid, malonic acid, succinic acid, pimelic acid, fumaric acid, maleic acid, malic acid, sulfaminic acid, phenylpropionic acid, gluconic acid, ascorbic acid, isonicotinic acid, citric acid, adipic acid, and other acids known to the person skilled in the art.
- the invention also includes, in addition to the salt forms mentioned, inner salts or betaines (zwitterions).
- the respective salts according to the formula (I) can be obtained by customary methods which are known to the person skilled in the art like, for example by contacting these with an organic or inorganic acid or base in a solvent or dispersant, or by anion exchange or cation exchange with other salts.
- the present invention also includes all salts of the compounds of the formula (I) which, owing to low physiological compatibility, are not directly suitable for use in pharmaceuticals but which can be used, for example, as intermediates for chemical reactions or for the preparation of pharmaceutically acceptable salts.
- pharmaceutically acceptable means approved by a regulatory agency such as the EMEA (Europe) and/or the FDA (US) and/or any other national regulatory agency for use in animals, preferably in humans.
- “Pharmaceutical composition” means one or more active ingredients, and one or more inert ingredients, as well as any product which results, directly or indirectly, from combination, complexation or aggregation of any two or more of the ingredients, or from dissociation of one or more of the ingredients, or from other types of reactions or interactions of one or more of the ingredients. Accordingly, the pharmaceutical compositions of the present invention encompass any composition made by admixing a compound of the present invention and a pharmaceutically acceptable excipient (pharmaceutically acceptable carrier).
- excipient refers to a diluent, adjuvant, or vehicle with which the therapeutic is administered.
- Such pharmaceutical excipient can be sterile liquids, such as water and oils, including those of petroleum, animal, vegetable or synthetic origin, including but not limited to peanut oil, soybean oil, mineral oil, sesame oil and the like.
- Water is a preferred excipient when the pharmaceutical composition is administered orally.
- Saline and aqueous dextrose are preferred excipients when the pharmaceutical composition is administered intravenously.
- Saline solutions and aqueous dextrose and glycerol solutions are preferably employed as liquid excipients for injectable solutions.
- Suitable pharmaceutical excipients include starch, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, sodium stearate, glycerol monostearate, talc, sodium chloride, dried skim milk, glycerol, propylene, glycol, water, ethanol and the like.
- the composition if desired, can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents. These compositions can take the form of solutions, suspensions, emulsions, tablets, pills, capsules, powders, sustained-release formulations and the like.
- the composition can be formulated as a suppository, with traditional binders and excipients such as triglycerides.
- Oral formulation can include standard excipients such as pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate, etc. Examples of suitable pharmaceutical excipients are described in "Remington's Pharmaceutical Sciences” by E.W. Martin. Such compositions will contain a therapeutically effective amount of the therapeutic, preferably in purified form, together with a suitable amount of excipient so as to provide the form for proper administration to the patient. The formulation should suit the mode of administration.
- X 3 is O.
- X is N(R 4 ), X 1 is C and X 3 is O.
- X 2 is C(R 7 R 7a ).
- L 1 is selected from the group consisting of
- R is H; or Ci -4 alkyl
- Y is NH; O; or S
- R 1 , R la , R 2 , R 2a , R 3 , R 3a , R 4 , X, X 1 , X 2 have the meaning as indicated above.
- L 1 is selected from the group consisting of
- At least one (up to four) hydrogen is replaced by a group L 2 -Z.
- each L 2 and each Z can be selected independently.
- L 2 can be attached to L 1 at any position apart from the replacement of the hydrogen marked with an asterisk in formula (I).
- one to four of the hydrogen given by R, R 1 to R 8 directly or as hydrogen of the Ci_ 4 alkyl or further groups and rings given by the definition of R and R 1 to R 8 are replaced by L 2 -Z.
- L 1 may be optionally further substituted.
- any substituent may be used as far as the cleavage principle is not affected.
- one or more further optional substituents are independently selected from the group consisting of halogen; CN; COOR 9 ; OR 9 ; C(O)R 9 ; C(O)N(R 9 R 9a ); S(O) 2 N(R 9 R 9a ); S(O)N(R 9 R 9a ); S(O) 2 R 9 ; S(O)R 9 ; N(R 9 )S(O) 2 N(R 9a R 9b ); SR 9 ; N(R 9 R 9a ); NO 2 ; OC(O)R 9 ; N(R 9 )C(O)R 9a ; N(R 9 )S(O) 2 R 9a ; N(R 9 )S(O)R 9a ; N(R 9 )C(O)OR 9a ; N(R 9 )C(O)N(R 9a R 9b ); OC(O)N(R 9 R 9a ); T; Ci -50 alkyl; C
- T is selected from the group consisting of phenyl; naphthyl; indenyl; indanyl; tetralinyl; C 3-10 cycloalkyl; 4 to 7 membered heterocyclyl; or 9 to 11 membered heterobicyclyl, wherein T is optionally substituted with one or more R 10 , which are the same or different;
- R 11 , R l la , R 12 , R 12a , R 12b are independently selected from the group consisting of H; or Ci_6 alkyl, wherein Ci_6 alkyl is optionally substituted with one or more halogen, which are the same or different.
- interrupted means that between two carbons a group is inserted or at the end of the carbon chain between the carbon and hydrogen.
- L 2 is a single chemical bond or a spacer.
- L 2 is a spacer, it is preferably defined as the one or more optional substituents defined above, provided that L 2 is substituted with Z.
- L 2 -Z is COOR 9 ; OR 9 ; C(O)R 9 ; ( ); ( ) ; ( ) ( ) ; ( ) ( ) 2 ; ( ) ( ) ( ) ; ( ) ( ) ; alkenyl; or C 2 - 50 alkynyl, wherein T; Ci_5o alkyl; C2-50 alkenyl; and C2-50 alkynyl are optionally substituted with one or more R 10 , which are the same or different and wherein Ci .50 alkyl; C2-50 alkenyl; and C2-50 alkynyl are optionally interrupted by one or more groups selected from the group consisting of -T-, -
- R 9 , R 9a , R 9b are independently selected from the group consisting of H; Z; T; and Ci_so alkyl; C 2 _5o alkenyl; or C 2 _so alkynyl, wherein T; Ci_so alkyl; C 2 _so alkenyl; and C 2 _so alkynyl are optionally substituted with one or more R 10 , which are the same or different and wherein Ci_so alkyl; C 2 _so alkenyl; and C 2 _so alkynyl are optionally interrupted by one or more groups selected from the group consisting of ( ) ( ) ( ) ( 11 ) ( ) ( 11 ) - ;
- T is selected from the group consisting of phenyl; naphthyl; indenyl; indanyl; tetralinyl; C 3-10 cycloalkyl; 4 to 7 membered heterocyclyl; or 9 to 11 membered heterobicyclyl, wherein t is optionally substituted with one or more R 10 , which are the same or different;
- alkyl is optionally substituted with one or more halogen, which are the same or different;
- R 11 , R l la , R 12 , R 12a , R 12b are independently selected from the group consisting of H; Z; or Ci_ 6 alkyl, wherein Ci_6 alkyl is optionally substituted with one or more halogen, which are the same or different;
- R 9 , R 9a , R 9b , R 10 , R 11 , R l la , R 12 , R 12a , R 12b is Z.
- L 2 is a Ci_ 2 o alkyl chain, which is optionally interrupted by one or more groups independently selected from -0-; and C(0)N(R 3aa ); optionally substituted with one or more groups independently selected from OH; and C(O)N(R 3aa R 3aa ); and wherein R 3aa , R 3aaa are independently selected from the group consisting of H; and Ci_4 alkyl.
- L 2 has a molecular weight in the range of from 14 g/mol to 750 g/mol.
- L 2 is attached to Z via a terminal group selected from
- L 2 has such terminal group it is furthermore preferred that L 2 has a molecular weight in the range of from 14 g/mol to 500 g/mol calculated without such terminal group.
- L is represented by formula (Ia)
- R 4 , L 2 , and Z have the meaning as indicated above, and wherein R 3aa , R 3aaa are independently selected from the group consisting of H; and Ci_4 alkyl; or are joined together with the nitrogen atom to which they are attached to form a 4 to 7 membered heterocycle.
- R 4 is H; or methyl.
- L is represented by formula (Ib)
- R 1 , R la , R 4 , L 2 and Z have the meaning as indicated above, and wherein R 3aa is H; or Ci_4 alkyl.
- R 4 is H; or methyl.
- R 1 in formula (I) is L 2 -Z.
- R 3 in formula (I) is L 2 -Z.
- R 3 , R 3a in formula (I) are joined together with the nitrogen atom to which they are attached to form a 4 to 7 membered heterocycle, wherein the heterocycle is substituted with i ⁇ z.
- D-H is a small molecule bioactive agent or a biopolymer.
- D-H is a biopolymer selected from the group of biopolymers consisting of proteins, polypeptides, oligonucleotides, and peptide nucleic acids.
- Oligonucleotides means either DNA, RNA, single-stranded or double-stranded, siRNA, miRNA, aptamers, and any chemical modifications thereof with preferably 2 to 1000 nucleotides. Modifications include, but are not limited to, those which provide other chemical groups that incorporate additional charge, polarizability, hydrogen bonding, electrostatic interaction, and fluxionality to the nucleic acid ligand bases or to the nucleic acid ligand as a whole.
- Such modifications include, but are not limited to, 2'-position sugar modifications, 5- position pyrimidine modifications, 8-position purine modifications, modifications at exocyclic amines, substitution of 4-thiouridine, substitution of 5-bromo or 5 -io do -uracil; backbone modifications, methylations, unusual base- pairing combinations such as the isobases isocytidine and isoguanidine and the like. Modifications can also include 3' and 5' modifications such as capping and change of stereochemistry.
- D-H is a polypeptide selected from the group of polypeptides consisting of ACTH, adenosine deaminase, agalsidase, alfa-1 antitrypsin (AAT), alfa-1 proteinase inhibitor (API), alteplase, amylins (amylin, symlin), anistreplase, ancrod serine protease, antibodies (monoclonal or polyclonal, and fragments or fusions), antithrombin III, antitrypsins, aprotinin, asparaginases, atosiban, biphalin, bivalirudin, bone-morphogenic proteins, bovine pancreatic trypsin inhibitor (BPTI), cadherin fragments, calcitonin (salmon), collagenase, complement Cl esterase inhibitor, conotoxins, cytokine receptor fragments, DNase, dynorphine A, endorphins,
- ACTH
- D-H is a protein prepared by recombinant DNA technologies.
- D-H is a protein selected from the group of proteins consisting of antibody fragments, single chain antigen binding proteins, catalytic antibodies and fusion proteins.
- D-H is a small molecule bioactive agent selected from the group of agents consisting of central nervous system-active agents, anti-infective, anti-allergic, immunomodulating, anti-obesity, anticoagulants, antidiabetic, anti-neoplastic, antibacterial, anti-fungal, analgesic, contraceptive, anti-inflammatory, steroidal, vasodilating, vasoconstricting, and cardiovascular agents with at least one primary or secondary amino group.
- agents consisting of central nervous system-active agents, anti-infective, anti-allergic, immunomodulating, anti-obesity, anticoagulants, antidiabetic, anti-neoplastic, antibacterial, anti-fungal, analgesic, contraceptive, anti-inflammatory, steroidal, vasodilating, vasoconstricting, and cardiovascular agents with at least one primary or secondary amino group.
- D-H is a small molecule bioactive agent selected from the group of agents consisting of acarbose, alaproclate, alendronate, amantadine, amikacin, amineptine, aminoglutethimide, amisulpride, amlodipine, amotosalen, amoxapine, amoxicillin, amphetamine, amphotericin B, ampicillin, amprenavir, amrinone, anileridine, apraclonidine, apramycin, articaine, atenolol, atomoxetine, avizafone, baclofen, benazepril, benserazide, benzocaine, betaxolol, bleomycin, bromfenac, brofaromine, carvedilol, cathine, cathinone, carbutamid, cefalexine, clinafloxacin, ciprofloxacin, deferox
- Z is a polymer of at least 500 Da or a C 8-18 alkyl group.
- Z is selected from the group of optionally crosslinked polymers consisting of poly(propylene glycol), poly(ethylene glycol), dextran, chitosan, hyaluronic acid, alginate, xylan, mannan, carrageenan, agarose, cellulose, starch, hydroxyalkyl starch (HAS), poly( vinyl alcohols), poly (oxazo lines), poly(anhydrides), poly(ortho esters), poly(carbonates), poly(urethanes), poly(acrylic acids), poly(acrylamides), poly(acrylates), poly(methacrylates), poly(organophosphazenes), polyoxazoline, poly(siloxanes), poly(amides), poly(vinylpyrrolidone), poly(cyanoacrylates), poly(esters), poly(iminocarbonates), poly(amino acids), collagen, gelatin, hydrogel or a blood plasma protein, and copolymers thereof.
- Z is a protein.
- Z is a protein selected from the group consisting of albumin, transferrin, immunoglobulin.
- Z is a linear or branched poly( ethylene glycol) with a molecular weight from
- a prodrug of the present invention wherein D-H is a GLP-I receptor agonist; L is L 1 represented by formula (I) as indicated above; and Z is a hydrogel. Even more preferably, in formula (I) X is N(R 4 ), X 1 is C and X 3 is O. Even more preferably, L is represented by formula (Ia) as indicated above.
- GLP-I is one of the intestinal peptide hormones that are released into the circulatory system after food intake. It augments the postprandial release of insulin, when nutritions (especially carbohydrates) are absorbed and their level postprandially elevated. GLP-I associates with
- GLP-I receptor sites located on pancreatic ⁇ -cells and elevates endogenous cAMP levels in a dose dependent manner.
- GLP-I stimulates the release of insulin.
- a therapeutic potential for GLP-I in type 2 diabetes patients was suggested before, owing to the profound efficacy of this insulinotropic peptide to stimulate secretion of insulin when glucose levels are elevated and to cease doing so upon return to normoglycemia.
- Exendin-4 is reported to associate with GLP-I receptors located on pancreatic beta-cells with 2.5 times higher affinity than GLP-I. In isolated rat islets and beta-cells in presence of glucose, exendin enhances secretion of insulin in a dose-dependent fashion. Exendin-4 is a high potency agonist and truncated exendin-(9-39)-amide an antagonist at the glucagon-like peptide l-(7-36)-amide receptor of insulin-secreting beta-cells (see J. Biol. Chem. 268(26): 19650-19655). Studies in type 2 diabetic rodents revealed that exendin-4 is 5530-fold more potent than GLP-I in lowering blood glucose levels.
- exendin-4 reduces fasting and postprandial glucose and decreases energy intake in healthy volunteers (see e.g. Am. J. Physiol. Endocrinol. Metab. 281(1):E155-61).
- the GLP-I receptor agonist is Exendin-4.
- Hydrogels to be used are known in the art. Suitable hydrogels may be used which are described in WO-A 2006/003014. Accordingly, a hydrogel may be defined as a three- dimensional, hydrophilic or amphiphilic polymeric network capable of taking up large quantities of water.
- the networks are composed of homopolymers or copolymers, are insoluble due to the presence of covalent chemical or physical (ionic, hydrophobic interactions, entanglements) crosslinks.
- the crosslinks provide the network structure and physical integrity.
- Hydrogels exhibit a thermodynamic compatibility with water which allow them to swell in aqueous media.
- the chains of the network are connected in such a fashion that pores exist and that a substantial fraction of these pores are of dimensions between 1 nm and 1000 nm.
- Another object of the present invention is a pharmaceutical composition
- a pharmaceutical composition comprising a prodrug of the present invention or a pharmaceutical salt thereof together with a pharmaceutically acceptable excipient.
- Yet another object of the present invention is a prodrug of the present invention or a pharmaceutical composition of the present invention for use as a medicament.
- Yet another object of the present invention is a method of treating, controlling, delaying or preventing in a mammalian patient in need of the treatment of one or more conditions comprising administering to said patient a therapeutically effective amount of a prodrug of the present invention or a pharmaceutical composition of the present invention or a pharmaceutically acceptable salt thereof.
- Another object of the present invention is a prodrug precursor of formula Act-L, wherein L has the meaning as indicated above and Act is a leaving group.
- Act is chloride, bromide, fluoride, nitrophenoxy, imidazolyl, N- hydroxysuccinimidyl, N-hydroxybenzotriazolyl, N-hydroxyazobenzotriazo IyI, pentafluorophenoxy, 2-thiooxo-thiazolidinyl, or N-hydroxysulfosuccinimidyl.
- 4OkDa methoxy poly(ethylene glycol) maleimido-propionamide (PEG40kDa-maleimide) was obtained from Chirotech Technology Ltd, Cambridge, UK.
- 2-Chlorotrityl chloride resin, Sieber amide resin and amino acids were from Merck Biosciences GmbH, Schwalbach/Ts, Germany, if not stated otherwise.
- Fmoc-D- Homocysteine(Trt)-OH and S-Trityl-3-mercaptopropionic acid (Trt-MPA) were obtained from Bachem AG, Bubendorf, Switzerland.
- O-(N-Fmoc-2-aminoethyl)-O'-(2-carboxyethyl)- undecaethyleneglycol (Fmoc-Pop-OH) was obtained from Polypure AS, Oslo, Norway.
- Fmoc-4-(2-aminoethyl)-l-carboxymethyl-piperazine (Fmoc-Acp-OH) was purchased from NeoMPS SA, France, France.
- cis-Cyclohexane-l,2-dicarboxylic anhydride was obtained from Alfa Aesar GmbH & Co KG, Düsseldorf, Germany.
- Solid phase synthesis was performed on 2-Chlorotrityl chloride resin with a loading of 1.3 mmol/g or Sieber amide resin with a loading of 0.55 mmol/g. Syringes equipped with polypropylene frits were used as reaction vessels. Loading of the first amino acid to resins was performed according to manufacturer's instructions.
- Fmoc deprotection For Fmoc protecting-group removal, the resin was agitated with 2/2/96 (v/v/v) piperidine/DBU/DMF (two times, 10 min each) and washed with DMF (ten times).
- the resin was agitated with 98/2 (v/v) DMF/hydrazine hydrate (3 times, 10 min each) and washed with DMF (ten times).
- N-terminus of a peptide was boc-protected by agitating the resin with 30 eq (boc)2 ⁇ and
- Coupling of 3-maleimido propionic acid to free amino groups on resin was achieved by agitating resin with 2 eq of acid, 2 eq DIC and 2 eq HOBt in relation to free amino groups in DMF at room temperature. After 30 min, resin was washed with DMF (10 times).
- Synthesis of ureas on resin was achieved by agitating resin with 2.5 eq of bis(pentafluorophenyl) carbonate, 5 eq DIEA, and 0.25 eq DMAP in relation to free amino groups in DCM/ACN 1/1 at room temperature. After 15 min resin was washed with DMF (10 times). 5 eq of amine was dissolved in DMF. Mixture was added to resin and agitated for 60 min at room temperature. Resin was washed with DMF (10 times).
- the resin was washed with DCM, dried in vacuo and treated with 2 ml of TFA cleavage cocktail (TFA/TES/Water/DTT 95/2/2/1) per 100 mg resin for 60 min at room temperature. Volatiles were removed under a nitrogen stream. Unpolar side products and protecting groups were removed by precipitating peptide from diethyl ether. Precipitate was dried in vacuo and dissolved in ACN/water 1/1 and purified by RP-HPLC.
- TFA cleavage cocktail TFA cleavage cocktail
- RP-HPLC was done on a 100x20 or a 100x40 mm Cl 8 ReproSil-Pur 300 ODS-3 5 ⁇ column (Dr. Maisch, Ammerbuch, Germany) connected to a Waters 600 HPLC System and Waters
- Electrospray ionization mass spectrometry was performed on a Waters ZQ 4000 ESI instrument and spectra were, if necessary, interpreted by Waters software MaxEnt.
- Size exclusion chromatography was performed using an Amersham Bioscience AEKTAbasic system equipped with a Superdex200 10/300 column (Amersham Bioscience/GE Healthcare), if not stated otherwise. 10 rnM sodium phosphate, 140 mM NaCl, pH 7.4, 3 mM EDTA was used as mobile phase
- Desalting was performed using an Amersham Bioscience AEKTAbasic system equipped with a HiPrep 26/10 Desalting column and 0.1% acetic acid in water as mobile phase.
- hydrogel conjugates For hydrogel conjugates, compounds were suspended in buffer A and incubated at 37°C. Samples were taken after centrifugation of the suspension and analyzed by RP-HPLC at 215 nm. UV-signals correlating to liberated drug molecule were integrated and plotted against incubation time.
- Curve-fitting software was applied to estimate the corresponding halftime of release.
- Linker reagent 2 was synthesized on 3-chlorotrityl chloride resin (300 mg, 0.39 mmol) by loading of resin with Fmoc-Cys(Trt)-OH, fmoc deprotection, and on-resin urea formation using N,N-dimethyl-ethylenediamine as amine, cleavage from resin as depicted above and described in "Materials and Methods".
- 0.01% HCl in water was used as solution A and 0.01% HCl in acetonitrile was used as solution B. Yield: 82 mg of HCl salt (0.16 mmol).
- Fmoc-Acp-OH • 2 HCl (100 mg, 0.21 mmol) was suspendend in 400 ⁇ l DMF/DMSO 1/1 (v/v).
- S-tritylcysteamine • HCl 75 mg, 0.21 mmol
- PyBOP 109 mg, 0.21 mmol
- DIEA 146 ⁇ l, 0.86 mmol
- Fmoc group was removed by adding 75 ⁇ l piperidine and 25 ⁇ l DBU. After 15 min mixture was hydro lyzed and acidified (AcOH) and compound was purified by RP-HPLC. After lyophilization 98 mg (0.14 mmol, double TFA salt) were obtained.
- 5b (7 mg, 0.010 mmol) was preactivated by incubating with PyBOP (12.5 mg, 0.024 mmol) and DIEA (5 ⁇ l, 0.03 mmol) in 200 ⁇ l of dry DMF for 45 min at RT.
- 5a (20 mg, 0.028 mmol) and DIEA (15 ⁇ l, 0.09 mmol) were added and mixture was incubated for further 60 min.
- Mixture was quenched with 0.5 ml of acetonitrile/acetic acid/water (1/1/1) and purified by RP-HPLC. After lyophilization 3 mg (0.0026 mmol, double TFA salt) of 5c were obtained.
- Fmoc-Asp(tBu)-OH (411 mg, 1 mmol), HOBt (153 mg, 1 mmol), and DIC (160 ⁇ l, 1 mmol) were dissolved in 2 ml of DMF and incubated for 10 min at RT. N,N-dimethyl ethylenediamine (160 ⁇ l, 1.5 mmol) was added and stirred at RT for 30 min. Acetic acid (300 ⁇ l) was added and Fmoc-Asp(tBu)-NH-(CH 2 )2-N(CH 3 )2 was purified by RP-HPLC.
- Fmoc-Asp(H)-NH-(CH 2 ) 2 -NH 2 (140 mg, 0.27 mmol, TFA salt) was dissolved in 1 ml of DMF and DIEA (140 ⁇ l, 0.81 mmol) and boc 2 ⁇ (100 mg, 0.46 mmol) added. The solution was stirred at RT for 15 min and then acidified with acetic acid (300 ⁇ l). 7a was purified by RP- HPLC. Yield 7a: 120 mg (0.24 mmol)
- Exendin-4 on resin (40 mg, 4 ⁇ mol) and incubated for 1 h at room temperature. Resin was washed ten times with DMF and then incubated for 5 min with 500 ⁇ l of 1/1/2 acetic anhydride/pyridine/DMF. Resin was washed 10 times with DMF and fmoc group was removed. Trt-mercaptopropionic acid was coupled and 8a was cleaved from resin and purified by RP-HPLC.
- 8b was synthesized as described above for 8a except for the use of 7b instead of 7a.
- 9a was purified by ion exchange chromatography using 10 mM sodium citrate pH 3 as solvent A and 10 mM sodium citrate pH 3 and 1 M NaCl as solvent B and a step-gradient (0 to 40% B). Fractions containing 9a were desalted and lyophilized:
- Trt-mercaptopropionic acid was coupled according to standard coupling method and resin was washed five times with DMF and ten times with DCM. Mmt protecting group of Lys27 was removed by incubation of resin five times in 2 ml of 9/1 (v/v) DCM/HFIP for 5 min. Resin was washed five times with DCM and five times with DMF and 5,6-carboxy-flourescein-NHS ester (20 mg, 42 ⁇ mol) and DIEA (20 ⁇ l, 115 ⁇ l) in 300 ⁇ l DMF were added to resin and incubated for 30 min. 12a was cleaved from resin and purified by RP-HPLC Yield: 12 mg
- Trt-mercaptopropionic acid was coupled according to standard coupling method to side-chain protected Exendin-4 on resin (120 mg, 12 ⁇ mol). Mmt protecting group removal of Lys27 and
- 12d was synthesized as described for 12c except for the use of GRF(I -29) on resin (120mg,
- N,N-dimethylethylenediamine (198 ⁇ L, 1.8 mmol) and NaCNBH 3 (58 mg, 0.9 mmol) were dissolved in methanol (5 mL) and brought to pH 5.5 by addition of AcOH (250 ⁇ L).
- a suspension of 2,4,6, -trimethoxybenzaldehyde (294 mg, 1.5 mmol) in EtOH (5 mL) was added and the reaction was stirred at RT for 1 h.
- 5 N HCl (0.5 mL) was added and the mixture was stirred for further 12 h.
- the solvent was removed under reduced pressure; the residue was dissolved in sat. NaHCO 3 and extracted 3x with DCM.
- the combined organic phases were dried over NaSO 4 and the solvent was evaporated under reduced pressure. Yield: 303 mg (1.13 mmol)
- Fmoc-Asp(OtBu)-N(Tmob)CH 2 CH 2 N(CH 3 ) 2 225 mg, 0.29 mmol was dissolved in a solution of piperidine (50 ⁇ L) and DBU (15 ⁇ L) in DMF (1.5 mL). The mixture was stirred at
- the TFA salt OfH-ASp(OtBu)-N(TmOb)CH 2 CH 2 N(CHs) 2 (114 mg, 0.21 mmol) was dissolved in sat. NaHCO 3 (10 mL) and extracted 3x with DCM (3x 10 mL). The combined organic layers were dried over NaSO 4 and the solvent was removed under reduced pressure. The residue was dissolved in DMF (1.0 mL), 6-tritylmercaptohexanoic acid (121 mg, 0.31 mmol), HATU (118 mg, 0.31 mmol) and DIEA (108 ⁇ L, 0.62 mmol) were added. The mixture was stirred for 30 min.
- TrtS(CH 2 ) 5 CONH-Asp(OtBu)- N(TmOb)CH 2 CH 2 N(CHs) 2 was purified by RP-HPLC. Yield: 95 mg (0.10 mmol, TFA salt)
- TrtS(CH 2 ) 5 CONH- ASp(OtBu)-N(TmOb)CH 2 CH 2 N(CHs) 2 (95 mg, 0.10 mmol) was dissolved in a 3:1 mixture of MeOH/H 2 O (1.0 mL), LiOH (7.4 mg, 0.31 mmol) was added and the mixture was stirred for 5 h at 60 0 C. AcOH was added (100 ⁇ L) and 17a was purified by RP- HPLC.
- 19b was synthesized as described for 19a except for the use of 18b instead of 18a.
- Fmoc-Asp(NH(CH 2 )2N(CH 3 )-boc)OtBu (91 mg, 0.13 mmol) was dissolved in DMF (1.0 mL), piperidine (50 ⁇ L) and DBU (15 ⁇ L) were added and the mixture was stirred for 45 min at RT. AcOH (100 ⁇ L ) was added and NH 2 -Asp(NH(CH 2 ) 2 N(CH 3 )-boc)OtBu was purified by RP-HPLC.
- 6-Tritylmercaptohexanoic acid 200 mg, 0.51 mmol
- (PIpO) 2 CO 202 mg, 0.51 mmol
- collidine 340 ⁇ L, 2.65 mmol
- the mixture was added to a solution of Fmoc-Lys-OH (170 mg, 0.46 mmol) in H 2 O/pyridine/tBuOH (3:3:1, 6 mL).
- the reaction was heated at 60 0 C for 2h, diluted with EtOAc, extracted 2x with 0.1M H 2 SO 4 , 2x with brine and dried over Na 2 SO 4 .
- the solvent was evaporated under reduced pressure and the residue was purified by RP-HPLC. Yield: 109 mg
- 25c was synthesized as described for 25a except for the use of 24c instead of 24a. Yield: 1.3 mg
- 26c was synthesized as described for 26a except for the use of 25c instead of 25a.
- H 25a (2.0 mg) was dissolved in 1 :1 H 2 0/MeCN containing 0.1 % TFA (200 ⁇ l).
- the solution was incubated at RT, after 5 min AcOH (20 ⁇ l) was added and 27a was purified by cation exchange chromatography, desalted and lyophilized.
- 27b was synthesized as described for 27a except for the use of 25b instead of 25a.
- 27c was synthesized as described for 27a except for the use of 25c instead of 25a.
- JV-Boc-ethylenediamine (81 ⁇ l, 0.51 mmol) was added to a solution of Br-(CH 2 )s-CONH-
- Boc-NH-(CH 2 ) 2 -N(CH 3 )-(CH 2 ) 5 -CONH-(CH 2 ) 2 -STrt (62.8 mg, 0.11 mmol) was dissolved in
- 31b 31b was synthesized as described for 31a except for the use of 30b instead of 30a. Yield: 16.8 mg
- JV-Alloc-ethylenediamine HCl-salt (43.5 mg, 0.24 mmol) and DIEA (38 ⁇ l, 0.22 mmol) were added to a solution of Br-(CH 2 ) 2 CONH-(CH 2 )-STrt (100 mg, 0.22 mmol) and Na 2 CO 3 (93 mg, 0.87 mmol) in DMF (1 ml). The reaction mixture was stirred for 10 h at 70 0 C.
- 33a was synthesized as described for 30a except for the use of 32 instead of 28.
- 34b was synthesized as described for 34a except for the use of 33b instead of 33a. Yield: 11.5 mg
- Linker-exendin conjugates were synthesized according to general synthesis method A, B, C, D, E or F.
- Diacid anhydride (0.2 mmol) and pyridine (0.2 mmol) were dissolved in 0.3 ml of dry DMF. Mixture was added to exendin-4 on resin (2 ⁇ mol) and agitated for 30 min at room temperature. Resin was washed with DMF (10 times). PyBOP (0.1 mmol), HOBt (0.1 mmol), and collidine (0.4 mmol) were dissolved in 0.3 ml of dry DMF. Mixture was added to resin and agitated for 30 min at room temperature. Resin was washed with DMF (10 times). Diamine (0.1 mmol) and DIEA (0.3 mmol) were dissolved in a mixture of 0.4 ml of DMF and 0.4 ml of EtOH.
- Exendin- linker conjugates were cleaved and purified by RP-HPLC as described in "Materials and Methods".
- maleimide-functionalized hydrogel microparticles were synthesized as described in EP 1 625 856 A1. 30 mg of maleimide-derivatized hydrogel microparticles (loading 40 ⁇ mol/g, 1.2 ⁇ mol) were reacted with 6 mg of compound 25a (1.32 ⁇ mol, 1.1 eq) in 600 ⁇ l 20/80 (v/v) acetonitrile/50 mM phosphate buffer (pH 7.4) for 10 min to give exendin- linker loaded hydrogel microparticles 39. The loaded hydrogel 39 was washed 5 times with 50/50 (v/v) acetonitrile/water and three times with water.
- 46 46 was synthesized as described for 42 except for the use of 45 instead of 41.
- Tritylsulf ⁇ de (247 mg, 0.89 mmol) was suspended in 1 ml DMSO.
- DBU 152 ⁇ l, 1.02 mmol
- 6-bromohexan-l-ol 173 mg, 0.96
- Reaction mixture was dissolved in 20 ml ethylacetate and washed with 1 N H 2 SO 4 (2x) and brine (3x). Organic layer was dried (Na 2 SO 4 ) and volatiles were removed in vacuo. Product was purified by flash chromatography on silica (heptane/ AcOEt 1/1).
- Fmoc- AIa-OH 250 mg, 0.8 mmol
- DIEA 170 ⁇ L, 1,0 mmol
- 2-chlorotrityl chloride resin 312 mg, 1.3 mmol/g
- Methanol 0.6 mL
- the resin was washed with DCM (1Ox) and DMF (1Ox). Fmoc-deprotection and urea formation was achieved according to general procedures (see Materials and Methods) by reaction with ethylene diamine.
- Release kinetics in vivo were determined by comparing the pharmacokinetics of 13a with the pharmacokinetics of 13c and 13b with 13d, respectively, after intravenous injection into rat. Animal studies were performed at Heidelberg Pharma AG, Heidelberg, Germany. 13a (27 mg) was dissolved in 3.5 ml PBS and 500 ⁇ l of the resulting solution were injected intravenously into six rats each. Male SD rats with approximately 270 g weight were used.
- Pharmacokinetics of 13c were determined as described for 13a.
- Pharmacokinetics of 13b and 13d were determined as described for 13a, except for the use of 20 mg 13 b and 13d each in 2.5 ml PBS and four rats.
- Linker hydrolysis half-life was calculated from the ratio of fluorescence of 13a compared to fluorescence of 13c and 13b compared to 13d, respectively, at the respective time points.
- Half-life of in vivo linker hydrolysis was determined to be 115 h and 160 h for 13a and 13b, respectively, which is in excellent correlation to the half-life of in vitro linker hydrolysis of 12O h and 16O h for 13a and 13b, respectively.
- Fig. 3 shows in vivo and in vitro linker cleavage data of 13b, wherein in vivo (triangles) and in vitro (diamonds) cleavage kinetics are shown by semilogarithmic representation.
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MX2010008024A MX2010008024A (en) | 2008-02-01 | 2009-01-30 | Prodrug comprising a self-cleavable linker. |
DK09706788.8T DK2237799T3 (en) | 2008-02-01 | 2009-01-30 | PRODRUG INCLUDING A SELF-SPLITABLE LINKS |
LTEP09706788.8T LT2237799T (en) | 2008-02-01 | 2009-01-30 | Prodrug comprising a self-cleavable linker |
PL09706788T PL2237799T3 (en) | 2008-02-01 | 2009-01-30 | Prodrug comprising a self-cleavable linker |
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CA2712224A CA2712224C (en) | 2008-02-01 | 2009-01-30 | Prodrug comprising a drug linker conjugate |
EP09706788.8A EP2237799B1 (en) | 2008-02-01 | 2009-01-30 | Prodrug comprising a self-cleavable linker |
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CN2009801110881A CN101980725B (en) | 2008-02-01 | 2009-01-30 | Prodrug comprising a drug linker conjugate |
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ZA2010/05413A ZA201005413B (en) | 2008-02-01 | 2010-07-29 | Prodrug comprising a self-cleavable linker |
HK11106352.6A HK1152240A1 (en) | 2008-02-01 | 2011-06-21 | Prodrug comprising a self-cleavable linker |
US14/528,362 US20150057221A1 (en) | 2008-02-01 | 2014-10-30 | Prodrug comprising a drug linker conjugate |
US15/385,179 US20170100490A1 (en) | 2008-02-01 | 2016-12-20 | Prodrug Comprising a Drug Linker Conjugate |
HRP20191052 HRP20191052T1 (en) | 2008-02-01 | 2019-06-12 | Prodrug comprising a self-cleavable linker |
CY20191100707T CY1121961T1 (en) | 2008-02-01 | 2019-07-03 | PRODRUG CONTAINING A SELF-DISPERSIBLE LINKER |
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US18/479,445 US20240041897A1 (en) | 2008-02-01 | 2023-10-02 | Prodrug comprising a drug linker conjugate |
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