WO2022078260A1 - 一种喜树碱类衍生物及其配体-药物偶联物 - Google Patents
一种喜树碱类衍生物及其配体-药物偶联物 Download PDFInfo
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- 125000006850 spacer group Chemical group 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 description 1
- 235000000346 sugar Nutrition 0.000 description 1
- 150000008163 sugars Chemical class 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 238000010998 test method Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 125000005309 thioalkoxy group Chemical group 0.000 description 1
- 125000004568 thiomorpholinyl group Chemical group 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 239000003104 tissue culture media Substances 0.000 description 1
- 230000008467 tissue growth Effects 0.000 description 1
- 229960000303 topotecan Drugs 0.000 description 1
- UCFGDBYHRUNTLO-QHCPKHFHSA-N topotecan Chemical compound C1=C(O)C(CN(C)C)=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 UCFGDBYHRUNTLO-QHCPKHFHSA-N 0.000 description 1
- 238000000870 ultraviolet spectroscopy Methods 0.000 description 1
- 239000011782 vitamin Substances 0.000 description 1
- 235000013343 vitamin Nutrition 0.000 description 1
- 229940088594 vitamin Drugs 0.000 description 1
- 229930003231 vitamin Natural products 0.000 description 1
- DJWUNCQRNNEAKC-UHFFFAOYSA-L zinc acetate Chemical compound [Zn+2].CC([O-])=O.CC([O-])=O DJWUNCQRNNEAKC-UHFFFAOYSA-L 0.000 description 1
Classifications
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- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D491/00—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00
- C07D491/22—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00 in which the condensed system contains four or more hetero rings
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- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
- A61K31/4375—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having nitrogen as a ring heteroatom, e.g. quinolizines, naphthyridines, berberine, vincamine
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- A61K47/62—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being a protein, peptide or polyamino acid
- A61K47/64—Drug-peptide, drug-protein or drug-polyamino acid conjugates, i.e. the modifying agent being a peptide, protein or polyamino acid which is covalently bonded or complexed to a therapeutically active agent
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- A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
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- A61K47/6801—Drug-antibody or immunoglobulin conjugates defined by the pharmacologically or therapeutically active agent
- A61K47/6803—Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates
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- A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
- A61K47/6801—Drug-antibody or immunoglobulin conjugates defined by the pharmacologically or therapeutically active agent
- A61K47/6803—Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates
- A61K47/68037—Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates the drug being a camptothecin [CPT] or derivatives
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- A61K47/6835—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
- A61K47/6851—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell
- A61K47/6855—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell the tumour determinant being from breast cancer cell
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- A61K47/6835—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
- A61K47/6851—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell
- A61K47/6863—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell the tumour determinant being from stomach or intestines cancer cell
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- A61P35/00—Antineoplastic agents
- A61P35/02—Antineoplastic agents specific for leukemia
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K5/00—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof
- C07K5/04—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof containing only normal peptide links
- C07K5/08—Tripeptides
- C07K5/0821—Tripeptides with the first amino acid being heterocyclic, e.g. His, Pro, Trp
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K5/00—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof
- C07K5/04—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof containing only normal peptide links
- C07K5/10—Tetrapeptides
- C07K5/1002—Tetrapeptides with the first amino acid being neutral
- C07K5/1005—Tetrapeptides with the first amino acid being neutral and aliphatic
- C07K5/1008—Tetrapeptides with the first amino acid being neutral and aliphatic the side chain containing 0 or 1 carbon atoms, i.e. Gly, Ala
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K7/00—Peptides having 5 to 20 amino acids in a fully defined sequence; Derivatives thereof
- C07K7/04—Linear peptides containing only normal peptide links
- C07K7/06—Linear peptides containing only normal peptide links having 5 to 11 amino acids
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07B—GENERAL METHODS OF ORGANIC CHEMISTRY; APPARATUS THEREFOR
- C07B2200/00—Indexing scheme relating to specific properties of organic compounds
- C07B2200/07—Optical isomers
Definitions
- the present invention relates to a camptothecin derivative and its ligand-drug conjugate.
- ADCs Ligand-drug conjugates
- ADCs as new targeted drugs, generally consist of three parts: antibodies or antibody-like ligands, small molecule drugs, and linkers that couple the ligands and drugs.
- Antibody-drug conjugates utilize the specific recognition of antigens by antibodies to transport drug molecules to the vicinity of target cells and effectively release drug molecules to achieve therapeutic purposes.
- FDA U.S. Food and Drug Administration
- Adecteis TM developed by Seattle Genetics for the treatment of Hodgkin lymphoma and relapsed anaplastic large cell lymphoma (ALCL), and its clinical application has been proven. safety and efficacy of these drugs.
- Camptothecins as small molecule compounds with anti-tumor properties, are known to exhibit anti-tumor effects by inhibiting DNA topoisomerase I, including irinotecan, ixitecan, SN38, etc.
- Many camptothecin drugs have been widely used in clinic, the main indications are bone cancer, prostate cancer, breast cancer, pancreatic cancer and so on.
- ixitecan does not require activation by the use of enzymes.
- ixitecan has stronger topoisomerase I inhibitory activity, and can target a variety of cancer cells in vitro. Has stronger cytocidal activity. In particular, the effect is also shown on cancer cells that show resistance to SN-38 and the like by the expression of P-glycoprotein. Ixinotecan has not been successfully marketed as a single chemotherapeutic drug, presumably associated with its higher cell viability, resulting in a narrow therapeutic window.
- ADC antibody-drug conjugates
- ADC drugs in order to ensure safety, the DAR value of the drug will be reduced, resulting in a reduction in the therapeutic effect.
- the solubility of the drug is one of the important factors affecting the DAR value, and it is also the main factor affecting the bystander effect of ADC drugs.
- camptothecins have been widely used in clinical practice, their poor water solubility is still an urgent problem to be solved.
- improving the water solubility of the drug can improve the physical properties of the drug and change its metabolism in the body, thereby improving the efficacy of the drug, enhancing the therapeutic effect, reducing the dosage of the drug and reducing the cost.
- Poor water solubility can lead to increased aggregation of ADCs, making them easier to be endocytosed by normal cells, resulting in toxic side effects or easier to be metabolized and shortened half-life.
- the amino chiral isomer compound of ixitecan has significantly better water solubility than ixitecan, and the derivatives synthesized according to it also have better water solubility, and can be synthesized To prepare better anti-tumor camptothecin ADC drugs, so that they have higher safety and efficacy, and better meet clinical needs.
- the present invention provides a camptothecin derivative represented by general formula D or its tautomer, meso, racemate, enantiomer, diastereomer or its in the form of a mixture, or a pharmaceutically acceptable salt or solvate thereof;
- R is selected from hydrogen atom, deuterium atom, halogen, alkyl, substituted alkyl, deuterated alkyl, cycloalkylalkyl, alkoxyalkyl, aryl, substituted aryl or heteroaryl;
- R 1 is selected from a hydrogen atom, a deuterium atom, a halogen, an alkyl group, a substituted alkyl group, a deuterated alkyl group, a cycloalkylalkyl group, an alkoxyalkyl group, a carboxyl group, a heterocyclic group, an aryl group, a substituted aryl group or a heterocyclic group Aryl;
- R 2 is selected from hydrogen atom, deuterium atom, halogen, alkyl group, substituted alkyl group, deuterated alkyl group, cycloalkylalkyl group, alkoxyalkyl group, carboxyl group, heterocyclic group, aryl group, substituted aryl group or heterocyclic group Aryl;
- X is selected from -C(O) -CRaRb- ( CR3R4 ) m - O-, -C(O) -CRaRb- ( CR3R4 ) m - NH- or -C( O)-CR a R b -(CR 3 R 4 ) m -S-;
- Ra is selected from hydrogen atom, deuterium atom, halogen, alkyl, deuterated alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, alkoxyalkyl, heterocyclyl, aryl, substituted aryl or Heteroaryl;
- R b is selected from hydrogen atom, deuterium atom, halogen, alkyl, deuterated alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, alkoxyalkyl, heterocyclyl, aryl, substituted aryl or Heteroaryl;
- R a , R b and the carbon atoms to which they are attached constitute C 3-6 cycloalkyl, cycloalkylalkyl or heterocyclyl;
- R 3 and R 4 are the same or different, and are each independently a hydrogen atom, a deuterium atom, a halogen, an alkyl group, a haloalkyl group, a deuterated alkyl group, an alkoxy group, a hydroxyl group, an amino group, a cyano group, a nitro group, and a hydroxyalkyl group , cycloalkyl or heterocyclyl;
- R 3 , R 4 and the carbon atoms to which they are attached constitute C 3-6 cycloalkyl, cycloalkylalkyl or heterocyclyl;
- n is selected from an integer of 0-4.
- R 1 is selected from C 1-3 alkyl.
- R 2 is selected from C 1-3 alkyl groups or fluorine atoms.
- camptothecin derivative has the structure shown in the following formula D 1 :
- R is selected from hydrogen atom, deuterium atom, halogen, alkyl, substituted alkyl, deuterated alkyl, cycloalkylalkyl, alkoxyalkyl, aryl, substituted aryl or heteroaryl;
- X is selected from -C(O) -CRaRb- ( CR3R4 ) m - O-, -C(O) -CRaRb- ( CR3R4 ) m - NH- or -C( O)-CR a R b -(CR 3 R 4 ) m -S-;
- Ra is selected from hydrogen atom, deuterium atom, halogen, alkyl, deuterated alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, alkoxyalkyl, heterocyclyl, aryl, substituted aryl or Heteroaryl;
- R b is selected from hydrogen atom, deuterium atom, halogen, alkyl, deuterated alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, alkoxyalkyl, heterocyclyl, aryl, substituted aryl or Heteroaryl;
- R a , R b and the carbon atoms to which they are attached constitute C 3-6 cycloalkyl, cycloalkylalkyl or heterocyclyl;
- R 3 and R 4 are the same or different, and are each independently a hydrogen atom, a deuterium atom, a halogen, an alkyl group, a haloalkyl group, a deuterated alkyl group, an alkoxy group, a hydroxyl group, an amino group, a cyano group, a nitro group, and a hydroxyalkyl group , cycloalkyl or heterocyclyl;
- R 3 , R 4 and the carbon atoms to which they are attached constitute C 3-6 cycloalkyl, cycloalkylalkyl or heterocyclyl;
- n is selected from an integer of 0-4.
- the R is selected from C 1-3 alkyl.
- the X is non-limitingly selected from the following structures:
- the left wavy line is connected with the camptothecin derivative part, and the right wavy line is connected with the connecting unit.
- the compound is selected from the structures shown below without limitation:
- R is selected from a hydrogen atom, a deuterium atom, a halogen, an alkyl group, a substituted alkyl group, a deuterated alkyl group, a cycloalkylalkyl group, an alkoxyalkyl group, an aryl group, a substituted aryl group or a heteroaryl group.
- the compound is non-limitingly selected from the structures shown below:
- the present invention also provides a linker-drug conjugate comprising a camptothecin derivative or a pharmaceutically acceptable salt or solvate thereof, or a tautomer, meso, racem isomers, enantiomers, diastereomers or mixtures thereof:
- R is selected from hydrogen atom, deuterium atom, halogen, alkyl, substituted alkyl, deuterated alkyl, cycloalkylalkyl, alkoxyalkyl, aryl, substituted aryl or heteroaryl;
- R 1 is selected from a hydrogen atom, a deuterium atom, a halogen, an alkyl group, a substituted alkyl group, a deuterated alkyl group, a cycloalkylalkyl group, an alkoxyalkyl group, a carboxyl group, a heterocyclic group, an aryl group, a substituted aryl group or a heterocyclic group Aryl;
- R 2 is selected from hydrogen atom, deuterium atom, halogen, alkyl group, substituted alkyl group, deuterated alkyl group, cycloalkylalkyl group, alkoxyalkyl group, carboxyl group, heterocyclic group, aryl group, substituted aryl group or heterocyclic group Aryl;
- X is selected from -C(O) -CRaRb- ( CR3R4 ) m - O-, -C(O) -CRaRb- ( CR3R4 ) m - NH- or -C( O)-CR a R b -(CR 3 R 4 ) m -S-;
- Ra is selected from hydrogen atom, deuterium atom, halogen, alkyl, deuterated alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, alkoxyalkyl, heterocyclyl, aryl, substituted aryl or Heteroaryl;
- R b is selected from hydrogen atom, deuterium atom, halogen, alkyl, deuterated alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, alkoxyalkyl, heterocyclyl, aryl, substituted aryl or Heteroaryl;
- R a , R b and the carbon atoms to which they are attached constitute C 3-6 cycloalkyl, cycloalkylalkyl or heterocyclyl;
- R 3 and R 4 are the same or different, and are each independently a hydrogen atom, a deuterium atom, a halogen, an alkyl group, a haloalkyl group, a deuterated alkyl group, an alkoxy group, a hydroxyl group, an amino group, a cyano group, a nitro group, and a hydroxyalkyl group , cycloalkyl or heterocyclyl;
- R 3 , R 4 and the carbon atoms to which they are attached constitute C 3-6 cycloalkyl, cycloalkylalkyl or heterocyclyl;
- n is selected from an integer from 0 to 4.
- L is -L 1 -L 2 -L 3 -L 4 -.
- -L- is -L 1 -L 2 -L 3 -L 4 -, wherein the L 1 end is connected to the ligand Ab, and the L 4 end is connected to X.
- L 1 is non-limitingly selected from:
- L 2 is selected from: -NC(R 5 R 6 )C(O), -NR 7 (CH 2 ) o C(O)-, -NR 7 (CH 2 CH 2 O) o CH 2 C( O)-, -S(CH 2 ) p C(O)- or a chemical bond, wherein o is selected from an integer of 0-20; p is selected from an integer of 0-20;
- R 5 and R 6 are the same or different, and are independently selected from hydrogen atoms, deuterium atoms, alkyl groups, substituted alkyl groups, deuterated alkyl groups, heteroalkyl groups, carboxyl groups, amino groups, and substituted amino groups;
- R is selected from a hydrogen atom, a deuterium atom, a halogen, an alkyl group, a substituted alkyl group, a deuterated alkyl group, a cycloalkylalkyl group, an alkoxyalkyl group, an aryl group, a substituted aryl group or a heteroaryl group;
- L 1 and L 2 share N atoms.
- L is selected from peptide residues consisting of amino acids, wherein the optional amino acids are further selected from deuterium atoms, halogen, hydroxyl, cyano, amino, nitro, carboxyl, alkyl, substituted alkyl, alkoxy and substituted by one or more substituents in cycloalkyl or substituted cycloalkyl; preferably by one, two or more selected from phenylalanine (F), glycine (G), valine (V), Peptide residues formed from amino acids of lysine (K), citrulline, serine (S), glutamic acid (E) or aspartic acid (D).
- phenylalanine F
- G glycine
- V valine
- citrulline serine
- S serine
- E glutamic acid
- D aspartic acid
- L 4 is selected from: -NR 8 (CR 9 R 10 ) q -, -C(O)NR 8 -, -C(O)NR 8 (CH 2 ) q - or chemical bond, q is selected from 0- an integer of 6;
- R 8 , R 9 and R 10 are the same or different, and are each independently selected from hydrogen atom, deuterium atom, halogen, alkyl, substituted alkyl, deuterated alkyl, cycloalkyl, cycloalkylalkyl, alkoxy alkyl, heterocyclyl, aryl, substituted aryl or heteroaryl.
- the linking unit -L- is non-limitingly selected from the following structures;
- the left wavy line is connected with the ligand part
- the right wavy line is connected with X.
- linker-drug conjugate is non-limitingly selected from the following structures:
- the 1-position carbon atom has absolute chirality in either the R or S configuration.
- the present invention also provides a ligand-drug conjugate comprising a linker-drug conjugate or a pharmaceutically acceptable salt or solvate thereof, the ligand-drug conjugate comprising formula I structure:
- R is selected from hydrogen atom, deuterium atom, halogen, alkyl, substituted alkyl, deuterated alkyl, cycloalkylalkyl, alkoxyalkyl, aryl, substituted aryl or heteroaryl;
- R 1 is selected from a hydrogen atom, a deuterium atom, a halogen, an alkyl group, a substituted alkyl group, a deuterated alkyl group, a cycloalkylalkyl group, an alkoxyalkyl group, a carboxyl group, a heterocyclic group, an aryl group, a substituted aryl group or a heterocyclic group Aryl;
- R 2 is selected from hydrogen atom, deuterium atom, halogen, alkyl group, substituted alkyl group, deuterated alkyl group, cycloalkylalkyl group, alkoxyalkyl group, carboxyl group, heterocyclic group, aryl group, substituted aryl group or heterocyclic group Aryl;
- X is selected from -C(O) -CRaRb- ( CR3R4 ) m - O-, -C(O) -CRaRb- ( CR3R4 ) m - NH- or -C( O)-CR a R b -(CR 3 R 4 ) m -S-;
- Ra is selected from hydrogen atom, deuterium atom, halogen, alkyl, deuterated alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, alkoxyalkyl, heterocyclyl, aryl, substituted aryl or Heteroaryl;
- R b is selected from hydrogen atom, deuterium atom, halogen, alkyl, deuterated alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, alkoxyalkyl, heterocyclyl, aryl, substituted aryl or Heteroaryl;
- R a , R b and the carbon atoms to which they are attached constitute C 3-6 cycloalkyl, cycloalkylalkyl or heterocyclyl;
- R 3 and R 4 are the same or different, and are each independently a hydrogen atom, a deuterium atom, a halogen, an alkyl group, a haloalkyl group, a deuterated alkyl group, an alkoxy group, a hydroxyl group, an amino group, a cyano group, a nitro group, and a hydroxyalkyl group , cycloalkyl or heterocyclyl;
- R 3 , R 4 and the carbon atoms to which they are attached constitute C 3-6 cycloalkyl, cycloalkylalkyl or heterocyclyl;
- Ab is a ligand unit selected from antibodies, antibody fragments, targeting proteins, Fc-fusion proteins, etc.;
- L is the linking unit with Ab
- X is the modification unit of the drug part
- n is selected from an integer or a decimal of 1-20.
- the ligand is selected from the group consisting of murine antibodies, chimeric antibodies, humanized antibodies, fully human antibodies, antibody fragments, bispecific antibodies and multispecific antibodies.
- the antibody or its antigen-binding fragment is selected from, without limitation: anti-EGFRvIII antibody, anti-DLL-3 antibody, anti-PSMA antibody, anti-CD70 antibody, anti-MUC16 antibody, anti-ENPP3 antibody, anti-TDGF1 antibody, Anti-ETBR Antibody, Anti-MSLN Antibody, Anti-TIM-1 Antibody, Anti-LRRC15 Antibody, Anti-LIV-1 Antibody, Anti-CanAg/AFP Antibody, Anti-cladin 18.2 Antibody, Anti-Mesothelin Antibody, Anti-HER2(ErbB2) Antibody, Anti-EGFR Antibody, Anti-c-MET Antibody, Anti-SLITRK6 Antibody, Anti-KIT/CD117 Antibody, Anti-STEAP1 Antibody, Anti-SLAMF7/CS1 Antibody, Anti-NaPi2B/SLC34A2 Antibody, Anti-GPNMB Antibody, Anti-HER3(ErbB3) Antibody, Anti-MUC1/CD227 Antibody, Antibody
- the ligand-drug conjugate is selected from the following structures without limitation:
- Ab is a ligand unit; n is selected from the integer or decimal of 1-20;
- the 1-position carbon atom has absolute chirality in either the R or S configuration.
- the present invention also provides a method for preparing linker-drug conjugates or tautomers, mesomers, racemates, enantiomers, diastereomers or mixtures thereof, or The method for its pharmaceutically acceptable salt or solvate, comprising the steps of:
- L 2 , L 3 , R, R 8 , R 9 , R 10 , q and X are as described in the general formula LXD.
- the present invention further provides a preparation of ligand-drug conjugates or tautomers, mesomers, racemates, enantiomers, diastereomers or mixtures thereof, or
- the method for its pharmaceutically acceptable salt or solvate comprising the steps of:
- the pharmaceutically acceptable salts include compounds formed with acidic functional groups in the structural formula Sodium, potassium, calcium or magnesium salts, etc.; or acetate, trifluoroacetate, citrate, oxalate, tartrate, malate, nitrate, Chloride, Bromide, Iodide, Sulfate, Bisulfate, Phosphate, Lactate, Oleate, Ascorbate, Salicylate, Formate, Glutamate, Mesylate, Ethyl Sulfonate, benzenesulfonate or p-toluenesulfonate.
- the present invention provides a pharmaceutical composition
- a pharmaceutical composition comprising a therapeutically effective amount of the camptothecin derivative, linker-drug conjugate or ligand-drug conjugate according to any one of claims 1-23 or a tautomer, meso, racemate, enantiomer, diastereomer or mixture thereof, or a pharmaceutically acceptable salt or solvate thereof, and a pharmaceutically acceptable acceptable carrier, diluent or excipient.
- the present invention provides a camptothecin derivative, linker-drug conjugate or ligand-drug conjugate or its tautomer, meso, racemate, enantiomer Forms of isomers, diastereomers or mixtures thereof, or pharmaceutically acceptable salts or solvates thereof, and pharmaceutically acceptable carriers, diluents or excipients, in the preparation of medicaments for the treatment or prevention of tumors use in.
- the tumor is breast cancer, ovarian cancer, cervical cancer, uterine cancer, prostate cancer, kidney cancer, urethral cancer, bladder cancer, liver cancer, stomach cancer, endometrial cancer, salivary gland cancer, esophagus cancer, lung cancer, Colon cancer, rectal cancer, colorectal cancer, bone cancer, skin cancer, thyroid cancer, pancreatic cancer, melanoma, glioma, neuroblastoma, glioblastoma multiforme, sarcoma, lymphoma and leukemia, etc. Solid tumors or hematological tumors.
- ligand is a macromolecular compound capable of recognizing and binding to an antigen or receptor associated with a target cell.
- the role of the ligand is to present the drug to the target cell population to which the ligand binds, including but not limited to protein hormones, lectins, growth factors, antibodies or other molecules that can bind to cells.
- the ligand is represented as Ab, and the ligand can form a linking bond with the connecting unit through the heteroatom on the ligand, preferably an antibody or an antigen-binding fragment thereof, the antibody is selected from chimeric antibodies, human-derived antibody, fully human antibody or murine antibody; preferably a monoclonal antibody.
- Ligand units are targeting agents that specifically bind to the target moiety.
- the ligands are capable of specifically binding to cellular components or to cellular components or to other target molecules of interest.
- the target moiety or target is usually on the cell surface.
- the function of the Ligand unit is to deliver the Drug unit to a specific target cell population with which the Ligand unit interacts.
- Ligands include, but are not limited to, proteins, polypeptides and peptides, as well as non-proteins such as sugars.
- Suitable Ligand units include, for example, antibodies, such as full-length (intact) antibodies and antigen-binding fragments thereof.
- the Ligand unit is a non-antibody targeting agent
- it may be a peptide or polypeptide, or a non-proteinaceous molecule.
- targeting agents include interferons, lymphokines, hormones, growth and colony stimulating factors, vitamins, nutrient transport molecules, or any other cell binding molecule or substance.
- the linker is covalently attached to the sulfur atom of the ligand.
- the sulfur atom is that of a cysteine residue, which forms an interchain disulfide bond of the antibody.
- the sulfur atom is one that has been introduced into a cysteine residue of the Ligand unit, which forms an interchain disulfide bond of the antibody.
- the sulfur atom is one that has been introduced into a cysteine residue of the Ligand unit (eg, by site-directed mutagenesis or chemical reaction).
- the sulfur atom to which the linker binds is selected from cysteine residues that form interchain disulfide bonds of the antibody or frontal cysteine residues that have been introduced into the Ligand unit (eg, by site-directed mutagenesis or chemical reaction).
- the EU index in Kabat Kabat (Kabat E.A et al., (1991) Sequences of proteins of Immunological Interest, Fifth Edition, NIH publication 91-3242) numbering system.
- an "antibody” or “antibody unit” is within its scope to include any portion of an antibody structure. This unit may bind, reactively associate, or complex a receptor, antigen, or other receptor unit possessed by the targeted cell population.
- An antibody can be any protein or protein-like molecule that can bind, complex, or otherwise react with a portion of the cell population to be treated or bioengineered.
- the antibody constituting the antibody-drug conjugate in the present invention preferably maintains the antigen-binding ability of its original wild state. Therefore, the antibody of the present invention can specifically bind to the antigen.
- Antigens involved include, for example, tumor-associated antigens (TAAs), cell surface receptor proteins and other cell surface molecules, regulators of cell survival, regulators of cell proliferation, molecules associated with tissue growth and differentiation (as known or predicted) functional), lymphokines, cytokines, molecules involved in the regulation of the cell cycle, molecules involved in angiogenesis, and molecules involved in angiogenesis (as known or predicted to be functional).
- TAAs tumor-associated antigens
- cell surface receptor proteins and other cell surface molecules regulators of cell survival, regulators of cell proliferation, molecules associated with tissue growth and differentiation (as known or predicted) functional)
- lymphokines cytokines
- molecules involved in the regulation of the cell cycle molecules involved in angiogenesis
- angiogenesis as known or predicted to be functional
- the tumor-associated factor can be a cluster differentiation factor (eg, CD protein).
- Antibodies for use in antibody drug conjugates include, but are not limited to, antibodies directed against cell surface receptors and tumor-associated antigens. Such tumor-associated antigens are well known in the art and can be prepared by methods and information well known in the art for preparing antibodies.
- tumor-associated antigens are well known in the art and can be prepared by methods and information well known in the art for preparing antibodies.
- To develop effective cellular-level targets for cancer diagnosis and therapy researchers seek to find transmembrane or other tumor-associated polypeptides. These targets can be specifically expressed on the surface of one or more cancer cells with little or no expression on the surface of one or more non-cancer cells. Typically, such tumor-associated polypeptides are more overexpressed on the surface of cancer cells relative to the surface of non-cancer cells. Identifying such tumor-associated factors could greatly improve the specific targeting properties of antibody-based cancer therapy.
- tumor-associated antigens For convenience, antigen-related information that is well known in the industry is indicated below, including name, other names, and GenBank accession numbers. Nucleic acid and protein sequences corresponding to tumor-associated antigens can be found in public databases such as Genbank. Antibodies targeting corresponding tumor-associated antigens include all amino acid sequence variants and isotypes that are at least 70%, 80%, 85%, 90%, or 95% homologous to sequences identified in references, or have The tumor-associated antigen sequences in the literature have completely identical biological properties and characteristics.
- inhibitor refers to reducing by a detectable amount, or preventing completely.
- cancer refers to a physiological condition or disease characterized by unregulated cell growth.
- Tumor includes cancer cells.
- autoimmune disease is a disease or disorder that results from targeting an individual's own tissues or proteins.
- cytotoxic drug refers to a cytotoxic drug, denoted D, a chemical molecule capable of strongly disrupting normal growth within tumor cells.
- D cytotoxic drug
- cytotoxic drugs can kill tumor cells at a high enough concentration, but due to the lack of specificity, when killing tumor cells, they can also lead to apoptosis of normal cells, resulting in serious side effects.
- toxins such as small molecule toxins or enzymatically active toxins of bacterial, fungal, plant or animal origin, radioisotopes (eg At 211 , I 131 , I 125 , Y 90 , Re 186 , Re 188 , Sm 153 , Bi 212 ) , P 32 and Lu radioisotopes), toxic drugs, chemotherapeutic drugs, antibiotics and nucleolysins, preferably toxic drugs.
- radioisotopes eg At 211 , I 131 , I 125 , Y 90 , Re 186 , Re 188 , Sm 153 , Bi 212
- P 32 and Lu radioisotopes eg At 211 , I 131 , I 125 , Y 90 , Re 186 , Re 188 , Sm 153 , Bi 212
- P 32 and Lu radioisotopes eg At 211 , I 131 , I 125 ,
- linker or “linker fragment” or “linker unit” refers to a chemical structural fragment or bond that is linked to a ligand at one end and a drug at the other end, and can also be linked to a drug after other linkers are attached.
- Linkers including stretchers, spacers and amino acid units, can be synthesized by methods known in the art, such as those described in US2005-0238649A1.
- the linker can be a "cleavable linker" that facilitates the release of the drug in the cell.
- acid-labile linkers eg, hydrazones
- protease-sensitive linkers eg, peptidase-sensitive linkers
- photolabile linkers eg, dimethyl linkers, or disulfide-containing linkers
- linkers or “linkers of antibody drug conjugates” can be divided into two categories: non-cleavable linkers and cleavable linkers.
- the drug release mechanism is: after the conjugate binds to the antigen and is endocytosed by the cell, the antibody is enzymatically hydrolyzed in the lysosome to release the small molecule drug, which is linked to the It is an active molecule composed of amino acid residues of antibodies.
- the resulting changes in the molecular structure of the drug do not reduce its cytotoxicity, but because the active molecule is charged (amino acid residues), it cannot penetrate into adjacent cells.
- active drugs cannot kill adjacent tumor cells that do not express the target antigen (antigen-negative cells) (bystander effect) (Ducry et al., 2010, Bioconjugate Chem. 21:5-13).
- ligand-drug conjugate refers to an antibody linked to a biologically active drug through a stable linking unit.
- ligand-drug conjugate is preferably antibody-drug conjugate (antibody drug conjugate, ADC), which refers to linking a monoclonal antibody or antibody fragment with a biologically active toxic drug through a stable linking unit .
- alkyl refers to a saturated aliphatic hydrocarbon group, which is a straight or branched chain group containing 1 to 20 carbon atoms, preferably an alkyl group containing 1 to 12 carbon atoms, more preferably 1 to 10 carbon atoms atomic alkyl groups, most preferably those containing 1 to 6 carbon atoms.
- Non-limiting examples include methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, tert-butyl, sec-butyl, n-pentyl, 1,1-dimethylpropyl, 1 ,2-dimethylpropyl, 2,2-dimethylpropyl, 1-ethylpropyl, 2-methylbutyl, 3-methylbutyl, n-hexyl, 1-ethyl-2- Methylpropyl, 1,1,2-trimethylpropyl, 1,1-dimethylbutyl, 1,2-dimethylbutyl, 2,2-dimethylbutyl, 1,3 -Dimethylbutyl, 2-ethylbutyl, 2-methylpentyl, 3-methylpentyl, 4-methylpentyl, 2,3-dimethylbutyl, n-heptyl, 2 -Methylhexyl, 3-methylhexyl, 4-methylhe
- lower alkyl groups containing 1 to 6 carbon atoms include methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, tert-butyl, sec-butyl base, n-pentyl, 1,1-dimethylpropyl, 1,2-dimethylpropyl, 2,2-dimethylpropyl, 1-ethylpropyl, 2-methylbutyl, 3-Methylbutyl, n-hexyl, 1-ethyl-2-methylpropyl, 1,1,2-trimethylpropyl, 1,1-dimethylbutyl, 1,2-dimethylpropyl butyl, 2,2-dimethylbutyl, 1,3-dimethylbutyl, 2-ethylbutyl, 2-methylpentyl, 3-methylpentyl, 4-methylpentyl base, 2,3-dimethylbutyl, etc.
- Alkyl groups may be substituted or unsubstituted, and when substituted, substituents may be substituted at any available point of attachment, preferably one or more of the following groups, independently selected from alkanes group, alkenyl, alkynyl, alkoxy, alkylthio, alkylamino, halogen, mercapto, hydroxyl, nitro, cyano, cycloalkyl, heterocycloalkyl, aryl, heteroaryl, cycloalkane Oxy, heterocycloalkoxy, cycloalkylthio, heterocycloalkylthio, oxo.
- substituents may be substituted at any available point of attachment, preferably one or more of the following groups, independently selected from alkanes group, alkenyl, alkynyl, alkoxy, alkylthio, alkylamino, halogen, mercapto, hydroxyl, nitro, cyano, cycloalkyl, heterocyclo
- R', R" and R"' each independently refers to hydrogen, unsubstituted C 1-8 alkyl, unsubstituted aryl, aryl substituted by 1-3 halogens, unsubstituted C 1-8 alkyl, C 1- 8 alkoxy or C 1-8 thioalkoxy, or unsubstituted aryl-C 1-4 alkyl.
- R' and R" When R' and R" are attached to the same nitrogen atom, they may form together with the nitrogen atom 3-, 4-, 5-, 6- or 7-membered rings.
- -NR'R" includes 1-pyrrolidinyl and 4-morpholinyl.
- heteroalkyl refers to an alkyl group containing one or more heteroatoms selected from N, O, or S, wherein alkyl is as defined above.
- alkylene refers to a saturated straight or branched chain aliphatic hydrocarbon group having 2 residues derived by removing two hydrogen atoms from the same or two different carbon atoms of the parent alkane, which are A straight or branched chain group containing 1 to 20 carbon atoms, preferably an alkylene group containing 1 to 12 carbon atoms, more preferably 1 to 6 carbon atoms.
- Non-limiting examples of alkylene groups include, but are not limited to, methylene ( -CH2- , 1,1-ethylene (-CH( CH3 )-), 1,2-ethylene (-CH2CH ) 2 )-, 1,1-propylene (-CH(CH 2 CH 3 )-), 1,2-propylene (-CH 2 CH(CH 3 )-), 1,3-propylene ( -CH 2 CH 2 CH 2 -), 1,4-butylene (-CH 2 CH 2 CH 2 CH 2 -) and 1,5-butylene (-CH 2 CH 2 CH 2 CH 2 CH 2 -), etc.
- the alkylene groups may be substituted or unsubstituted, and when substituted, the substituents may be substituted at any available point of attachment, preferably independently optionally selected from alkyl, alkenyl, alkyne group, alkoxy, alkylthio, alkylamino, halogen, mercapto, hydroxyl, nitro, cyano, cycloalkyl, heterocyclyl, aryl, heteroaryl, cycloalkoxy, heterocycloalkoxy substituted with one or more of the substituents among the radicals, cycloalkylthio, heterocycloalkylthio and oxo.
- alkoxy refers to -O-(alkyl) and -O-(cycloalkyl), wherein alkyl or cycloalkyl is as defined above.
- alkoxy groups include: methoxy, ethoxy, propoxy, butoxy, cyclopropoxy, cyclobutoxy, cyclopentyloxy, cyclohexyloxy.
- Alkoxy can be optionally substituted or unsubstituted, and when substituted, the substituents are preferably one or more of the following groups independently selected from alkyl, alkenyl, alkynyl, alkoxy, alkoxy Thio, alkylamino, halogen, mercapto, hydroxyl, nitro, cyano, cycloalkyl, heterocycloalkyl, aryl, heteroaryl, cycloalkoxy, heterocycloalkoxy, cycloalkylthio , Heterocycloalkylthio.
- cycloalkyl refers to a saturated or partially unsaturated monocyclic or polycyclic cyclic hydrocarbon substituent, the cycloalkyl ring containing 3 to 20 carbon atoms, preferably 3 to 12 carbon atoms, more preferably 3 to 10 carbon atoms carbon atoms, most preferably 3 to 8 carbon atoms.
- Non-limiting examples of monocyclic cycloalkyl groups include cyclopropyl, cyclobutyl, cyclopentyl, cyclopentenyl, cyclohexyl, cyclohexenyl, cyclohexadienyl, cycloheptyl, cycloheptatriene
- Polycyclic cycloalkyl groups include spiro, fused and bridged cycloalkyl groups.
- heterocyclyl refers to a saturated or partially unsaturated monocyclic or polycyclic cyclic hydrocarbon substituent containing from 3 to 20 ring atoms, one or more of which is selected from nitrogen, oxygen or S(O) m (where m is an integer from 0 to 2) heteroatoms excluding ring moieties of -O-O-, -O-S- or -S-S-, the remaining ring atoms being carbon.
- it contains 3 to 12 ring atoms, of which 1 to 4 are heteroatoms; more preferably the cycloalkyl ring contains 3 to 10 ring atoms.
- Non-limiting examples of monocyclic heterocyclyl groups include pyrrolidinyl, piperidinyl, piperazinyl, morpholinyl, thiomorpholinyl, homopiperazinyl, and the like.
- Polycyclic heterocyclyls include spiro, fused and bridged heterocyclyls.
- spiroheterocyclyl refers to a 5- to 20-membered monocyclic polycyclic heterocyclic group sharing one atom (called a spiro atom), wherein one or more ring atoms are selected from nitrogen, oxygen or S(O )m (where m is an integer from 0 to 2) heteroatoms and the remaining ring atoms are carbon. It may contain one or more double bonds, but none of the rings have a fully conjugated electron system. Preferably it is 6 to 14 yuan, more preferably 7 to 10 yuan.
- spiroheterocyclyls are classified into mono-spiroheterocyclyl, bis-spiroheterocyclyl or poly-spiroheterocyclyl, preferably mono-spiroheterocyclyl and bis-spiroheterocyclyl. More preferably, it is a 4-membered/4-membered, 4-membered/5-membered, 4-membered/6-membered, 5-membered/5-membered or 5-membered/6-membered monospiroheterocyclyl group.
- cycloalkylalkyl refers to an alkyl group substituted with one or more cycloalkyl groups, preferably one cycloalkyl group, wherein alkyl is as defined above, wherein cycloalkyl is as defined above.
- haloalkyl refers to an alkyl group substituted with one or more halogens, wherein alkyl is as defined above.
- deuterated alkyl refers to an alkyl group substituted with one or more deuterium atoms, wherein alkyl is as defined above.
- hydroxy refers to the -OH group.
- halogen refers to fluorine, chlorine, bromine or iodine.
- amino refers to -NH2 .
- nitro refers to -NO2 .
- amido refers to -C(O)N(alkyl) or (cycloalkyl), wherein alkyl, cycloalkyl are as defined above.
- carboxylate refers to -C(O)O(alkyl) or (cycloalkyl), wherein alkyl, cycloalkyl are as defined above.
- the present invention also includes various deuterated forms. Each available hydrogen atom attached to a carbon atom can be independently replaced by a deuterium atom. Those skilled in the art can refer to relevant literature to synthesize deuterated compounds. In preparing the deuterated compounds, commercially available deuterated starting materials can be used, or they can be synthesized using conventional techniques using deuterated reagents, non-limiting examples of deuterated reagents include: deuterated methanol, deuterated water, deuterated Borane, trideuteroborane tetrahydrofuran solution, deuterated lithium aluminum hydride, deuterated iodoethane and deuterated iodomethane, etc.
- antibody refers to an immunoglobulin, which is a tetrapeptide chain structure consisting of two identical heavy chains and two identical light chains linked by interchain disulfide bonds.
- the amino acid composition and sequence of the immunoglobulin heavy chain constant region are different, so their antigenicity is also different. Accordingly, immunoglobulins can be divided into five classes, or isotypes of immunoglobulins, namely IgM, IgD, IgG, IgA, and IgE, whose corresponding heavy chains are ⁇ , ⁇ , and ⁇ chains, respectively. , alpha chains and epsilon chains.
- IgG can be divided into different subclasses according to the difference in the amino acid composition of the hinge region and the number and position of disulfide bonds in the heavy chain.
- IgG can be divided into IgG1, IgG2, IgG3, and IgG4.
- Light chains are classified into ⁇ chains or ⁇ chains by the difference in the constant region.
- Each of the five classes of Ig can have a kappa chain or a lambda chain.
- the antibodies of the present invention are preferably specific antibodies against cell surface antigens on target cells, non-limiting examples are the following antibodies: anti-EGFRvIII antibody, anti-DLL-3 antibody, anti-PSMA antibody, anti-CD70 antibody, anti-MUC16 antibody , Anti-ENPP3 Antibody, Anti-TDGF1 Antibody, Anti-ETBR Antibody, Anti-MSLN Antibody, Anti-TIM-1 Antibody, Anti-LRRC15 Antibody, Anti-LIV-1 Antibody, Anti-CanAg/AFP Antibody, Anti-cladin 18.2 Antibody, Anti-Mesothelin Antibody, Anti-HER2 (ErbB2) Antibody, Anti-EGFR Antibody, Anti-c-MET Antibody, Anti-SLITRK6 Antibody, Anti-KIT/CD117 Antibody, Anti-STEAP1 Antibody, Anti-SLAMF7/CS1 Antibody, Anti-NaPi2B/SLC34A2 Antibody, Anti-GPNMB Antibody, Anti-HER3(ErbB3) Antibody,
- solvate refers to the ligand-drug conjugates of the invention forming pharmaceutically acceptable solvates with one or more solvent molecules, non-limiting examples of which include water, ethanol, acetonitrile , isopropanol, DMSO, ethyl acetate.
- drug load refers to the average amount of cytotoxic drug loaded on each antibody in the molecule of formula I, and can also be expressed as the ratio of the amount of drug to the amount of antibody, and the drug load can range from each antibody (Ab) linked. 0-12, preferably 1-10 cytotoxic drugs (D).
- the drug load is expressed as n, and an exemplary value may be the mean value of 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10.
- the average amount of drug product per ADC molecule after the coupling reaction can be characterized by conventional methods such as UV/Vis spectroscopy, mass spectrometry, ELISA assay and HPLC.
- the cytotoxic drug is coupled to the N-terminal amino group of the ligand and/or the ⁇ -amino group of the lysine residue through the linking unit.
- the cytotoxic drug can be coupled to the antibody in the coupling reaction.
- the number of drug molecules will be less than the theoretical maximum.
- Ligand cytotoxic drug conjugate loading can be controlled by the following non-limiting methods, including:
- pharmaceutically acceptable salt refers to salts of the ligand-drug conjugates of the present invention, or salts of the compounds described in the present invention, when such salts are used in mammals With safety and efficacy, and with due biological activity, the ligand-drug conjugate compound of the present invention contains at least one carboxyl group, so it can form a salt with a base.
- pharmaceutically acceptable salts include: sodium salt, potassium salt, calcium salt or magnesium salt, etc.
- pharmaceutically acceptable salts or “pharmaceutically acceptable salts” refers to salts of the antibody-drug conjugates of the present invention, or salts of the compounds described in the present invention, which when used in mammals have Safe and effective, and have due biological activity, the ligand-drug conjugate compound of the present invention contains at least one amino group, so it can form a salt with an acid.
- Non-limiting examples of pharmaceutically acceptable salts include: hydrochloric acid Salt, Hydrobromide, Hydroiodide, Sulfate, Hydrogen Sulfate, Citrate, Acetate, Succinate, Ascorbate, Oxalate, Nitrate, Pearate, Hydrogen Phosphate, Phosphoric Acid Dihydrogenate, Salicylate, Hydrogencitrate, Tartrate, Maleate, Fumarate, Formate, Benzoate, Mesylate, Ethanesulfonate, Besylate , p-toluenesulfonate.
- Acid amino acid means that the isoelectric point of the amino acid is less than 7, and the acidic amino acid molecule often has one or more acid groups such as carboxyl groups, which can be effectively ionized into negative ions in the structure to increase hydrophilicity. Acidic amino acids may be natural or unnatural amino acids.
- Natural amino acid refers to an amino acid that is biosynthesized. Natural amino acids are generally L-form, but there are a few exceptions, such as glycine, both natural and biosynthetic.
- Unnatural amino acid refers to an amino acid obtained by synthetic means.
- the reaction system is directly suction filtered, the filter cake is washed with methanol, the filtrate is collected, and the filter cake is dried to obtain an off-white solid compound, It is ixitecan, the isomer of compound 1, which is set aside for later use.
- the filtrate was concentrated under reduced pressure, purified by liquid phase preparation, and lyophilized to obtain a light brown solid (5.07 g, 41%).
- LC-MS obtained [M+H] + : 436.2.
- reaction solution was separated and purified by liquid phase preparation, and the prepared solution was concentrated under vacuum at 35°C and lyophilized to obtain 49.7 mg of compound 5 as a pale yellow solid with a yield of 48.7%; and 60.5 mg of compound 6 as a pale yellow solid with a yield of 59.3%.
- the reaction droplets in the No. 1 bottle were added to the No. 2 reaction bottle.
- HPLC monitors whether the reaction raw materials disappear, and after the reaction is complete, HPLC preparation and separation are performed. Freeze-dried to obtain 4.83 g of a white solid product with a yield of 66.3%.
- the reaction droplets in the No. 1 bottle were added to the No. 2 reaction bottle.
- Example 18 General method for preparing ADC drug by coupling
- the antibody Ab with a monomer rate greater than 95% after preliminary purification was changed into a phosphate buffer using an ultrafiltration centrifuge tube at a concentration of 10 mg/ml.
- use an ultrafiltration centrifuge tube with a molecular weight cut-off of 30KDa to change the medium to PBS, and remove the uncoupled payload.
- the ADC samples after the liquid change were filtered through a 0.22-micron sterile filter before use.
- the average drug/antibody ratio (DAR) value of the conjugated product was determined by reversed-phase high performance liquid chromatography.
- the obtained ADC drug molecule related information and the corresponding situation with the payload molecule are as follows:
- the logP value is closely related to the water solubility, membrane permeability, ADME process in vivo and the affinity of the compound to the receptor, which plays a key role in the process of the compound passing through the biological membrane.
- the logP value was obtained by testing the partition coefficient of the camptothecin drug in n-octane (oil) and water to study the drug, and the results are as follows:
- Example 20 Plasma aggregation, degradation test of ADC
- Three tubes of each ADC are prepared and placed in a 37°C water bath to incubate, respectively. After incubation for 0h, 72h, and 7d, the ADC samples were taken out, and 100 ⁇ L of ProteinA (MabSelect SuRe TMLX Lot: #10221479GE, washed with PBS) was added to each tube, and the vertical mixer was shaken for adsorption for 2 hours. After washing, elution and Tris-HCl and step, obtain the ADC after incubation, and perform SEC detection on the ADC sample incubated for a specific time to determine the aggregation degradation.
- the payload of ADC-1 is consistent with that of the marketed anti-tumor drug Enhertu. From the test experiments on the aggregation and degradation of ADC drugs in plasma, it can be seen that the aggregation and degradation of the chiral derivative ADC of camptothecin is significantly lower than that of ADC-1, and has higher Good physical and chemical properties, more stable in plasma.
- camptothecin chiral derivatives The cytotoxic activity of camptothecin chiral derivatives was determined by the following experimental procedure: Camptothecin chiral derivatives were added to A431, MDA-MB-468, SK-BR-3, Bxpc-3 and SW620 tumor cells, respectively , and cell viability was determined after 72 hours. Cell-based in vitro assays were used to determine cell viability, cytotoxicity, and apoptosis induced by the camptothecin drugs of the present invention.
- the in vitro efficacy of camptothecin drugs was determined by cell proliferation assay.
- CellTiter The Aqueous One Solution Cell Proliferation Assay is commercially available (Promega Corp., Madison, WI).
- the One Solution Cell Proliferation Assay(a) is a colorimetric assay for the detection of viable cell numbers in cell proliferation and cytotoxicity assays.
- This reagent contains a novel tetrazolium compound [3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium,inner salt; MTS] and An electron coupling agent (phenazine ethosulfate; PES).
- MTS Olet's reagent
- NADPH NADPH
- NADH NADH
- the amount of formazan product detected at 490 nm is proportional to the number of viable cells in culture. Since the formazan product of MTS is soluble in tissue culture medium, CellTiter One Solution Assay has fewer steps than MTT or INT methods.
- A431, MDA-MB-468, SK-BR-3, Bxpc-3 and SW620 are used as research systems for in vitro drug efficacy detection.
- a 96-well plate evenly seed the appropriate cell density and incubate at 37°C in a carbon dioxide incubator. After 24 hours, the cells were confirmed to be in normal state under the microscope, and the camptothecin drug was added.
- Diluted camptothecin drug in medium (initial concentration is 1uM, 7-fold dilution, 8 concentration points, the last two columns are control group (ie cells + medium, no drug treatment) and blank group (ie no cells, only Contains culture medium for background subtraction), after fully mixing the drug, add the drug to the corresponding cell well and put it into a carbon dioxide incubator for 3 days at 37°C. After 3 days, add 20ul MTS (Promegm, G3581) to each well to react for 2 hours , Microplate reader (Molecular Device, model: SpectraMAX190) 490nM reading. By detecting the activity of dehydrogenase in mitochondria, calculating IC50 to evaluate the inhibitory effect of camptothecin drugs on cell proliferation. Corresponding camptothecin chiral derivatives IC50 (nM) The test results are as follows:
- Dxd is the active ingredient of the marketed cancer ADC drug Enhertu, a highly active camptothecin drug.
- Enhertu a highly active camptothecin drug.
- the inventors have proved that the chiral derivatives of camptothecin described in the present invention are all shown in representative tumor cells BXPC-3, A431, SW620, MDA-MB-468 and SK-BR-3. Cell viability comparable to or higher than Dxd.
- ADC samples Aseptically take a certain amount of ADC samples and add them to sterile human plasma from which human IgG has been removed so that the final concentration of ADC is 0.6 mg/ml. Three tubes are prepared for each ADC, placed in a water bath at 37°C for incubation, and incubated separately.
- the ADC sample was taken out, and 100 ⁇ L of ProteinA (MabSelect SuRe TMLX Lot: #10221479GE, washed with PBS) was added to each tube, the vertical mixer was shaken for adsorption for 2h, and after washing, elution and Tris-HCl neutralization In the step, the ADC after incubation is obtained, and the DAR value of the ADC sample incubated for a specific time is detected by RP-HPLC to determine the plasma stability of the sample.
- the experimental results show that the ADC of the present invention has little or no loss during plasma incubation, and has better stability in plasma because the possibility of premature degradation to produce toxicity is low.
- MDA-MB-468 and BT474 are used as research systems for in vitro drug efficacy detection.
- An appropriate number of tumor cell lines were evenly seeded into a 96-well plate and incubated in a carbon dioxide incubator. After 24 hours, the cells were confirmed to be in normal state under the microscope, and drug addition treatment was performed. Dilute the drug with the medium (the initial concentration of the ADC drug is 500nM, the dilution factor is 7 times, there are 8 concentration points in total, the theoretical coupling ratio (DAR) of toxin and antibody is 8:1, and the actual coupling ratio is roughly 7.5: 1.
- DAR theoretical coupling ratio
- the initial concentration of the toxin is 4.0 ⁇ M, 7-fold concentration gradient dilution, 8 concentration points), after mixing, add it to the corresponding cell wells, where the last two columns are the control group (ie cells + medium, no drug) treatment) and blank group (ie, no cells, containing only medium, for background subtraction), put into a carbon dioxide incubator at 37°C for 5 days. After 5 days, 20 ⁇ L of MTS (Promega, G3581) was added to each well to react for 2 hours, and the absorbance value at a wavelength of 490 nm was read with a microplate reader (Molecular Device, model: SpectraMAX190). By detecting the activity of dehydrogenase in mitochondria, IC50 was calculated to evaluate the inhibitory effect of ADC drugs on tumor cell proliferation.
- ADC-1 is the marketed antitumor drug Enhertu.
- the camptothecin chiral derivative drug of the present invention showed good anti-tumor activity in multiple tumor cell lines after coupling with the antibody through the linking unit L, and was compatible with ADC- Compared with 1, some ADCs have better activity and have great clinical application value.
- Example 24 ADC in vivo efficacy test
- a single tumor NCI-N87 tumor-bearing nude mouse model is established to evaluate the in vivo efficacy of the ADC conjugated drug. That is, 5 ⁇ 10 6 NCI-N87 cells were inoculated subcutaneously on the right shoulder of BALB/c nude mice aged 4 to 6 weeks, and when the average tumor volume of the mice grew to 162 mm 3 , they were randomly divided into groups according to the tumor size. 5 rats were intravenously injected with blank control (buffer solution blank) and 3 mg/kg dose of antibody drug conjugates ADC-1, ADC-2, ADC-3, ADC-5, ADC-6, ADC-7. The tumor volume measurement data was displayed as the average tumor volume at the time of measurement, and the changes in the body weight of the mice were recorded to observe the in vivo efficacy and preliminary toxicity of ADC drugs.
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Abstract
Description
Claims (28)
- 一种如通式D所示的喜树碱类衍生物或其药学上可接受的盐或溶剂化物;其中:R选自氢原子、烷基、取代烷基、氘代烷基、环烷基烷基、烷氧基烷基、芳基、取代芳基或杂芳基;R 1选自氢原子、氘原子、卤素、烷基、取代烷基、氘代烷基、环烷基烷基、烷氧基烷基、羧基、杂环基、芳基、取代芳基或杂芳基;R 2选自氢原子、氘原子、卤素、烷基、取代烷基、氘代烷基、环烷基烷基、烷氧基烷基、羧基、杂环基、芳基、取代芳基或杂芳基;X选自-C(O)-CR aR b-(CR 3R 4) m-O-、-C(O)-CR aR b-(CR 3R 4) m-NH-或-C(O)-CR aR b-(CR 3R 4) m-S-;R a选自氢原子、氘原子、卤素、烷基、氘代烷基、卤代烷基、环烷基、环烷基烷基、烷氧基烷基、杂环基、芳基、取代芳基或杂芳基;R b选自氢原子、氘原子、卤素、烷基、氘代烷基、卤代烷基、环烷基、环烷基烷基、烷氧基烷基、杂环基、芳基、取代芳基或杂芳基;或者,R a、R b及其所连接碳原子构成C 3-6环烷基、环烷基烷基或杂环基;R 3、R 4相同或者不同,且分别独立地为氢原子、氘原子、卤素、烷基、卤代烷基、氘代烷基、烷氧基、羟基、氨基、氰基、硝基、羟烷基、环烷基或杂环基;或者,R 3、R 4及其所连接碳原子构成C 3-6环烷基、环烷基烷基或杂环基;m选自0-4的整数。
- 根据权利要求1所述的喜树碱类衍生物或其互变异构体、内消旋体、外消旋体、对映异构体、非对映异构体或其混合物形式,或其药学上可接受的盐或溶剂化物,其特征在于:R 1选自C 1-3烷基。
- 根据权利要求1所述的喜树碱类衍生物或其互变异构体、内消旋体、外消旋体、对映异构体、非对映异构体或其混合物形式,或其药学上可接受的盐或溶剂化物,其特征在于:R 2选自C 1-3烷基或氟原子。
- 根据权利要求1-3中任一项所述的喜树碱类衍生物或其互变异构体、内消旋体、外消旋体、对映异构体、非对映异构体或其混合物形式,或其药学上可接受的盐或溶剂化物,其特征在于:所述喜树碱衍生物具有如下式D 1所示结构:其中:R选自氢原子、氘原子、卤素、烷基、取代烷基、氘代烷基、环烷基烷基、烷氧基烷基、芳基、取代芳基或杂芳基;X选自-C(O)-CR aR b-(CR 3R 4) m-O-、-C(O)-CR aR b-(CR 3R 4) m-NH-或-C(O)-CR aR b-(CR 3R 4) m-S-;R a选自氢原子、氘原子、卤素、烷基、氘代烷基、卤代烷基、环烷基、环烷基烷基、烷氧基烷基、杂环基、芳基、取代芳基或杂芳基;R b选自氢原子、氘原子、卤素、烷基、氘代烷基、卤代烷基、环烷基、环烷基烷基、烷氧基烷基、杂环基、芳基、取代芳基或杂芳基;或者,R a、R b及其所连接碳原子构成C 3-6环烷基、环烷基烷基或杂环基;R 3、R 4相同或者不同,且分别独立地为氢原子、氘原子、卤素、烷基、卤代烷基、氘代烷基、烷氧基、羟基、氨基、氰基、硝基、羟烷基、环烷基或杂环基;或者,R 3、R 4及其所连接碳原子构成C 3-6环烷基、环烷基烷基或杂环基;m选自0-4的整数。
- 根据权利要求4所述的喜树碱类衍生物或其互变异构体、内消旋体、外消旋体、对映异构体、非对映异构体或其混合物形式,或其药学上可接受的盐或溶剂化物,其特征在于:所述R选自C 1-3烷基。
- 一种包括权利要求1-8任一所述喜树碱类衍生物的连接子-药物偶联物或其药学上可接受的盐或溶剂化物、或其互变异构体、内消旋体、外消旋体、对映异构体、非对映异构体或其混合物形式:其中:R选自氢原子、氘原子、卤素、烷基、取代烷基、氘代烷基、环烷基烷基、烷氧基烷基、芳基、取代芳基或杂芳基;R 1选自氢原子、氘原子、卤素、烷基、取代烷基、氘代烷基、环烷基烷基、烷氧基烷基、羧基、杂环基、芳基、取代芳基或杂芳基;R 2选自氢原子、氘原子、卤素、烷基、取代烷基、氘代烷基、环烷基烷基、烷氧基烷基、羧基、杂环基、芳基、取代芳基或杂芳基;X选自-C(O)-CR aR b-(CR 3R 4) m-O-、-C(O)-CR aR b-(CR 3R 4) m-NH-或-C(O)-CR aR b-(CR 3R 4) m-S-;R a选自氢原子、氘原子、卤素、烷基、氘代烷基、卤代烷基、环烷基、环烷基烷基、烷氧基烷基、杂环基、芳基、取代芳基或杂芳基;R b选自氢原子、氘原子、卤素、烷基、氘代烷基、卤代烷基、环烷基、环烷基烷基、烷氧基烷基、杂环基、芳基、取代芳基或杂芳基;或者,R a、R b及其所连接碳原子构成C 3-6环烷基、环烷基烷基或杂环基;R 3、R 4相同或者不同,且分别独立地为氢原子、氘原子、卤素、烷基、卤代烷基、氘代烷基、烷氧基、羟基、氨基、氰基、硝基、羟烷基、环烷基或杂环基;或者,R 3、R 4及其所连接碳原子构成C 3-6环烷基、环烷基烷基或杂环基;m选自0-4的整数;L为-L 1-L 2-L 3-L 4-。
- 根据权利要求9所述的连接子-药物偶联物或其药学上可接受的盐或溶剂化物,其特征在于:-L-为-L 1-L 2-L 3-L 4-,其中L 1端与配体Ab相连,L 4端与X相连。
- 根据权利要求9或10中所述的连接子-药物偶联物或其药学上可接受的盐或溶剂化物,其特征在于:L 2选自:-NC(R 5R 6)C(O)、-NR 7(CH 2) oC(O)-、-NR 7(CH 2CH 2O) oCH 2C(O)-、-S(CH 2) pC(O)-或者化学键,其中o选自0-20的整数;p选自0-20的整数;R 5、R 6相同或者不同,且各自独立地选自氢原子、氘原子、烷基、取代烷基、氘代烷基、杂烷基、羧基、氨基、取代氨基;R 7选自氢原子、氘原子、卤素、烷基、取代烷基、氘代烷基、环烷基烷基、烷氧基烷基、芳基、取代芳基或杂芳基;L 1与L 2共用N原子。
- 根据权利要求9或10所述的连接子-药物偶联物或其药学上可接受的盐或溶剂化物,其特征在于:L 3选自由氨基酸构成的肽残基,其中任选氨基酸进一步被选自氘原子、卤素、羟基、氰基、氨基、硝基、羧基、烷基、取代烷基、烷氧基和环烷基或者取代环烷基中的一个或多个取代基所取代;
- 根据权利要求9或10所述的连接子-药物偶联物或其药学上可接受的盐或溶剂化物,其特征在于:L3优选由一个、两个或者多个选自苯丙氨酸(F)、甘氨酸(G)、缬氨酸(V)、赖氨酸(K)、瓜氨酸、丝氨酸(S)、谷氨酸(E)或者天冬氨酸(D)中的氨基酸形成的肽残基。
- 根据权利要求9或10所述的连接子-药物偶联物或其药学上可接受的盐或溶剂化物,其特征在于:L 4选自:-NR 8(CR 9R 10) q-、-C(O)NR 8-、-C(O)NR 8(CH 2) q-或者化学键,q选自0-6的整数;R 8、R 9和R 10相同或者不同,且各自独立地选自氢原子、氘原子、卤素、烷基、取代烷基、氘代烷基、环烷基、环烷基烷基、烷氧基烷基、杂环基、芳基、取代芳基或杂芳基。
- 一种包括权利要求9-17任一所述连接子-药物偶联物的配体-药物偶联物或其药学上可接受的盐或溶剂化物,其特征在于:所述配体-药物偶联物包含式Ⅰ所示的结构:其中:R选自氢原子、氘原子、卤素、烷基、取代烷基、氘代烷基、环烷基烷基、烷氧基烷基、芳基、取代芳基或杂芳基;R 1选自氢原子、氘原子、卤素、烷基、取代烷基、氘代烷基、环烷基烷基、烷氧基烷基、羧基、杂环基、芳基、取代芳基或杂芳基;R 2选自氢原子、氘原子、卤素、烷基、取代烷基、氘代烷基、环烷基烷基、烷氧基烷基、羧基、杂环基、芳基、取代芳基或杂芳基;X选自-C(O)-CR aR b-(CR 3R 4) m-O-、-C(O)-CR aR b-(CR 3R 4) m-NH-或-C(O)-CR aR b-(CR 3R 4) m-S-;R a选自氢原子、氘原子、卤素、烷基、氘代烷基、卤代烷基、环烷基、环烷基烷基、烷氧基烷基、杂环基、芳基、取代芳基或杂芳基;R b选自氢原子、氘原子、卤素、烷基、氘代烷基、卤代烷基、环烷基、环烷基烷基、烷氧基烷基、杂环基、芳基、取代芳基或杂芳基;或者,R a、R b及其所连接碳原子构成C 3-6环烷基、环烷基烷基或杂环基;R 3、R 4相同或者不同,且分别独立地为氢原子、氘原子、卤素、烷基、卤代烷基、氘代烷基、烷氧基、羟基、氨基、氰基、硝基、羟烷基、环烷基或杂环基;或者,R 3、R 4及其所连接碳原子构成C 3-6环烷基、环烷基烷基或杂环基;Ab为配体单元,选自抗体、抗体片段、靶向蛋白、Fc-融合蛋白等;L为与Ab连接单元;X为药物部分修饰单元;m选自0-4的整数;n选自1-20的整数或小数。
- 根据权利要求18所述的配体-药物偶联物或其药学上可接受的盐或溶剂化物,其特征在于:Ab为抗体,可通过其杂原子与连接单元形成连接键,所述抗体选自鼠源抗体、嵌合抗体、人源化抗体、全人源抗体、抗体片段、双特异性抗体及多特异性抗体。
- 根据权利要求19所述的配体-药物偶联物或其药学上可接受的盐或溶剂化物,其特征在于,所述的抗体或其抗原结合片段,非限制性地选自:抗EGFRvIII抗体、抗DLL-3抗体、抗PSMA抗体、抗CD70抗体、抗MUC16抗体、抗ENPP3抗体、抗TDGF1抗体、抗ETBR抗体、抗MSLN抗体、抗TIM-1抗体、抗LRRC15抗体、抗LIV-1抗体、抗CanAg/AFP抗体、抗cladin 18.2抗体、抗Mesothelin抗体、抗HER2(ErbB2)抗体、抗EGFR抗体、抗c- MET抗体、抗SLITRK6抗体、抗KIT/CD117抗体、抗STEAP1抗体、抗SLAMF7/CS1抗体、抗NaPi2B/SLC34A2抗体、抗GPNMB抗体、抗HER3(ErbB3)抗体、抗MUC1/CD227抗体、抗AXL抗体、抗CD166抗体、抗B7-H3(CD276)抗体、抗PTK7/CCK4抗体、抗PRLR抗体、抗EFNA4抗体、抗5T4抗体、抗NOTCH3抗体、抗Nectin 4抗体、抗TROP-2抗体、抗CD142抗体、抗CA6抗体、抗GPR20抗体、抗CD174抗体、抗CD71抗体、抗EphA2抗体、抗LYPD3抗体、抗FGFR2抗体、抗FGFR3抗体、抗FRα抗体、抗CEACAMs抗体、抗GCC抗体、抗Integrin Av抗体、抗CAIX抗体、抗P-cadherin抗体、抗GD3抗体、抗Cadherin 6抗体、抗LAMP1抗体、抗FLT3抗体、抗BCMA抗体、抗CD79b抗体、抗CD19抗体、抗CD33抗体、抗CD56抗体、抗CD74抗体、抗CD22抗体、抗CD30抗体、抗CD37抗体、抗CD47抗体、抗CD138抗体、抗CD352抗体、抗CD25抗体或抗CD123抗体。
- 如权利要求1-23中任一项所述的喜树碱类衍生物、连接子-药物偶联物或配体-药物偶联物或其药学上可接受的盐或溶剂化物,其特征在于:所述药学上可接受的盐包括与结构式中酸性官能团形成的钠盐、钾盐、钙盐或镁盐等;或与结构中碱性官能团形成的醋酸盐、三氟乙酸盐、柠檬酸盐、草酸盐、酒石酸盐、苹果酸盐、硝酸盐、氯化物、溴化物、碘化物、硫酸盐、硫酸氢盐、磷酸盐、乳酸盐、油酸盐、抗坏血酸盐、水杨酸盐、甲酸盐、谷氨酸盐、甲磺酸盐、乙磺酸盐、苯磺酸盐或对甲苯磺酸盐。
- 一种药物组合物,其含有治疗有效量的权利要求1-24中任一项所述的喜树碱类衍生物、连接子-药物偶联物或配体-药物偶联物或其互变异构体、内消旋体、外消旋体、对映异构体、非对映异构体或其混合物形式,或其药学上可接受的盐或溶剂化物,以及药学上可接受的载体、稀释剂或赋形剂。
- 一种包括权利要求1-24中任一项所述的喜树碱类衍生物、连接子-药物偶联物或配体-药物偶联物或其互变异构体、内消旋体、外消旋体、对映异构体、非对映异构体或其混合物形式,或其药学上可接受的盐或溶剂化合物,以及药学上可接受的载体、稀释剂或者赋形剂,在制备用于治疗或预防肿瘤的药 物中的用途。
- 根据权利要求26所述的用途,其中所述的肿瘤为实体瘤和血液瘤。
- 根据权利要求27所述的用途,其中所述的肿瘤为乳腺癌、卵巢癌、宫颈癌、子宫癌、前列腺癌、肾癌、尿道癌、膀胱癌、肝癌、胃癌、子宫内膜癌、唾液腺癌、食道癌、肺癌、结肠癌、直肠癌、结直肠癌、骨癌、皮肤癌、甲状腺癌、胰腺癌、黑色素瘤、神经胶质瘤、神经母细胞瘤、多形性胶质细胞瘤、肉瘤、淋巴瘤或白血病。
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AU2021359457A9 (en) | 2024-07-25 |
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