RU2018139610A - Эффективность конъюгатов антитела против trop-2 с лекарственным средством sn-38 для терапии рецидивирующих/рефрактерных к ингибиторам контрольной точки опухолей - Google Patents
Эффективность конъюгатов антитела против trop-2 с лекарственным средством sn-38 для терапии рецидивирующих/рефрактерных к ингибиторам контрольной точки опухолей Download PDFInfo
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
- C07K16/30—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells
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- A61K31/33—Heterocyclic compounds
- A61K31/335—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
- A61K31/337—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having four-membered rings, e.g. taxol
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- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
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Claims (29)
1. Способ лечения Trop-2-положительного рака, включающий введение пациенту-человеку с Trop-2-положительным раком ADC, содержащего SN-38, конъюгированный с линкерным фрагментом, присоединенным к антителу против Trop-2 или его антигенсвязывающему фрагменту, характеризующийся тем, что у указанного пациента произошел рецидив после лечения ингибитором контрольной точки или наблюдается рефрактерность к лечению ингибитором контрольной точки.
2. Способ по п. 1, характеризующийся тем, что указанный ингибитор контрольной точки представляет собой ингибитор PD-1, PD-L1 или CTLA-4.
3. Способ по п. 1, характеризующийся тем, что указанный ингибитор контрольной точки выбран из группы, состоящей из MPDL3280A, пембролизумаба, ниволумаба, ипилимумаба, пидилизумаба, MDX-1105, дурвалумаба, BMS-936559 и тремелимумаба.
4. Способ по п. 1, характеризующийся тем, что указанный ингибитор контрольной точки представляет собой MPDL3280A.
5. Способ по п. 1, характеризующийся тем, что указанное антитело против Trop-2 представляет собой антитело hRS7, содержащее последовательности CDR легкой цепи CDR1 (KASQDVSIAVA, SEQ ID NO: 1); CDR2 (SASYRYT, SEQ ID NO: 2); и CDR3 (QQHYITPLT, SEQ ID NO: 3), и последовательности CDR тяжелой цепи CDR1 (NYGMN, SEQ ID NO: 4); CDR2 (WINTYTGEPTYTDDFKG, SEQ ID NO: 5) и CDR3 (GGFGSSYWYFDV, SEQ ID NO: 6).
6. Способ по п. 1, характеризующийся тем, что указанное антитело против Trop-2 конкурирует за связывание Trop-2 с антителом, содержащим последовательности CDR легкой цепи CDR1 (KASQDVSIAVA, SEQ ID NO: 1); CDR2 (SASYRYT, SEQ ID NO: 2); и CDR3 (QQHYITPLT, SEQ ID NO: 3), и последовательности CDR тяжелой цепи CDR1 (NYGMN, SEQ ID NO: 4); CDR2 (WINTYTGEPTYTDDFKG, SEQ ID NO: 5) и CDR3 (GGFGSSYWYFDV, SEQ ID NO: 6).
7. Способ по п. 1, характеризующийся тем, что указанный линкер представляет собой CL2A, a ADC имеет структуру MAb-CL2A-SN-38
8. Способ по п. 7, характеризующийся тем, что указанное антитело против Trop-2 представляет собой антитело hRS7, содержащее последовательности CDR легкой цепи CDR1 (KASQDVSIAVA, SEQ ID NO: 1); CDR2 (SASYRYT, SEQ ID NO: 2); и CDR3 (QQHYITPLT, SEQ ID NO: 3), и последовательности CDR тяжелой цепи CDR1 (NYGMN, SEQ ID NO: 4); CDR2 (WINTYTGEPTYTDDFKG, SEQ ID NO: 5) и CDR3 (GGFGSSYWYFDV, SEQ ID NO: 6).
9. Способ по п. 1, характеризующийся тем, что указанный рак выбран из группы, состоящей из рака ободочной и прямой кишки, легкого, желудка, мочевого пузыря, почки, поджелудочной железы, молочной железы, яичника, матки, пищевода и предстательной железы.
10. Способ по п. 1, характеризующийся тем, что указанный рак представляет собой рак молочной железы с тройным негативным фенотипом.
11. Способ по п. 1, характеризующийся тем, что указанный рак выбран из группы, состоящей из рака молочной железы с тройным негативным фенотипом, HER+, ER+, прогестерон-положительного рака молочной железы, метастатического немелкоклеточного рака легкого, метастатического мелкоклеточного рака легкого, метастатического рака эндометрия, метастатического уротелиального рака и метастатического рака поджелудочной железы.
12. Способ по п. 1, характеризующийся тем, что указанный ADC вводят в дозировке от 3 мг/кг до 18 мг/кг.
13. Способ по п. 12, характеризующийся тем, что указанная дозировка выбрана из группы, состоящей из 3 мг/кг, 4 мг/кг, 6 мг/кг, 7 мг/кг, 8 мг/кг, 9 мг/кг, 10 мг/кг, 11 мг/кг, 12 мг/кг, 16 мг/кг и 18 мг/кг.
14. Способ по п. 1, характеризующийся тем, что указанный ADC вводят в дозировке от 8 мг/кг до 12 мг/кг.
15. Способ по п. 1, характеризующийся тем, что указанный ADC вводят в дозировке от 8 мг/кг до 10 мг/кг.
16. Способ по п. 1, характеризующийся тем, что указанный ADC вводят в дозировке 10 мг/кг.
17. Способ по п. 1, характеризующийся тем, что лечение приводит к снижению размера опухоли, составляющему по меньшей мере 15%, по меньшей мере 20%, по меньшей мере 30% или по меньшей мере 40%.
18. Способ по п. 1, характеризующийся тем, что указанный ADC содержит 4 или более молекул SN-38, конъюгированных с указанным антителом или его антигенсвязывающим фрагментом.
19. Способ по п. 1, характеризующийся тем, что указанный ADC содержит от 6 до 8 молекул SN-38, конъюгированных с указанным антителом или его антигенсвязывающим фрагментом.
20. Способ по п. 1, характеризующийся тем, что указанный рак является метастатическим.
21. Способ по п. 20, дополнительно включающий уменьшение размеров или элиминацию метастазов.
22. Способ по п. 7, характеризующийся тем, что в положении 10-гидроксила SN-38 в MAb-CL2A-SN-38 находится 10-О-сложный эфир или 10-О-карбонатное производное, куда входит фрагмент «COR», где «СО» представляет собой карбонил, а группа «R» выбрана из (i) N,N-двузамещенной аминоалкильной группы «N(CH3)2-(CH2)n-», где n представляет собой 1-10, а концевая аминогруппа необязательно находится в форме четвертичной соли; (ii) алкильного остатка «СН3-(СН2)n-», где n представляет собой 0-10; (iii) алкокси-фрагмента «СН3-(СН2)n-O-», где n представляет собой 0-10; (iv) «N(CH3)2-(CH2)n-O-», где n представляет собой 2-10; или (v) «R1O-(CH2-CH2-O)n-CH2-CH2-О-», где R1 представляет собой этил или метил, и n представляет собой целое число, принимающее значения 0-10.
23. Способ по п. 1, дополнительно включающий применение у указанного пациента по меньшей мере одного другого вида противораковой терапии, выбранного из группы, состоящей из хирургического вмешательства, внешнего облучения, радиоиммунотерапии, иммунотерапии, химиотерапии, антисмысловой терапии, терапии с применением РНК-интерференции, лечения терапевтическим агентом и генной терапии.
24. Способ по п. 23, характеризующийся тем, что указанный терапевтический агент представляет собой лекарственное средство, токсин, иммуномодулятор, второе антитело, антигенсвязывающий фрагмент второго антитела, проапоптотический агент, токсин, РНКазу, гормон, радионуклид, антиангиогенный агент, миРНК, РНК-интерференцию, химиотерапевтический агент, цитокин, хемокин, пролекарство или фермент.
25. Способ по п. 24, характеризующийся тем, что указанное лекарственное средство выбрано из группы, состоящей из 5-фторурацила, афатиниба, аплидина, азарибина, анастрозола, антрациклинов, акситиниба, AVL-101, AVL-291, бендамустина, блеомицина, бортезомиба, бозутиниба, бриостатина-1, бусульфана, калихеамицина, камптотецина, карбоплатина, 10-гидроксикамптотецина, кармустина, целебрекса, хлорамбуцила, цисплатины, ингибиторов Сох-2, иринотекана (СРТ-11), SN-38, карбоплатина, кладрибина, камптотеканов, кризотиниба, циклофосфамида, цитарабина, дакарбазина, дазатиниба, динациклиба, доцетаксела, дактиномицина, даунорубицина, доксорубицина, 2-пирролинодоксорубицина (2P-DOX), циано-морфолинодоксорубицина, глюкуронида доксорубицина, глюкуронида эпирубицина, эрлотиниба, эстрамустина, эпидофиллотоксина, эрлотиниба, энтиностата, связывающих рецепторы эстрогена агентов, этопозида (VP16), глюкуронида этопозида, фосфата этопозида, эксеместана, финголимода, флоксуридина (FUdR), 3',5'-O-диолеоил-FUdR (FUdR-dO), флударабина, флутамида, ингибиторов фарнезил-протеинтрансферазы, флавопиридола, фостаматиниба, ганетеспиба, GDC-0834, GS-1101, гефинитиба, гемцитабина, гидроксимочевины, ибрутиниба, идарубицина, иделалисиба, ифосфамида, иматиниба, L-аспарагиназы, лапатиниба, леналидомида, лейковорина, LFM-A13, ломустина, мехлорэтамина, мелфалана, меркаптопурина, 6-меркаптопурина, метотрексата, митоксантрона, митрамицина, митомицина, митотана, навельбина, нератиниба, нилотиниба, нитрозомочевины, олапариба, пликамицина, прокарбазина, паклитаксела, PCI-32765, пентостатина, PSI-341, ралоксифена, семустина, сорафениба, стрептозоцина, SU11248, сунитиниба, тамоксифена, темозоломида (водная форма дакарбазина (DTIC)), трансплатины, талидомида, тиогуанина, тиотепы, тенипозида, топотекана, урамустина, ваталаниба, винорелбина, винбластина, винкристина, алкалоидов барвинка и ZD1839.
26. Способ по п. 24, характеризующийся тем, что указанный иммуномодулятор выбран из группы, состоящей из цитокинов, лимфокинов, монокинов, факторов роста стволовых клеток, лимфотоксинов, гематопоэтических факторов, колониестимулирующих факторов (КСФ), интерферонов (ИФН), паратиреоидного гормона, тироксина, инсулина, проинсулина, релаксина, прорелаксина, фолликулостимулирующего гормона (ФСГ), тиреотропного гормона (ТТГ), лютеинизирующего гормона (ЛГ), фактора роста печени, простагландина, фактора роста фибробластов, пролактина, плацентарного лактогена, белка ОВ, трансформирующего фактора роста (ТФР), ТФР-α, ТФР-β, инсулиноподобного фактора роста (ИФР), эритропоэтина, тромбопоэтина, фактора некроза опухоли (ФНО), ФНО-α, ФНО-β, мюллеровой ингибирующей субстанции, гонадотропин-ассоциированного пептида мышей, ингибина, активина, фактора роста эндотелия сосудов, интегрина, интерлейкина (ИЛ), гранулоцитарного колониестимулирующего фактора (Г-КСФ), гранулоцитарно-макрофагального колониестимулирующего фактора (ГМ-КСФ), интерферона-α, интерферона-β, интерферона-γ, фактора S1, ИЛ-1, ИЛ-1-cc, ИЛ-2, ИЛ-3, ИЛ-4, ИЛ-5, ИЛ-6, ИЛ-7, ИЛ-8, ИЛ-9, ИЛ-10, ИЛ-11, ИЛ-12, ИЛ-13, ИЛ-14, ИЛ-15, ИЛ-16, ИЛ-17, ИЛ-18 ИЛ-21, ИЛ-23, ИЛ-25, лейкоз-ингибирующего фактора (ЛИФ), Kit-лиганда, FLT-3, ангиостатина, тромбоспондина и эндостатина.
27. Способ по п. 24, характеризующийся тем, что указанный радионуклид выбран из группы, состоящей из 11C, 13N, 15O, 32Р, 33Р, 47Sc, 51Cr, 57Со, 58Со, 59Fe, 62Cu, 67Cu, 67Ga, 67Ga, 75Br, 75Se, 75Se, 76Br, 77As, 77Br, 80mBr, 89Sr, 90Y, 95Ru, 97Ru, 99Mo, 99mTc, 103mRh, 103Ru, 105Rh, 105Ru, 107Hg, 109Pd, 109Pt, 111Ag, 111In, 113mIn, 119Sb, 121mTe, 122mTe, 125I, 125mTe, 126I, 131I, 133I, 142Pr, 143Pr, 149Pm, 152Dy, 153Sm, 161Ho, 161Tb, 165Tm, 166Dy, 166Ho, 167Tm, 168Tm, 169Er, 169Yb, 177Lu, I86Re, 188Re, 189mOs, 189Re, 192Ir, I94Ir, 197Pt, 198Au, 199Au, 199Au, 201Tl, 203Hg, 211At, 211Bi, 211Pb, 212Bi, 212Pb, 213Bi, 215Po, 217At, 219Rn, 221Fr, 223Ra, 225Ac, 227Th и 255Fm.
28. Способ по п. 24, характеризующийся тем, что указанный токсин выбран из группы, состоящей из рицина, абрина, рибонуклеазы (РНКазы), ДНКазы I, стафилококкового энтеротоксина А, противовирусного белка лаконоса, гелонина, дифтерийного токсина, экзотоксина Pseudomonas и эндотоксина Pseudomonas.
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CN109310385A (zh) | 2019-02-05 |
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US20170313781A1 (en) | 2017-11-02 |
AU2017257254A1 (en) | 2018-09-20 |
US20190177427A1 (en) | 2019-06-13 |
US20210395385A1 (en) | 2021-12-23 |
JP7379795B2 (ja) | 2023-11-15 |
CA3016917A1 (en) | 2017-11-02 |
AU2017257254B2 (en) | 2022-02-24 |
RU2018139610A3 (ru) | 2020-05-27 |
WO2017189279A1 (en) | 2017-11-02 |
US10266605B2 (en) | 2019-04-23 |
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