Methods of delivering DLL3 antibody drug conjugates
Novel modulators, including antibodies and derivatives thereof, and methods of using such modulators to treat proliferative disorders are provided.
1. A method of delivering a cytotoxic agent to a DLL3 expressing cancer cell in a subject, the method comprising administering to the subject a therapeutically effective amount of an anti-DLL3 antibody drug conjugate (ADC), or a pharmaceutically acceptable salt thereof, wherein the antibody drug conjugate (ADC) comprises the formula M-[L-D]n, wherein:
M comprises an anti-DLL3 antibody, wherein the anti-DLL3 antibody is an internalizing antibody;
L comprises a linker;
D comprises a pyrrolobenzodiazepine (PBD); and
n is an integer from 1 to 20.
2. The method of claim 1 , wherein the ADC further comprises the structure:
wherein:
CBA is a cell binding agent, which is the anti-DLL3 antibody M;
A, L 1 , and L 2 are components of the linker L;
A is a connecting group connecting L 1 to the cell binding agent (CBA);
L 1 is optionally a cleavable linker;
L 2 is a covalent bond or together with the —OC(═O)— group forms a self-immolative linker; and
wherein the linker L is attached to the pyrrolobenzodiazepine (PBD) at the position of the asterisk (*).
3. The method of claim 2 , wherein L 1 comprises a cleavable linker and the cleavable linker comprises a dipeptide.
4. The method of claim 3 , wherein the dipeptide is Phe-Lys, Val-Ala, Val-Lys, Ala-Lys, Val-Cit, Phe-Cit, Leu-Cit, Ile-Cit, Phe-Arg, or Trp-Cit.
5. The method of claim 4 , wherein the dipeptide is Val-Ala.
6. The method of claim 5 , wherein the moiety:
comprises the structure:
wherein the wavy line indicates the point of attachment of the structure directly to A or to a remaining portion of L1 that is further connected to A and the (*) indicates the point of attachment to the PBD.
7. The method of claim 1 , wherein M comprises an anti-DLL3 antibody that specifically binds to an epitope within the DSL domain of a DLL3 protein set forth as SEQ ID NO: 3 or 4.
8. The method of claim 7 , wherein the anti-DLL3 antibody specifically binds to an epitope comprising amino acids G203, R205 and P206 (SEQ ID NO: 10).
9. The method of claim 1 , wherein the anti-DLL3 antibody is selected from the group consisting of a chimeric antibody, a CDR-grafted antibody, and a humanized antibody.
10. The method of claim 1 , wherein the anti-DLL3 antibody competes for binding to human DLL3 protein with an antibody comprising a light chain variable region set forth as SEQ ID NO: 84 and a heavy chain variable region set forth as SEQ ID NO: 85.
11. The method of claim 1 , wherein the anti-DLL3 antibody comprises residues 24-34 of SEQ ID NO: 84 for CDR-L1, residues 50-56 of SEQ ID NO: 84 for CDR-L2, residues 89-97 of SEQ ID NO: 84 for CDR-L3, residues 31-35 of SEQ ID NO: 85 for CDR-H1, residues 50-65 of SEQ ID NO: 85 for CDR-H2 and residues 95-102 of SEQ ID NO: 85 for CDR-H3, wherein the residues are numbered according to Kabat.
12. The method of claim 1 , wherein the anti-DLL3 antibody comprises a light chain variable region comprising an amino acid sequence set forth as SEQ ID NO: 212 and a heavy chain variable region comprising an amino acid sequence set forth as SEQ ID NO: 213.
13. The method of claim 1 , wherein the pyrrolobenzodiazepine (PBD) comprises the formula AC:
wherein:
the dotted lines indicate the optional presence of a double bond, and wherein only one of the dotted lines in a given ring can be a double bond;
R 2 is selected from H, OH, ═O, ═CH 2 , CN, R, OR, ═CH—R D , ═C(R D ) 2 , O—SO 2 —R, CO 2 R, COR, and halo, where R D is selected from R, CO 2 R, COR, CHO, CO 2 H, and halo;
R 6 and R 9 are each independently selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NRR′, NO 2 , Me 3 Sn and halo;
R 7 is selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NRR′, NO 2 , Me 3 Sn and halo;
R 10 is the linker L connected to the anti-DLL3 antibody;
Q is selected from O, S and NH;
R 11 is either H, or R or, where Q is O, SO 3 M, where M is a metal cation;
R and R′ are each independently selected from optionally substituted C 1-12 alkyl, C 3-20 heterocyclyl and C 5-20 aryl groups, and optionally in relation to the group NRR′, R and R′ together with the nitrogen atom to which they are attached form an optionally substituted 4-, 5-, 6- or 7-membered heterocyclic ring;
X is selected from O, S, and N(H);
R 2 ″, R 6 ″, R 7 ″, R 9 ″, and X″ are as defined according to R 2 , R 6 , R 7 , R 9 , and X, respectively; and
R″ is a C 3-12 alkylene group, which comprises a chain optionally interrupted by one or more heteroatoms, one or more rings, or both one or more heteroatoms and one or more rings, wherein the optional one or more rings are optionally substituted.
14. The method of claim 13 , wherein R 2 is R, wherein R is a C 5-20 aryl group.
15. The method of claim 13 , wherein R 6 and R 9 are H.
16. The method of claim 13 , wherein R 7 is OR.
17. The method of claim 16 , wherein R is a C 1 alkyl.
18. The method of claim 13 , wherein Q is O.
19. The method of claim 18 , wherein R 11 is H.
20. The method of claim 13 , wherein X and X″ are O.
21. The method of claim 1 , wherein the DLL3 expressing cancer cell is a tumor initiating cell.
22. The method of claim 1 , wherein the cancer is lung cancer.
23. The method of claim 22 , wherein the lung cancer is small cell lung cancer.
24. The method of claim 1 , wherein the cancer is large cell neuroendocrine carcinoma.
25. The method of claim 1 , wherein the cancer is thyroid cancer.
26. The method of claim 1 , wherein the cancer is prostate cancer.
27. A method of delivering a cytotoxic agent to a DLL3 expressing cancer cell in a subject, the method comprising administering to the subject a therapeutically effective amount of an anti-DLL3 antibody drug conjugate (ADC), or a pharmaceutically acceptable salt thereof, wherein the antibody drug conjugate (ADC) comprises the formula M-[L-D]n, wherein:
M comprises an anti-DLL3 antibody;
L comprises an optional linker;
D comprises a cytotoxic agent; and
n is an integer from 1 to 20.
28. The method of claim 27 , wherein M comprises an anti-DLL3 antibody that specifically binds to an epitope within the DSL domain of a DLL3 protein set forth as SEQ ID NO: 3 or 4.
29. The method of claim 27 , wherein the optional linker L is a cleavable linker.
30. The method of claim 27 , wherein D comprises a pyrrolobenzodiazepine (PBD), an auristatin, or a maytansinoid.