Delivery system for cytotoxic drugs by bispecific antibody pretargeting

Abstract

The present invention relates to methods and compositions for pretargeting delivery of therapeutic agents. In preferred embodiments, the pretargeting method comprises: a) administering a bispecific antibody with a first binding site for a disease-associated antigen and a hapten on a targetable construct; b) administering a targetable construct comprising at least one therapeutic agent. In preferred embodiments, the bispecific antibody is made by the dock-and-lock (DNL) technique. In a more preferred embodiment, the targetable construct comprises one or more SN-38 moieties.

1 - 19 . (canceled) 
     
     
         20 . A method of delivering a therapeutic agent to a subject with a disease comprising:
 a) administering to the subject a complex comprising, (i) an antibody or antigen-binding fragment thereof that binds to an antigen on a diseased cell, tissue or organ; (ii) a dendron attached to the antibody or antigen-binding fragment thereof; and (iii) two or more copies of a therapeutic agent attached to the dendron.   
     
     
         21 . The method of  claim 20 , wherein the antigen is a tumor-associated antigen (TAA). 
     
     
         22 . The method of  claim 21 , wherein the TAA is selected from the group consisting of carbonic anhydrase IX, CCCL19, CCCL21, CSAp, CD1, CD1a, CD2, CD3, CD4, CD5, CD8, CD11A, CD14, CD15, CD16, CD18, CD19, IGF-1R, CD20, CD21, CD22, CD23, CD25, CD29, CD30, CD32b, CD33, CD37, CD38, CD40, CD40L, CD45, CD46, CD52, CD54, CD55, CD59, CD64, CD66a-e, CD67, CD70, CD74, CD79a, CD80, CD83, CD95, CD126, CD133, CD138, CD147, CD154, CXCR4, CXCR7, CXCL12, HIF-1α, AFP, PSMA, CEACAM5, CEACAM6, B7, ED-B of fibronectin, Factor H, FHL-1, Flt-3, folate receptor, GRO-β, HMGB-1, hypoxia inducible factor (HIF), HM1.24, insulin-like growth factor-1 (ILGF-1), IFN-γ, IFN-α, IFN-β, IL-2, IL-4R, IL-6R, IL-13R, IL-15R, IL-17R, IL-18R, IL-6, IL-8, IL-12, IL-15, IL-17, IL-18, IL-25, IP-10, MAGE, mCRP, MCP-1, MIP-1A, MIP-1B, MIF, MUC1, MUC2, MUC3, MUC4, MUC5, NCA-95, NCA-90, Ia, HM1.24, EGP-1, EGP-2, HLA-DR, tenascin, Le(y), RANTES, T101, TAC, Tn antigen, Thomson-Friedenreich antigens, tumor necrosis antigens, TNF-α, TRAIL receptor (R1 and R2), VEGFR, EGFR, PIGF, complement factors C3, C3a, C3b, C5a, C5, and an oncogene product. 
     
     
         23 . The method of  claim 22 , wherein the antibody is selected from the group consisting of hR1, hPAM4, hA20, hA19, hIMMU31, hLL1, hLL2, hMu-9, hL243, hMN-14, hMN-15, hRS7, hMN-3, Ab124 and Ab125. 
     
     
         24 . The method of  claim 20 , wherein the therapeutic agent is selected from the group consisting of a toxin, drug, radionuclide, immunomodulator, cytokine, lymphokine, chemokine, growth factor, tumor necrosis factor, hormone, hormone antagonist, enzyme, oligonucleotide, siRNA, RNAi, photoactive therapeutic agent, anti-angiogenic agent and pro-apoptotic agent. 
     
     
         25 . The method of  claim 24 , wherein the drug is selected from the group consisting of a nitrogen mustard, ethylenimine derivative, alkyl sulfonate, nitrosourea, triazene, folic acid analog, anthracycline, taxane, COX-2 inhibitor, pyrimidine analog, purine analog, antibiotic, enzyme inhibitor, epipodophyllotoxin, platinum coordination complex, vinca alkaloid, substituted urea, methyl hydrazine derivative, adrenocortical suppressant, hormone antagonist, endostatin, camptothecin, antimetabolite, alkylating agent, antimitotic agent, anti-angiogenic agent, tyrosine kinase inhibitor, mTOR inhibitor, heat shock protein (HSP90) inhibitor, proteosome inhibitor, HDAC inhibitor, and pro-apoptotic agent. 
     
     
         26 . The method of  claim 24 , wherein the drug is selected from the group consisting of 5-fluorouracil, aplidin, azaribine, anastrozole, bendamustine, bleomycin, bortezomib, bryostatin-1, busulfan, calicheamycin, carboplatin, 10-hydroxycamptothecin, carmustine, celecoxib, chlorambucil, cisplatinum, irinotecan (CPT-11), SN-38, carboplatin, cladribine, cyclophosphamide, cytarabine, dacarbazine, docetaxel, dactinomycin, daunorubicin, doxorubicin, 2-pyrrolinodoxorubicine (2P-DOX), pro-2P-DOX, cyano-morpholino doxorubicin, doxorubicin glucuronide, epirubicin glucuronide, estramustine, epipodophyllotoxin, estrogen receptor binding agent, etoposide (VP16), etoposide glucuronide, etoposide phosphate, floxuridine (FUdR), 3′,5′-O-dioleoyl-FudR (FUdR-dO), fludarabine, flutamide, farnesyl-protein transferase inhibitors, gemcitabine, hydroxyurea, idarubicin, ifosfamide, L-asparaginase, lenolidamide, leucovorin, lomustine, mechlorethamine, melphalan, mercaptopurine, 6-mercaptopurine, methotrexate, mitoxantrone, mithramycin, mitomycin, mitotane, navelbine, nitrosourea, plicomycin, procarbazine, paclitaxel, pentostatin, PSI-341, raloxifene, semustine, streptozocin, tamoxifen, temazolomide, transplatinum, thalidomide, thioguanine, thiotepa, teniposide, topotecan, uracil mustard, vinorelbine, vinblastine, and vincristine. 
     
     
         27 . The method of  claim 24 , wherein the toxin is selected from the group consisting of ricin, abrin, alpha toxin, saporin, ribonuclease (RNase), DNase I, Staphylococcal enterotoxin-A, pokeweed antiviral protein, gelonin, diphtheria toxin,  Pseudomonas  exotoxin, and  Pseudomonas  endotoxin. 
     
     
         28 . The method of  claim 24 , wherein the radionuclide is selected from the group consisting of  103m Rh,  103 Ru,  105 Rh,  105 Ru,  107 Hg,  109 Pd,  109 Pt,  111 Ag,  111 In,  113m In,  19 Sb,  11 C,  121m Te,  122m Te,  125 I,  125 Te,  126 I,  131 I,  133 I,  13 N,  142 Pr,  143 Pr,  149 Pm,  152 Dy,  153 Sm,  15 O,  161 Ho,  161 Tb,  165 Tm,  166 Dy,  166 Ho,  167 Tm,  168 Tm,  169 Er,  169 Yb,  177 Lu,  186 Re,  188 Re,  189m Os,  189 Re,  192 Ir,  194 Ir,  197 Pt,  198 Au,  199 Au,  201 Tl,  203 Hg,  211 At,  211 Bi,  211 Pb,  212 Bi,  212 Pb,  213 Bi,  215 Po,  217 At,  219 Rn,  221 Fr,  223 Ra,  224 Ac,  225 Ac,  225 Fm,  32 P,  33 P,  47 Sc,  51 Cr,  57 Co,  58 Co,  59 Fe,  62 Cu,  67 Cu,  67 Ga,  75 Br,  75 Se,  76 Br,  77 As,  77 Br,  80m Br,  89 Sr,  90 Y,  95 Ru,  97 Ru,  99 Mo and  99m Tc. 
     
     
         29 . The method of  claim 24 , wherein the radionuclide is an alpha-particle-emitting radionuclide. 
     
     
         30 . The method of  claim 24 , wherein the enzyme is selected from the group consisting of malate dehydrogenase, staphylococcal nuclease, delta-V-steroid isomerase, yeast alcohol dehydrogenase, alpha-glycerophosphate dehydrogenase, triose phosphate isomerase, horseradish peroxidase, alkaline phosphatase, asparaginase, glucose oxidase, beta-galactosidase, ribonuclease, urease, catalase, glucose-6-phosphate dehydrogenase, glucoamylase and acetylcholinesterase. 
     
     
         31 . The method of  claim 20 , wherein the subject is a human subject. 
     
     
         32 . The method of  claim 31 , wherein the subject has a disease selected from the group consisting of cancer, autoimmune disease, immune system dysfunction, infectious disease, cardiovascular disease, metabolic disease and neurodegenerative disease. 
     
     
         33 . The method of  claim 20 , wherein the therapeutic agent is SN-38. 
     
     
         34 . The method of  claim 20 , wherein four copies of the therapeutic agent are attached to the dendron. 
     
     
         35 . The method of  claim 20 , wherein 8 to 16 copies of the therapeutic agent are attached to the dendron.