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Title: Multidrug multiligand
conjugates for targeted drug delivery
United States Patent: 7,311,892
Issued: December 25, 2007
Inventors: Safavy; Ahmad
(Vestavia Hills, AL)
Assignee: The UAB Research
Foundation (Birmingham, AL)
Appl. No.: 10/281,840
Filed: October 28, 2002
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Pharm Bus Intell
& Healthcare Studies
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Abstract
Described is a multi drug multiligand
conjugate for targeted drug delivery. The MDML conjugate contains a
plurality of tripartite molecules linked to a central scaffold moiety,
with each tripartite molecule comprising a targeting molecule, a
therapeutic agent and a scaffold binding element. The MDML conjugate
allows for more efficient delivery of therapeutic agents to the cells
resulting in enhanced therapeutic efficiency. A model MDL conjugate is
disclosed as well as method for the synthesis of the model conjugate.
Description of the
Invention
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present disclosure relates generally to the field of drug delivery.
2. Description of the Related Art
Targeted drug delivery is a powerful strategy in the treatment and
diagnosis of various human diseases, such as cancer, bacterial and viral
infections and any disease expressing specific and targetable receptors,
antigens or other markers. Targeted drug delivery has gained momentum
during the past several years based on the specific delivery therapeutic
molecules to malignant tissues comprising the disease state, such as the
delivery of oncolytic agent to the neoplastic tissue. The ability to
specifically target therapeutic molecules to specific cells of interest
has advanced considerably during the past several years with the
development of monoclonal antibodies and of synthetic small molecule
peptides (SSMPs) capable of binding to tumor cell surface receptors. A
number of drug, toxin, and radioisotope conjugates of tumor-recognizing
molecules have been developed with some currently in clinical use.
Allergic reactions against large-molecule antibodies in humans due to the
immunoreactivity of these proteins have hampered the desired development
of antibody-drug conjugates for targeted delivery and much attention has
been focused on the SSMPs which usually show no immunoreactivity due to
smaller molecular sizes. With the exception of radiolabeled peptides,
SSMPs have not been fully utilized as targeting drug delivery systems.
Recently, the use of SSMPs in a targeted drug delivery systems with a
paclitaxel-bombesin conjugate as a model compound was demonstrated (Safavy,
U.S. Pat. No. 6,191,290, 2001; Safavy et al., J Med Chem, 1999, 42,
4919-4924). This and similar molecules will be referred to as single drug,
single ligand (SDSL) conjugates. While effective at specifically
delivering the therapeutic molecule to the target cell of interest, these
SDSL conjugates have several limitations. First, the biological half-life
of these SDSL conjugates is quite short, with the conjugates undergoing
rapid clearance from the circulation (usually on the order of 1 to 5
minutes). As a result, only a fraction of the SDSL conjugates are taken up
by the target cells, which results in a low therapeutic efficiency.
Secondly, the ability to adapt SDSL conjugates to various disease states
or to deliver different therapeutic molecules is limited. It would be
beneficial if a conjugate were provided that is designed to deliver
different therapeutic molecules to the target cells with a minimum of
experimental manipulation.
Therefore, it would be advantageous to provide a pharmaceutical compound
for use in a single-step drug delivery method that is capable of
specifically delivering to target cells (via a targeting conjugate)
multiple copies of the same or different therapeutic agent(s). This
approach may result in higher therapeutic indices which may bring about a
more significant response from the target cells. The present disclosure
provides such a strategy and provides a method for the synthesis of a
model conjugate as proof-of principle. This model conjugate was used in a
tumor cell proliferation assay to demonstrate the drug-enhancing potential
of this approach.
SUMMARY
The present disclosure shows the synthesis and design of two embodiments of
a multidrug multiligand (MDML) conjugate which is capable of specifically
delivering multiple doses of a therapeutic molecule to a target cell.
In one embodiment of the present disclosure, there is provided a
pharmaceutical compound comprising a plurality of tripartite molecules in
combination with a scaffold moiety. The tripartite molecules comprises a
targeting molecule, a therapeutic agent, a scaffold binding element linked
together by a central core molecule, the tripartite molecule being capable
of binding to the scaffold moiety through complementary binding between the
scaffold binding element and the scaffold moiety.
In another embodiment of the present disclosure, alternate methods of
synthesizing the MDML conjugates are described. Specifically, the synthesis
of one embodiment of the MDML conjugates, incorporating paclitaxel (a taxane
derivative) as the therapeutic agent, a bombesin-derived peptide, BBN [7-13]
as the targeting molecule, lysine or diamino benzoic acid as the core
molecule and streptavidin/biotin as the scaffold moiety/scaffold binding
element (the PTX-BBN[7-13]-BTN/SaV conjugate), is described in detail.
In still yet another embodiment of the present disclosure there is provided
a method of treating an individual having a disease by administering the
MDML conjugates of the present disclosure to an individual in an amount
sufficient to treat the disease. Because of the higher therapeutic index
achieved by the MDML conjugates, they may be administered at a lower
concentration range than that of the un-conjugated therapeutic agents by
means of injection or intravenous infusion. By disease it is meant any
abnormal condition of an organ or other part of an organism.
In another embodiment of the present disclosure, there is provided a method
of administering the MDML conjugates of the present disclosure to an
individual as a diagnostic reagent. Because of the higher therapeutic index
achieved by the MDML conjugates, they may be administered at a lower
concentration range than that of the un-conjugated therapeutic agents by
means of injection or intravenous infusion.
In still another embodiment of the present disclosure, a kit is provided to
aid in the treatment of individuals having a particular disease
Other and further aspects, features, and advantages of the present
disclosure will be apparent from the following description of the presently
preferred embodiments of the invention.
DETAILED DESCRIPTION
The present disclosure illustrates that the effect of a given therapeutic
agent may be enhanced by incorporation of the therapeutic agent into a MDML
conjugate capable of delivering a plurality of therapeutic agents to
specific target cells of interest by virtue of a plurality of targeting
molecules incorporated into the same conjugate. The present disclosure
describes methods for the design, synthesis and delivery of MDML conjugates
for the treatment of various human disease states. Cancer is the exemplary
human disease discussed below and cited in the examples, but this disclosure
should not be interpreted to limit only to the treatment of cancer as one of
ordinary skill in the art would be able to adapt the teachings of the
disclosure to treatment of alternate disease states. It will be understood
by those of skill in the art that the MDML conjugate described can be used
to treat a variety of disease states by incorporating the desired targeting
molecule(s) and therapeutic agent(s).
The MDML conjugate described in the present disclosure comprise a plurality
of tripartite molecules in combination with a scaffold moiety. The
tripartite molecules each comprise a targeting molecule, a therapeutic
agent, a scaffold binding element linked together by a central core
molecule. The core molecule provides the framework for construction of the
tripartite molecule. The core molecule can be any molecule that provides
sufficient functional groups to link together the targeting molecule, the
therapeutic agent and the scaffold binding element in a functional manner.
The functional groups should be positioned in a manner to minimize steric
hindrance between the targeting molecule, the therapeutic agent and the
scaffold binding element. In one embodiment, the core molecule is the amino
acid lysine. In an alternate embodiment, the core molecule is diamino
benzoic acid. Other core molecules may be used as described.
The tripartite molecule is capable of binding to the scaffold moiety through
complementary binding between the scaffold binding element and the scaffold
moiety. The scaffold moiety provides the framework to join the tripartite
molecules together and allows for the delivery of multiple doses of the
therapeutic agent to the target cell of interest.
The targeting molecule is any molecule that can direct the MDML conjugate to
a defined population of cells of interest (target cells). The targeting
molecule may be, but is not limited to, a peptide, a receptor ligand peptide
(meaning a peptide that is designed to specifically bind to one or more
designated receptor molecules), an antibody or antibody fragment. Exemplary
targeting molecules include, but are not limited to, bombesin/gastrin-releasing
peptide (BBN/GRP) receptor-recognizing peptide, a somatostatin receptor
recognizing peptide, an epidermal growth factor receptor recognizing
peptide, a monoclonal antibody or a portion thereof, or polyclonal antibody
or a portion thereof, or a receptor recognizing carbohydrate, or any
combination of the above. Examples of receptor recognizing polypeptides that
bind to the BBN/GRP receptor, the somatostatin receptor and/or other
receptors are peptides comprising the sequence of the BBN[7-13] peptide
shown in SEQ ID NO. 1 (Gln Trp Ala Val Gly His Leu), the BNN[7-14] peptide
shown in SEQ ID NO. 2 (Gln Trp Ala Val Gly His Leu Met) and a semi-synthetic
derivative of BBN peptide shown in SEQ ID NO. 3 (Gly D-Tyr Gln Trp Ala Val
bAla His Phe Nle). The targeting molecule incorporated into each tripartite
molecule may be the same or may be different. The targeting molecule need
not direct the MDML conjugate to only one cell type. The selection of a
particular targeting molecule will depend on the cell population to be
targeted and is within the ordinary skill in the art.
The therapeutic agent can be any diagnostic agent or any pharmaceutical
agent, or a combination thereof. Therapeutic agents include, but not limited
to, drugs, anti-tumor agents, toxins, radionuclides, metallic nuclei or a
combination of the above. Exemplary therapeutic agents include taxane
molecule. By taxane molecule it is meant to include any taxane derivatives
such as paclitaxel (taxol) and toxotere (docetaxel) and their analogues. In
one embodiment describe, the therapeutic agent is paclitaxel. The
therapeutic agent incorporated into each tripartite molecule may be the same
or may be different. The selection of a particular therapeutic agent will
depend on the particular disease to be treated or condition to be diagnosed
and is within the ordinary skill in the art.
The linker molecules may be any molecule capable of linking the targeting
molecule, the therapeutic agent and the scaffold binding moiety to a central
molecule. The linker molecules may reduce the effects of steric hindrance
and increase the overall yield of the synthetic reaction. However, the use
of a linker molecule is optional. In the embodiment described polyethylene
glycol (PEG) was used as the linker. The chemical and biological properties
of PEG molecules have been extensively studied and some useful
characteristics of this polymer have been noted. These include aqueous as
well as organic solubilities, lack of immunogenicity, and favorable blood
clearance patterns and in vivo behavior. Furthermore, PEG molecules are
available in a wide range of chemistries, facilitating the formation of the
tripartite molecules. In the embodiment disclosed, a heterobifunctional
derivative of the PEG was used in this synthesis, allowing the PEG to
connect the lysine and targeting molecule, therapeutic agent and scaffold
binding moiety as described below in Example 1 and FIG. 1A (see Original Patent).
The scaffold binding element and the scaffold moiety may be any set of
molecules that are capable of specific, complementary, covalent or
non-covalent binding to one another. Exemplary binding pairs include, but
are not limited to, poly(amino acids), peptides, polypeptides, proteins,
carbohydrates, biotin/avidin, biotin/streptavidin, hapten/antibody, ligand/receptor,
enzyme/inhibitor and lectin/carbohydrate. The biotin/streptavidin system has
been used in this disclosure as the model scaffold binding element/scaffold
moieties. Avidin (isolated from egg whites) and streptavidin (isolated from
Streptomyces avidinii), each have a very high binding affinity for biotin.
The streptavidin-biotin system represents the strongest non-covalent
biological interaction known between a protein and a ligand. Streptavidin
has a lower non-specific tissue binding and absorption. Both avidin and
streptavidin are capable of binding 4 molecules of biotin. Modified forms of
avidin and streptavidin may also be used in methods of this disclosure.
Biotin includes, but is not limited to biotin which has been modified by the
addition of alkyl groups, and biotin derivatives such as active esters,
amines, hydrazides and thiol groups with the complimentary reactive groups
on polymers being amines, acyl and alkyl leaving groups, carbonyl groups and
alkyl halides or Michael-type acceptors.
Claim 1 of 13 Claims
1. A compound comprising a
plurality of tripartite molecules linked to a scaffold moiety, with each
tripartite molecule comprising a targeting molecule for directing the
compound to a defined population of cells, a therapeutic agent and a
scaffold binding element capable of complementary interaction with the
scaffold moiety, each of the targeting molecule, the therapeutic agent and
the scaffold binding element being joined by a linker molecule to a
central core molecule, wherein said scaffold moiety is selected from the
group consisting of avidin and streptavidin, said scaffold binding element
is biotin, said linker molecule is polyethylene glycol, said central core
molecule is selected from the group consisting of lysine and diamino
benzoic acid, said targeting molecule is selected from the group
consisting of SEQ ID NO. 1, SEQ ID NO. 2 and SEQ ID NO. 3, said targeting
molecule being the same or being different for each tripartite molecule,
and said therapeutic agent is selected from the group consisting of
paclitaxel and toxotere, said therapeutic agent being the same or being
different for each tripartite molecule.
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