Technical Field
[0001] The present invention relates to diagnostic or therapeutic agent conjugates for delivery
to a target site by a target moiety.
Background of the Invention
[0002] Conventional cancer therapy is plagued by two problems. The generally attainable
targeting ratio (ratio of administered dose localizing to tumor versus administration
dose circulating in blood or ratio of administered dose localizing to tumor versus
administered dose migrating to bone marrow) is low. Also, the absolute dose of radiation
or therapeutic agent delivered to the tumor is insufficient in many cases to elicit
a significant tumor response. Improvement in targeting ratio or absolute dose to tumor
is sought.
Summary of the Invention
[0003] The present invention provides certain biotin-DOTA conjugates as targeting moiety-ligands
useful in diagnostic and therapeutic pretargeting methods. Selection of moieties and
methodologies used to enhance internalization (of chemotherapeutic drugs, for example)
or to enhance retention at the target cell surface (of radionuclides, for example)
is also discussed.
Detailed Description of the Invention
[0004] Prior to setting forth the invention, it may be helpful to set forth definitions
of certain terms to be used within the disclosure.
[0005] Targeting moiety: a molecule that binds to a defined population of cells. The targeting moiety may
bind a receptor, an oligonucleotide, an enzymatic substrate, an antigenic determinant,
or other binding site present on or in the target cell population. Antibody is used
throughout the specification as a prototypical example of a targeting moiety. Tumor
is used as a prototypical example of a target in describing the present invention.
[0006] Ligand/anti-ligand pair: A complementary/anti-complementary set of molecules that demonstrate specific binding,
generally of relatively high affinity. Exemplary ligand/anti-ligand pairs include
zinc finger protein/dsDNA fragment, enzyme/inhibitor, hapten/antibody, lectin/carbohydrate,
ligand/receptor, and biotin/avidin. Biotin/avidin is used throughout the specification
as a prototypical example of a ligand/anti-ligand pair.
[0007] Anti-ligand: As defined herein, an "anti-ligand" demonstrates high affinity, and preferably,
multivalent binding of the complementary ligand. Preferably, the anti-ligand is large
enough to avoid rapid renal clearance, and contains sufficient multivalency to accomplish
crosslinking and aggregation of targeting moiety-ligand conjugates. Univalent anti-ligands
are also contemplated by the present invention. Anti-ligands of the present invention
may exhibit or be derivitized to exhibit structural features that direct the uptake
thereof,
e.g., galactose residues that direct liver uptake. Avidin and streptavidin are used herein
as prototypical anti-ligands.
[0008] Avidin: As defined herein, "avidin" includes avidin, streptavidin and derivatives and analogs
thereof that are capable of high affinity, multivalent or univalent binding of biotin.
[0009] Ligand: As defined herein, a "ligand" is a relatively small, soluble molecule that exhibits
rapid serum, blood and/or whole body clearance when administered intravenously in
an animal or human. Biotin is used as the prototypical ligand.
[0010] Active Agent: A diagnostic or therapeutic agent ("the payload"), including radionuclides, drugs,
anti-tumor agents, toxins and the like. Radionuclide therapeutic agents are used as
prototypical active agents.
[0011] NxSy Chelates: As defined herein, the term "N
xS
y chelates" includes bifunctional chelators that are capable of (i) coordinately binding
a metal or radiometal and (ii) covalently attaching to a targeting moiety, ligand
or anti-ligand. Particularly preferred N
xS
y chelates have N
2S
2 and N
3S cores. Exemplary N
xS
y chelates are described in Fritzberg et al.,
Proc. Natl. Acad. Sci. USA 85:4024-29, 1988; in Weber et al.,
Bioconj. Chem. 1:431-37, 1990; and in the references cited therein, for instance.
[0012] Pretargeting: As defined herein, pretargeting involves target site localization of a targeting
moiety that is conjugated with one member of a ligand/anti-ligand pair; after a time
period sufficient for optimal target-to-non-target accumulation of this targeting
moiety conjugate, active agent conjugated to the opposite member of the ligand/anti-ligand
pair is administered and is bound (directly or indirectly) to the targeting moiety
conjugate at the target site (two-step pretargeting). Three-step and other related
methods described herein are also encompassed.
[0013] Clearing Agent: An agent capable of binding, complexing or otherwise associating with an administered
moiety (
e.g., targeting moiety-ligand, targeting moiety-anti-ligand or anti-ligand alone) present
in the recipient's circulation, thereby facilitating circulating moiety clearance
from the recipient's body, removal from blood circulation, or inactivation thereof
in circulation. The clearing agent is preferably characterized by physical properties,
such as size, charge, configuration or a combination thereof, that limit clearing
agent access to the population of target cells recognized by a targeting moiety used
in the same treatment protocol as the clearing agent.
[0014] Target Cell Retention: The amount of time that a radionuclide or other therapeutic agent remains at the
target cell surface or within the target cell. Catabolism of conjugates or molecules
containing such therapeutic agents appears to be primarily responsible for the loss
of target cell retention.
[0015] Conjugate: A conjugate encompasses chemical conjugates (covalently or non-covalently bound),
fusion proteins and the like.
[0016] Permeability Enhancing Moiety: An agent capable of increasing the permeability at a target site characterized by
a three dimensional cellular matrix. Exemplary permeability enhancing moieties function
by one or more of the following mechanisms: inducing gaps in the endothelium of venules
through action on the postcapillary bed; inducing such gaps through action on the
entire capillary bed; disrupting cell-to-cell associations; mediating target cell
inflammatory responses; or the like.
[0017] Intercellular Junction: An area of interacting adjacent plasma membranes. Intercellular junctions can be
categorized functionally into: (1) adhering junctions that hold cells tightly together
(for example, desmosomes); (2) impermeable junctions that hold cells tightly together
and prevent leakage of molecules between cells (
i.e., tight junctions); and (3) communicating junctions that mediate passage of small
molecules between adjacent cells (for instance, gap junctions).
[0018] Immunogen: A substance which is capable, under appropriate conditions, of inducing a specific
immune response and of reacting with the products of that response (
e.g., a specific antibody, specifically sensitized T-lymphocytes or both).
[0019] Hapten Immunogen: A specific protein-free substance which has a chemical configuration such that it
can interact with specific combining groups on an antibody or with the recognition
site on a T-lymphocyte but which, unlike antigenic determinants, does not itself elicit
an immune response (
e.g., a detectable T-cell response or the formation of a detectable amount of antibody).
When coupled with a carrier protein, it does elicit an immune response.
[0020] Lymphokine. Soluble protein mediators released by certain lymphocytes, which in turn can regulate
other cell-mediated immune functions, such as lymphocyte transformation, macrophage
activation or cytotoxicity on other cells.
[0021] Mitogen. A substance that induces mitosis and cell transformation, especially lymphocyte
transformation.
[0022] A recognized disadvantage associated with
in vivo administration of targeting moiety-radioisotopic conjugates for imaging or therapy
is localization of the attached radioactive agent at both non-target and target sites.
Until the administered radiolabeled conjugate clears from the circulation, normal
organs and tissues are transitorily exposed to the attached radioactive agent. For
instance, radiolabeled whole antibodies that are administered
in vivo exhibit relatively slow blood clearance; maximum target site localization generally
occurs 1-3 days post-administration. Generally, the longer the clearance time of the
conjugate from the circulation, the greater the radioexposure of non-target organs.
[0023] These characteristics are particularly problematic with human radioimmunotherapy.
In human clinical trials, the long circulating half-life of radioisotope bound to
whole antibody causes relatively large doses of radiation to be delivered to the whole
body. In particular, the bone marrow, which is very radiosensitive, is the dose-limiting
organ of nonspecific toxicity.
[0024] In order to decrease radioisotope exposure of non-target tissue, potential targeting
moieties generally have been screened to identify those that display minimal non-target
reactivity, while retaining target specificity and reactivity. By reducing non-target
exposure (and adverse non-target localization and/or toxicity), increased doses of
a radiotherapeutic conjugate may be administered; moreover, decreased non-target accumulation
of a radiodiagnostic conjugate leads to improved contrast between background and target.
[0025] Therapeutic drugs, administered alone or as targeted conjugates, are accompanied
by similar disadvantages. Again, the goal is administration of the highest possible
concentration of drug (to maximize exposure of target tissue), while remaining below
the threshold of unacceptable normal organ toxicity (due to non-target tissue exposure).
Unlike radioisotopes, however, therapeutic drugs need to be taken into a target cell
to exert a cytotoxic effect. In the case of targeting moiety-therapeutic drug conjugates,
it would be advantageous to combine the relative target specificity of a targeting
moiety with a means for enhanced target cell internalization of the targeting moiety-drug
conjugate.
[0026] In contrast, enhanced target cell internalization is disadvantageous if one administers
diagnostic agent-targeting moiety conjugates. Internalization of diagnostic conjugates
results in cellular catabolism and degradation of the conjugate. Upon degradation,
small adducts of the diagnostic agent or the diagnostic agent per se may be released
from the cell, thus eliminating the ability to detect the conjugate in a target-specific
manner.
[0027] One method for reducing non-target tissue exposure to a diagnostic or therapeutic
agent involves "pretargeting" the targeting moiety at a target site, and then subsequently
administering a rapidly clearing diagnostic or therapeutic agent conjugate that is
capable of binding to the "pretargeted" targeting moiety at the target site. A description
of some embodiments of the pretargeting technique may be found in US Patent No. 4,863,713
(Goodwin et al.).
[0028] A typical pretargeting approach ("three-step") is schematically depicted below.

Targeting moiety

Anti-ligand

Ligand

Ligand-active agent

Binding site (i.e., receptor, antigenic determinant)

Liver

Kidney
Briefly, this three-step pretargeting protocol features administration of an antibody-ligand
conjugate, which is allowed to localize at a target site and to dilute in the circulation.
Subsequently administered anti-ligand binds to the antibody-ligand conjugate and clears
unbound antibody-ligand conjugate from the blood. Preferred anti-ligands are large
and contain sufficient multivalency to accomplish crosslinking and aggregation of
circulating antibody-ligand conjugates. The clearing by anti-ligand is probably attributable
to anti-ligand crosslinking and/or aggregation of antibody-ligand conjugates that
are circulating in the blood, which leads to complex/aggregate clearance by the recipient's
RES (reticuloendothelial system). Anti-ligand clearance of this type is preferably
accomplished with a multivalent molecule; however, a univalent molecule of sufficient
size to be cleared by the RES on its own could also be employed. Alternatively, receptor-based
clearance mechanisms,
e.g., Ashwell receptor hexose,
e.g., galactose, mannose or the like, residue recognition mechanisms, may be responsible
for anti-ligand clearance. Such clearance mechanisms are less dependent upon the valency
of the anti-ligand with respect to the ligand than the RES complex/aggregate clearance
mechanisms. It is preferred that the ligand-anti-ligand pair displays relatively high
affinity binding.
[0029] A diagnostic or therapeutic agent-ligand conjugate that exhibits rapid whole body
clearance is then administered. When the circulation brings the active agent-ligand
conjugate in proximity to the target cell-bound antibody-ligand-anti-ligand complex,
anti-ligand binds the circulating active agent-ligand conjugate and produces an antibody-ligand
: anti-ligand : ligand-active agent "sandwich" at the target site. Because the diagnostic
or therapeutic agent is attached to a rapidly clearing ligand (rather than antibody,
antibody fragment or other slowly clearing targeting moiety), this technique promises
decreased non-target exposure to the active agent.
[0030] Alternate pretargeting methods eliminate the step of parenterally administering an
anti-ligand clearing agent. These "two-step" procedures feature targeting moiety-ligand
or targeting moiety-anti-ligand administration, followed by administration of active
agent conjugated to the opposite member of the ligand-anti-ligand pair. As an optional
step "1.5" in the two-step pretargeting methods of the present invention, a clearing
agent (preferably other than ligand or anti-ligand alone) is administered to facilitate
the clearance of circulating targeting moiety-containing conjugate.
[0031] In the two-step pretargeting approach, the clearing agent preferably does not become
bound to the target cell population, either directly or through the previously administered
and target cell bound targeting moiety-anti-ligand or targeting moiety-ligand conjugate.
An example of two-step pretargeting involves the use of biotinylated human transferrin
as a clearing agent for avidin-targeting moiety conjugate, wherein the size of the
clearing agent results in liver clearance of transferrin-biotin-circulating avidin-targeting
moiety complexes and substantially precludes association with the avidin-targeting
moiety conjugates bound at target cell sites. (See, Goodwin, D.A.,
Antibod. Immunoconj. Radiopharm.,
4: 427-34, 1991).
[0032] The two-step pretargeting approach overcomes certain disadvantages associated with
the use of a clearing agent in a three-step pretargeted protocol. More specifically,
data obtained in animal models demonstrate that
in vivo anti-ligand binding to a pretargeted targeting moiety-ligand conjugate (i.e., the
cell-bound conjugate) removes the targeting moiety-ligand conjugate from the target
cell. One explanation for the observed phenomenon is that the multivalent anti-ligand
crosslinks targeting moiety-ligand conjugates on the cell surface, thereby initiating
or facilitating internalization of the resultant complex. The apparent loss of targeting
moiety-ligand from the cell might result from internal degradation of the conjugate
and/or release of active agent from the conjugate (either at the cell surface or intracellularly).
An alternative explanation for the observed phenomenon is that permeability changes
in the target cell's membrane allow increased passive diffusion of any molecule into
the target cell. Also, some loss of targeting moiety-ligand may result from alteration
in the affinity by subsequent binding of another moiety to the targeting moiety-ligand,
e.g., anti-idiotype monoclonal antibody binding causes removal of tumor bound monoclonal
antibody.
[0033] The first aspect of the present invention provides a biotin-DOTA conjugate a biotin-DOTA
conjugate of the following formula:

wherein a linker L is selected from the group comprising:
1) a D-amino acid containing linker of the formula

2) a linker of the formula

3) a linker of the formula

wherein L' is selected from the group comprising:
a) -NH-CO-(CH2)n-O-;
b) -NH-;
c)

d) -NH-CS-NH-;
e) -NH-CO-(CH2)n-NH-; and
-NH-CO-Z-CH(COOH)-NH-CO where Z is -(CH2)2-, -CH2-S-CH2-, -CH2-, or -(CH2)n-CO-O-CH2- where n is from 1 to 4.
wherein R
1 is hydrogen, C
1-C
5 lower alkyl; C
1-C
5 lower alkyl substituted with one or more hydrophilic groups preferably (CH
2)
m-OH, (CH
2)
m-OSO
3, (CH
2)
m-SO
3, and

where m is 1 or 2;
glucuronide-substituted amino acids, or other glucuronide derivatives;
R2 is hydrogen; C1-C5 lower alkyl; substituted C1-C5 lower alkyl having one or more substituents selected from the group comprising hydroxy,
sulfate, and phosphonate; or a hydrophilic moiety;
R' is hydrogen; -(CH2)2-OH or a sulfate or

phosphonate derivative thereof; or
R" is a bond or -(CH2)n-CO-NH- ; and
n ranges from 0-5.
[0034] The 1,4,7,10-tetraazacyclododecane-N,N',N'',N'''-tetra acetic acid (DOTA)-biotin
conjugate (DOTA-LC-biotin) depicted below has been reported to have desirable
in vivo biodistribution and is cleared primarily by renal excretion.

DOTA may also be conjugated to other ligands or to anti-ligands in the practice of
the present invention.
[0035] Because DOTA strongly binds Y-90 and other radionuclides, it has been proposed for
use in radioimmunotherapy. For therapy, it is very important that the radionuclide
be stably bound within the DOTA chelate and that the DOTA chelate be stably attached
to biotin. Only radiolabeled DOTA-biotin conjugates exhibiting those two characteristics
are useful to deliver radionuclides to the targets. Release of the radionuclide from
the DOTA chelate or cleavage of the biotin and DOTA conjugate components in serum
or at non-target sites renders the conjugate unsuitable for use in therapy.
[0036] Serum stability of DOTA-LC-biotin (where LC refers to the "
long
chain" linker, including an aminocaproyl spacer between the biotin and the DOTA conjugate
components) shown above, while reported in the literature to be good, has proven to
be problematic. Experimentation has revealed that DOTA-LC-biotin is rapidly cleared
from the blood and excreted into the urine as fragments, wherein the biotinamide bond
rather than the DOTA-amide bond has been cleaved, as shown below.

[0037] Additional experimentation employing PIP-biocytin conjugates produced parallel results
as shown below.

Cleavage of the benzamide was not observed as evidenced by the absence of detectable
quantities of iodobenzoic acid in the serum.
[0038] It appears that the cleavage results from the action of serum biotinidase. Biotinidase
is a hydrolytic enzyme that catalyzes the cleavage of biotin from biotinyl peptides.
See, for example, Evangelatos, et al., "Biocinidase Radioassay Using an I-125-Biotin
Derivative, Avidin, and Polyethylene Glycol Reagents,"
Analytical Biochemistry,
196: 385-89, 1991.
[0039] Drug-biotin conjugates which structurally resemble biotinyl peptides are potential
substrates for cleavage by plasma biotinidase. Poor
in vivo stability therefore limits the use of drug-biotin conjugates in therapeutic applications.
The use of peptide surrogates to overcome poor stability of peptide therapeutic agents
has been an area of intense research effort. See, for example, Spatola, Peptide Backbone
Modification: A Structure-Activity Analysis of Peptide Containing Amide Bond Surrogates,
"Chemistry and Biochemistry of Amino Acids, Peptides and Proteins," vol. 7, Weinstein, ed., Marcel Dekker, New York, 1983; and Kim et al., "A New Peptide
Bond Surrogate: 2-Isoxazoline in Pseudodipeptide Chemistry,"
Tetrahedron Letters,
45 : 6811-14, 1991.
[0040] Elimination of the aminocaproyl spacer of DOTA-LC-biotin gives DOTA-SC-biotin (where
the SC indicates the "
short
chain" linker between the DOTA and biotin conjugate components), which molecule is
shown below:

DOTA-SC-biotin exhibits significantly improved serum stability in comparison to DOTA-LC-biotin.
This result does not appear to be explainable on the basis of biotinidase activity
alone. The experimentation leading to this conclusion is summarized in the Table set
forth below.
| Time Dependent Cleavage of DOTA-Biotin Conjugates |
| Time at 37°C |
% Avidin Binding |
| |
PIP-Biocytin |
Y-90-LC DOTA-Biotin |
Y-90-SC DOTA-Biotin |
| 5 Minutes |
75% |
50% |
- |
| 15 Minutes |
57% |
14% |
- |
| 30 Minutes |
31% |
12% |
- |
| 60 Minutes |
- |
0% |
98% |
| 20 Hours |
- |
0% |
60% |
where "-" indicates that the value was not measured.
[0041] The difference in serum stability between DOTA-LC-biotin and SOTA-SC-biotin might
be explained by the fact that the SC derivative contains an aromatic amide linkage
in contrast to the aliphatic amide linkage of the LC derivative, with the aliphatic
amide linkage being more readily recognized by enzymes as a substrate therefor. This
argument cannot apply to biotinidase, however, because biotinidase very efficiently
cleaves aromatic amides. In fact, it is recognized that the simplest and most commonly
employed biotinidase activity measuring method uses N-(d-biotinyl)-4-aminopenzoate
(BPABA) as a substrate, with the hydrolysis of BPABA resulting in the liberation of
biotin and 4-aminobenzoate (PABA). See, for example, B. Wolf, et al., "Methods in
Enzymology," pp. 103-111, Academic Press Inc., 1990. Consequently, one would predict
that DOTA-SC-biotin, like its LC counterpart, would be a biotinidase substrate. Since
DOTA-SC-biotin exhibits serum stability, biotinidase activity alone does not adequately
explain why some conjugates are serum stable while others are not. A series of DOTA-biotin
conjugates was therefore synthesized by the present inventors to determine which structural
features conferred serum stability to the conjugates.
[0042] Some general strategies for improving serum stability of peptides with respect to
enzymatic action are the following: incorporation of D-amino acids, N-methyl amino
acids and alpha-substituted amino acids.
[0043] In vivo stable biotin-DOTA conjugates are useful within the practice of the present invention.
In vivo stability imparts the following advantages:
1) increased tumor uptake in that more of the radioisotope will be targeted to the
previously localized targeting moiety-streptavidin; and
2) increased tumor retention, if biotin is more stably bound to the radioisotope.
In addition, the linkage between DOTA and biotin may also have a significant impact
on biodistribution (including normal organ uptake, target uptake and the like) and
pharmacokinetics.
[0044] The strategy for design of the DOTA-containing molecules and conjugates of the present
invention involved three primary considerations:
1) in vivo stability (including biotinidase and general peptidase activity resistance), with
an initial cut of 100% stability for 1 hour;
2) renal excretion; and
3) ease of synthesis.
The DOTA-biotin conjugates of the present invention reflect the implementation of
one or more of the following strategies:
1) substitution of the carbon adjacent to the cleavage susceptible amide nitrogen;
2) alkylation of the cleavage susceptible amide nitrogen;
3) substitution of the amide carbonyl with an alkyl amino group;
4) incorporation of D-amino acids as well as analogs or derivatives thereof; or
5) incorporation of thiourea linkages.
[0045] DOTA-biotin conjugates in accordance with the present invention may be generally
characterized as follows: conjugates that retain the biotin carboxy group in the structure
thereof and those that do not (
i.e., the terminal carboxy group of biotin has been reduced or otherwise chemically modified.
Structures of such conjugates represented by the following general formula have been
devised:

wherein L may alternatively be substituted in one of the following ways on one of
the -CH
2-COOH branches of the DOTA structure: -CH(L)-COOH or -CH
2COOL or -CH
2COL). when these alternative structures are employed, the portion of the linker bearing
the functional group for binding with the DOTA conjugate component is selected for
the capabiiity to interact with either the carbon or the carboxy in the branch portions
of the DOTA structure, with the serum stability conferring portion of the linker structure
being selected as described below.
[0046] In the case where the linkage is formed on the core of the DOTA structure as shown
above, L is selected according to the following principles, with the portion of the
linker designed to bind to the DOTA conjugate component selected for the capability
to bind to an amine.
[0047] A. One embodiment of the present invention includes linkers containing a D-amino
acid spacer between a DOTA aniline amine and the biotin carboxy group shown above.
Substituted amino acids are preferred for these embodiments of the present invention,
because alpha-substitution also confers enzymatic cleavage resistance. Exemplary L
moieties of this embodiment of the present invention may be represented as follows:

where R
1 is selected from lower alkyl, lower alkyl substituted with hydrophilic groups (preferably,
(CH
2)
n-OH, (CH
2)
n-OSO
3, (CH
2)
n-SO
3,

where n is 1 or 2), glucuronide-substituted amino acids or other glucuronide derivatives;
and
R
2 is selected from hydrogen, lower alkyl, substituted lower alkyl (
e.g., hydroxy, sulfate, phosphonate or a hydrophilic moiety (preferably OH).
[0048] An embodiment of the present invention provides a biotin-DOTA conjugate as claimed
in claim 1 where L is a D-amino acid-containing a biotin DOTA conjugate of claim 1
wherein L is a D-amino acid-containing a linker of the formula

wherein R
1 and R
2 are as herein before defined.
[0049] For the purposes of the present disclosure, the term "lower alkyl" indicates an alkyl
group with from one to five carbon atoms. Also, the term "substituted" includes one
or several substituent groups, with a single substituent group preferred.
[0050] Preferred L groups of this embodiment of the present invention include the following:
R1 = CH3 and R2 = H (a D-alanine derivative);
R1 = CH3 and R2 = CH3 (an N-methyl-D-alanine derivative) ;
R1 = CH2-OH and R2 = H (a D-serine derivative) ;
R1 = CH2OSO3 and R2 = H (a D-serine-O-sulfate-derivative) ; and
R1 =

and R2 = H (a D-serine-O-, phosphonate-derivative) ;
[0051] An embodiment of the present invention provides a biotin-DOTA conjugate of Claim
2 wherein R
1 is CH
3 and R
2 is H.
[0052] Other preferred moieties of this embodiment of the present invention include molecules
wherein R
1 is hydrogen and R
2 = -(CH
2)
nOH or a sulfate or phosphonate derivative thereof and n is 1 or 2 as well as molecules
wherein R
1 is

or -(CH
2)
5-NH
2 ; or

when R
2 = H.
[0053] Preferred moieties incorporating the glucuronide of D-lysine and the glucuronide
of amino pimelate are shown below as I and II, respectively.

[0054] A particularly preferred linker of this embodiment of the present invention is the
D-alanine derivative set forth above.
[0055] B. Linkers incorporating alkyl substitution on one or more amide nitrogen atoms are
also encompassed by the present invention, with some embodiments of such linkers preparable
from L-amino acids. Amide bonds having a substituted amine moiety are less susceptible
to enzymatic cleavage. Such linkers exhibit the following general formula:

where R
4 is selected from hydrogen, lower alkyl, lower alkyl substituted with hydroxy, sulfate,
phosphonate or the like and
R3 is selected from hydrogen; an amine; lower alkyl; an amino- or a hydroxy-, sulfate-
or phosphonate-substituted lower alkyl; a glucuronide or a glucuronide-derivatized
amino groups; and
n ranges from 0-4.
[0056] Preferred linkers of this embodiment of the present invention include:
R3 = H and R4 = CH3 when n = 4, synthesizable as discussed in Example XXI;
R3 = H and R4 = CH3 when n = 0, synchesizable from N-methyl-glycine (having a trivial name of sarcosine)
as described in Example XXI;
R3 = NH2 and R4 = CH3, when n = 0;
R3 = H and R4 =

when n = 4 (Bis-DOTA-LC-biotin), synthesizable from bromohexanoic acid as discussed
in Example XXI; and
R3 = H and R4 =

when n = 0 (bis-DOTA-SC-biotin), synthesizable from iminodiacetic acid.
[0057] The synthesis of a conjugate including a linker wherein R
3 is H and R
4 is -CH
2CH
2OH and n is 0 is also described in Example XXI. Schematically, the synthesis of a
conjugate of this embodiment of the present invention wherein n is 0, R
3 is H and R
4 is -CH
2-COOH is shown below.

[0058] Bis-DOTA-LC-biotin, for example, offers the following advantages:
1) incorporation of two DOTA molecules en one biotin moiety increases the overall
hydrophilicity of the biotin conjugate and thereby directs in vivo distribution to urinary excretion; and
2) substitution of the amide nitrogen adjacent to the biotin carboxyl group blocks
peptide and/or biotinidase cleavage at that site.
[0059] Bis-DOTA-LC-biotin, the glycine-based linker and the N-methylated linker where R
3 = H, R
4 = CH
3, n = 4 are particularly preferred linkers of this embodiment of the present invention.
[0060] C. Another linker embodiment incorporates a thiourea moiety therein. Exemplary thiourea
adducts of the present invention exhibit the following general formula:

where R
5 is selected from hydrogen or lower alkyl;
R6 is selected from H and a hydrophilic moiety; and
n ranges from 0-4.
[0061] Preferred linkers of this embodiment of the present invention are as follows:
R5 = H and R6 = H when n = 5;
R5 = H and R6 = COOH when n = 5; and
R5 = CH3 and R6 = COOH when n = 5.
The second preferred linker recited above can be prepared using either L-lysine or
D-lysine. Similarly, the third preferred linker can be prepared using either N-methyl-D-lysine
or N-methyl-L-lysine.
[0062] Another thiourea adduct of minimized lipophilicity is

which may be formed via the addition of biotinhydrazide (commercially available from
Sigma Chemical Co., St. Louis, Missouri) and DOTA-benzylisothiocyanate a known compound
synthesized in one step from DOTA-aniline), with the thiourea-containing compound
formed as shown below.

[0063] D. Amino acid-derived linkers of the present invention with substitution of the carbon
adjacent to the cleavage susceptible amide have the general formula set forth below:

wherein Z is - (CH
2)
2-, conveniently synthesized form glutamic acid; or
Z = -CH2-S-CH2-, synthesizable from cysteine and iodo-acetic acid; or
Z = -CH2-, conveniently synthesized form aspartic acid; or
Z = -(CH2)n-CO-O-CH2-, where n ranges from 1-4 and which is synthesizable from serine.
[0064] E. Another exemplary linker embodiment of the present invention has the general formula
set forth below:

and n ranges from 1-5.
[0065] F. Another embodiment involves disulfide-containing linkers, which provide a metabolically
cleavable moiety (-S-S-) to reduce non-target retention of the biotin-DOTA conjugate.
Exemplary linkers of this type exhibit the following formula:

where n and n' preferably range between o and E.
[0066] The advantage of using conditionally cleavable linkers is an improvement in target/non-target
localization of the active agent. Conditionally cleavable linkers include enzymatically
cleavable linkers, linkers that are cleaved under acidic conditions, linkers that
are cleaved under basic conditions and the like. More specifically, use of linkers
that are cleaved by enzymes, which are present in non-target tissues but reduced in
amount or absent in target tissue, can increase target cell retention of active agent
relative to non-target cell retention. Such conditionally cleavable linkers are useful,
for example, in delivering therapeutic radionuclides to target cells, because such
active agents do not require internalization for efficacy, provided that the linker
is stable at the target cell surface or protected from target cell degradation.
[0067] G. Ether, thioether, ester and thioester linkers are also useful in the practice
of the present invention, because such linkages are acid cleavable and therefore facilitate
improved non-target retention. Exemplary linkers of this type have the following general
formula:

where X is O or S; and
Q is a bond, a methylene group, a -CO- group or -CO-(CH2)n-NH-; and
n ranges from 1-5.
Other such linkers have the general formula:
-CH
2-X-Q,
where Q and X are defined as set forth above.
[0068] H. Another amino-containing linker of the present invention is structured as follows:

where R
7 is lower alkyl, preferably methyl.
In this case, resistance to enzymatic cleavage is conferred by the alkyl substitution
on the amine.
[0069] I. Polymeric linkers are also contemplated by the present invention. Dextran and
cyclodextran are preferred polymers useful in this embodiment of the present invention
as a result of the hydrophilicity of the polymer, which leads to favorable excretion
of conjugates containing the same. Other advantages of using dextran polymers are
that such polymers are substantially non-toxic and non-immunogenic, that they are
commercially available in a variety of sizes and that they are easy to conjugate to
other relevant molecules. Also, dextran-linked conjugates exhibit advantages when
non-target sites are accessible to dextranase, an enzyme capable of cleaving dextran
polymers into smaller units while non-target sites are not so accessible.
[0070] Other linkers of the present invention are produced prior to conjugation to DOTA
and following the reduction of the biotin carboxy moiety. These linkers of the present
invention have the following general formula:

[0071] Embodiments of linkers of this aspect of the present invention include the following:
[0072] J. An ether linkage as shown below may be formed in a DOTA-biotin conjugate in accordance
with the procedure indicated below.
L' = -NH-CO-(CH
2)
n-O-
where n ranges from 1 co 5, with 1 preferred.

This linker has only one amide moiety which is bound directly to the DOTA aniline
(as in the structure of DOTA-SC-biotin). In addition, the ether linkage imparts hydrophilicity,
an important factor in facilitating renal excretion.
[0073] K. An amine linker formed from reduced biotin (hydroxybiotin or aminobiotin) is shown
below, with conjugates containing such a linker formed, for example, in accordance
with the procedure described in Example XXI.
L' = -NH-
This linker contains no amide moieties and the unalkylated amine may impart favorable
bicdistribution properties since unalkylated DOTA-aniline displays excellent renal
clearance.
[0074] L. Substituted amine linkers, which can form conjugates via amino-biotin intermediates,
are shown below.

where R
8 is H; -(CH
2)
2-OH or a sulfate or phosphonate derivative thereof; or

or the like; and R
9 is a bond or -(CH
2)
n-CO-NH-, where n ranges from 0-5 and is preferably 1 and where q is 0 or 1. These
moieties exhibit the advantages of an amide only directly attached to DOTA-aniline
and either a non-amide amine imparting a positive charge to the linker
in vivo or a N-alkylated glucuronide hydrophilic group, each alternative favoring renal excretion.
[0075] M. Amino biotin may also be used as an intermediate in the production of conjugates
linked by linkers having favorable properties, such as a thiourea-containing linker
of the formula:
L' = -NH-CS-NH-
Conjugates containing this thiourea linker have the following advantages: no cleavable
amide and a short, fairly polar linker which favors renal excretion.
[0076] A bis-DOTA derivative of the following formula can also be formed from amino-biotin.

where n ranges from 1 to 5, with 1 and 5 preferred. This molecule offers the advantages
of the previously discussed bis-DOTA derivatives with the added advantage of no cleavable
amides.
[0077] Additional linkers of the present invention which are employed in the production
of conjugates characterized by a reduced biotin carboxy moiety are the following:
L = -(CH
2)
4-NH-,
wherein the amine group is attached to the methylene group corresponding to the reduced
biotin carboxy moiety and the methylene chain is attached to a core carbon in the
DOTA ring. Such a linker is conveniently synthesizable from lysine.
L = -(CH
2)
q-CO-NH-,
wherein q is 1 or 2, and wherein the amine group is attached to the methylene group
corresponding to the reduced biotin carboxy moiety and the methylene group(s) are
attached to a core carbon in the DOTA ring. This moiety is synthesizable from amino-biotin.
[0078] An embodiment of the present invention provides a biotin-DOTA conjugate as claimed
in claim 1 wherein L is a linker of the formula:

wherein L' is selected from the group comprising:
a) -NH-CO-(CH2)n-O-;
b) -NH-;
c)

d) -NH-CS-NH-;
-NH-CO-(CH2)n-NH-; and -NH-CO-Z-CH(COOH)-NH-CO where Z is -(CH2)2,
-CH2-S-CH2-, -CH2-, or -(CH2)n-CO-O-CH2- where n is from 1 to 4 or the bis-DOTA derivative thereof, wherein n, R' and R"
are as herein before defined.
[0079] The linkers set forth above are useful to produce conjugates having one or more of
the following advantages:
- bind avidin or streptavidin with the same or substantially similar affinity as free
biotin;
- bind metal M+3 ions efficiently and with high kinetic stability;
- are excreted primarily through the kidneys into urine;
- are stable to bodily fluid amidases;
- penetrate tissue rapidly and bind to pretargeted avidin or streptavidin; and
- are excreted rapidly with a whole body residence half-life of less than about 5 hours.
[0080] The second aspect of the present invention provides the use of a conjugate as described
in any one of claims 1 to 4 in the preparation of an agent for use in increasing active
agent localization to a target cell.
[0081] Synthetic routes to an intermediate of the DOTA-biotin conjugates depicted above,
nitrobenzyl-DOTA, have been proposed. These proposed synthetic routes a produce the
intermediate compound in suboptimal yield, however. For example, Renn and Meares,
"Large Scale Synthesis of Bifunctional Chelating Agent Q-(p-nitrobenzyl)-1,4,7,10-tetraazacyclododecane-N,N',N'',N'''-tetra
acetic acid, and the Determination of its Enantiomeric Purity by Chiral Chromatography,"
Bioconj. Chem.,
3: 563-9, 1992, describe a nine-step synthesis of nitrobenzyl-DOTA, including reaction
steps that either proceed in low yield or involve cumbersome transformations or purifications.
More specifically, the sixth step proceeds in only 26% yield, and the product must
be purified by preparative HPLC. Additionally, step eight proceeds in good yield,
but the process involves copious volumes of the coreactants.
[0082] These difficulties in steps 6-8 of the prior art synthesis are overcome in the practice
of the present invention through the use of the following synthetic alternative therefor.

[0083] The poor yield in step six of the prior art synthesis procedure, in which a tetra
amine alcohol is converted to a tetra-toluenesuifonamide toluenesulfonate as shown
below, is the likely result of premature formation of the toluenesulfonate functionality
(before all of the amine groups have been converted to their corresponding sulfonamides.

Such a sequence of events would potentially result in unwanted intra- or inter-molecular
displacement of the reactive toluene sulfonate by unprotected amine groups, thereby
generating numerous undesirable side-products.
[0084] This problem is overcome in the aforementioned alternative synthesis scheme of the
present invention by reacting the tetra-amine alcohol with trifluoroacetic anhydride.
Trifluoroacetates, being much poorer leaving groups than toluenesulfonates, are not
vulnerable to analogous side reactions. In fact, the easy hydrolysis of trifluoroacetate
groups, as reported in Greene and Wuts,
"Protecting Groups in Organic Synthesis," John Wiley and Sons, Inc., New York, p. 94, 1991., suggests that addition of methanol
to the reaction mixture following consumption of all amines should afford the tetra-fluoroacetamide
alcohol as a substantially exclusive product. Conversion of the tetra-fluoroacetamide
alcohol to the corresponding toluenesulfonate provides a material which is expected
to cyclize analogously to the tetra-toluenesulfonamide toluenesulfonate of the prior
art. The cyclic tetra-amide product of the cyclization of the toluenesulfonate of
tetra-fluoroacetamide alcohol, in methanolic sodium hydroxide at 15-25°C for 1 hour,
should afford nitro-benzyl-DOTA as a substantially exclusive product. As a result,
the use of trifluoracetamide protecting groups circumvents the difficulties associated
with cleavage of the very stable toluenesulfonamide protecting group, which involves
heating with a large excess of sulfuric acid followed by neutralization with copious
volumes of barium hydroxide.
[0085] Another alternative route to nitro-benzyl-DOTA is shown below.

This alternative procedure involves the cyclizaton of p-nitrophenylalanyltriglycine
using a coupling agent, such as diethylycyanophosphate, to give the cyclic tetraamide.
Subsequent borane reduction provides 2-(p-nitrobenzyl)-1,4,7,10-tetraazacyclododecane,
a common precursor used in published routes to DOTA including the Renn and Meares
article referenced above. This alternative procedure of the present invention offers
a synthetic pathway that is considerably shorter than the prior art Renn and Meares
route, requiring two rather than four steps
Example I
Two-Step Pretargeting In Vivo
[0086] A
186Re-chelate-biotin conjugate (Re-BT) (MW ≈ 1000; specific activity = 1-2 mCi/mg) and
a biotin-iodine-131 small molecule, PIP-Biocytin (PIP-BT, MW approximately equal to
602; specific activity = 0.5-1.0 mCi/mg), were examined in a three-step pretargeting
protocol in an animal model. Like Re-BT, PIP-BT has the ability to bind well to avidin
and is rapidly cleared from the blood, with a serum half-life of about 5 minutes.
Equivalent results were observed for both molecules in the two-step pretargeting experiments
described herein.
[0087] NR-LU-10 antibody (MW ≈ 150 kD) was conjugated to streptavidin (MW ≈ 66 kD) and radiolabeled
with
125I/PIP-NHS. The experimental protocol was as follows:
- Time 0
- inject (i.v.) 200 µg NR-LU-10 StrAv
Conjugate;
- Time 24-48 h
- inject (i.v.) 60-70 fold
molar excess of
radiolabeled biotinyl
molecule;
and perform biodistribution at 2, 6, 24, 72, 120 hours after injection of radiolabeled
biotinyl molecule.
[0088] NR-LU-10-streptavidin has shown very consistent patterns of blood clearance and tumor
uptake in the LS-180 animal model. When either PIP-BT or Re-BT is administered after
allowing the LU-10-StrAv conjugate to localize to target cell sites for at least 24
hours, the tumor uptake of therapeutic radionuclide is high in both absolute amount
and rapidity. For PIP-BT administered at 37 hours following LU-10-StrAv (I-125) administration,
tumor uptake was above 500 pMOL/G at the 40 hour time point and peaked at about 700
pMOL/G at 45 hours post-LU-10-StrAv administration.
[0089] This almost instantaneous uptake of a small molecule therapeutic into tumor in stoichiometric
amounts comparable to the antibody targeting moiety facilitates utilization of the
therapeutic radionuclide at its highest specific activity. Also, the rapid clearance
of radionuclide that is not bound to LU-10-StrAv conjugate permits an increased targeting
ratio (tumor:blood) by eliminating the slow tumor accretion phase observed with directly
labeled antibody conjugates. The pattern of radionuclide tumor retention is that of
whole antibody, which is very persistent.
[0090] Experimentation using the two-step pretargeting approach and progressively lower
molar doses of radiolabeled biotinyl molecule was also conducted. Uptake values of
about 20% ID/G were achieved at no-carrier added (high specific activity) doses of
radiolabeled biotinyl molecules. At less than saturating doses, circulating LU-10-StrAv
was observed to bind significant amounts of administered radiolabeled biotinyl molecule
in the blood compartment.
EXAMPLE II
Synthesis of DOTA-Biotin Conjugates
A. Synthesis of Nitro-Benzyl-DOTA.
[0091] The synthesis of aminobenzyl-DOTA was conducted substantially in accordance with
the procedure of McMurry et al.,
Bioconjugate Chem.,
3: 108-117, 1992. The critical step in the prior art synthesis is the intermolecular
cyclization between disuccinimidyl N-(tert-butoxycarbonyl)iminodiacetate and N-(2-aminoethyl)-4-nitro
phenyl alaninamide to prepare 1-(tert-butoxycarbonyl)-5-(4-nitrobenzyl)-3,6,11-trioxo-1,4,7,10-tetraazacyclododecane.
In other words, the critical step is the intermolecular cyclization between the bis-NHS
ester and the diamine to give the cyclized dodecane. McMurry et al. conducted the
cyclization step on a 30 mmol scale, dissolving each of the reagents in 100 ml DMF
and adding via a syringe pump over 48 hours to a reaction pot containing 4 liters
dioxane.
[0092] A 5x scale-up of the McMurry et al. procedure was not practical in terms of reaction
volume, addition rate and reaction time. Process chemistry studies revealed that the
reaction addition rate could be substantially increased and that the solvent volume
could be greatly reduced, while still obtaining a similar yield of the desired cyclization
product. Consequently on a 30 mmol scale, each of the reagents was dissolved in 500
ml DMF and added via addition funnel over 27 hours to a reaction pot containing 3
liters dioxane. The addition rate of the method employed involved a 5.18 mmol/hour
addition rate and a 0.047 M reaction concentration.
[0093] B.
Synthesis of a D-alanine-linked conjugate with a preserved biotin carboxy moiety. A reaction scheme to form a compound of the following formula is discussed below.

[0094] The D-alanine-linked conjugate was prepared by first coupling D-aianine (Sigma Chemical
Co.) to biotin-NHS ester. The resultant bictinyl-D-alanine was then activated with
1-(3-dimethylaminopropyl)-3-ethyl-carbodiimide hydrochloride (EDCI) and N-hydroxysuccinimide
(NHS). This NHS ester was reacted in situ with DOTA-aniline to give the desired product
which was purified by preparative HPLC.
[0095] More specifically, a mixture of D-alanine (78 mg, 0.88 mmol, 1.2 equivalents), biotin-NHS
ester (250 mg, 0.73 mmol, 1.0 equivalent), triethylamine (0.30 ml, 2.19 mmol; 3.0
equivalents) in DMF (4 ml) was heated at 110°C for 30 minutes. The solution was cooled
to 23°C and evaporated. The product solid was acidified with glacial acetic acid and
evaporated again. The product biotinyl-D-alanine, a white solid, was suspended in
40 ml of water to remove excess unreacted D-alanine, and collected by filtration.
Biotinyl-D-alanine was obtained as a white solid (130 mg, 0.41 mmol) in 47% yield.
[0096] NHS (10 mg, 0.08 mmol) and EDCI (15 mg, 0.07 mmol) were added to a solution of biotinyl-D-alanine
(27 mg, 0.08 mmol) in DMF (1 ml). The solution was stirred at 23°C for 60 hours, at
which time TLC analysis indicated conversion of the carboxyl group to the N-hydroxy
succinimidyl ester. Pyridine (0.8 ml) was added followed by DOTA-aniline (20 mg, 0.04
mmol). The mixture was heated momentarily at approximately 100°C, then cooled to 23°C
and evaporated. The product, DOTA-aniline-D-alanyl-biotinamide was purified by preparative
HPLC.
C. Synthesis of N-hydroxyethyl-linked conjugate.
[0097] Iminodiacetic acid dimethyl ester is condensed with biotin-NHS-ester to give biotinyl
dimethyl iminodiacetate. Hydrolysis with one equivalent of sodium hydroxide provides
the monomethyl ester after purification from under and over-hydrolysis products. Reduction
of the carboxyl group with borane provides the hydroxyethyl amide. The hydroxyl group
is protected with t-butyl-dimethyl-silylchloride. The methyl ester is hydrolysed,
activated with EDCI and condensed with DOTA-aniline to form the final product conjugate.
[0098] D.
Synthesis of N-Me-LC-DOTA-biotin. A reaction scheme is shown below.

[0099] Esterification of 6-Aminocaproic acid (Sigma Chemical Co.) was carried out with methanolic
HCl. Trifluoroacetylation of the amino group using trifluoroacetic anhydride gave
N-6-(methylcaproyl)-trifluoroacetamide. The amide nitrogen was methylated using sodium
hydride and iodomethane in tetrahydrofuran. The trifluoroacetyl protecting group was
cleaved in acidic methanol to give methyl 6-methylamino-caproate hydrochloride. The
amine was condensed with biotin-NHS ester to give methyl N-methyl-caproylamido-biotin.
Saponification afforded the corresponding acid which was activated with EDCI and NHS
and, in situ, condensed with DOTA-aniline to give DOTA-benzylamido-N-methyl-caproylamido-biotin.
1. Preparation of methyl 6-aminocaproate hydrochloride. Hydrogen chloride (gas) was
added to a solution of 20.0 g (152 mmol) of 6-aminocaproic acid in 250 ml of methanol
via rapid bubbling for 2-3 minutes. The mixture was stirred at 15-25°C for 3 hours
and then concentrated to afford 27.5 g of the product as a white solid (99%):
H-NMR (DMSO) 9.35 (1 H, broad t), 3.57 (3H, s), 3.14 (2H, quartet), 2.28 (2H, t),
1.48 (4H, multiplet), and 1.23 ppm (2H, multiplet).
2. Preparation of N-6-(methylcaproyl)-trifluoroacetamide. To a solution of 20.0 g
(110 mmol) of methyl 6-aminocaproate hydrochloride in 250 ml of dichloromethane was
added 31.0 ml (22.2 mmol) of triethylamine. The mixture was cooled in an ice bath
and trifluoroacetic anhydride (18.0 ml, 127 mmol) was added over a period of 15-20
minutes. The mixture was stirred at 0-10°C for 1 hour and concentrated. The residue
was diluted with 300 ml of ethyl acetate and saturated aqueous sodium bicarbonate
(3 x 100 ml). The organic phase was dried over anhydrous magnesium sulfate, filtered
and concentrated to afford 26.5 g of the product as a pale yellow oil (100%):
H-NMR (DMSO) 3.57 (3H, s), 3.37 (2H, t), 3.08 (1.9H, quartet, N-CH3), 2.93 (1.1H, s, N-CH3), 2.30 (2H, t), 1.52 (4H, multiplet), and 1.23 ppm (2H, multiplet).
3. Preparation of methyl 6-N-methylamino-caproate hydrochloride. To a solution of
7.01 g (29.2 mmol) of N-6-(methylcaproyl)-trifluoroacetamide in 125 ml of anhydrous
tetrahydrofuran was slowly added 1.75 g of 60% sodium hydride (43.8 mmol) in mineral
oil. The mixture was stirred at 15-25°C for 30 minutes and then 6.2 g (43.7 mmol)
of iodomethane was added. The mixture was stirred at 15-25°C for 17 hours and then
filtered through celite. The solids were rinsed with 50 ml of tetrahydrofuran. The
filtrates were combined and concentrated. The residue was diluted with 150 ml of ethyl
acetate and washed first with 5% aqueous sodium sulfite (2 x 100 ml) and then with
100 ml of 1 N aqueous hydrochloric acid. The organic phase was dried over anhydrous
magnesium sulfate, filtered and concentrated to afford a yellow oily residue. The
residue was diluted with 250 ml of methanol and then hydrogen chloride (gas) was rapidly
bubbled into the mixture for 2-3 minutes. The resultant mixture was refluxed for 18
hours, cooled and concentrated. The residue was diluted with 150 ml of methanol and
washed with hexane (3 x 150 ml) to remove mineral oil previously introduced with NaH.
The methanol phase was concentrated to afford 4.91 g of the product as a yellow oil
(86%):
H-NMR (DMSO) 8.80 (2H, broad s), 3.58 (3H, s), 2.81 (2H, multiplet), 2.48 (3H,
s), 2.30 (2H, t), 1.52 (4H, multiplet), and 1.29 ppm (2H, multiplet).
4. Preparation of methyl 6-(N-methylcaproylamidobiotin. N-hydroxysuccinimidyl biotin
(398 mg, 1.16 mmol) was added to a solution of methyl 6-(N-methyl) aminocaproate hydrochloride
(250 mg, 1.28 mmol) in DMF (4.0 ml) and triethylamine (0.18 ml, 1.28 mmol). The mixture
was heated in an oil bath at 100°C for 10 minutes. The solution was evaporated, acidified
with glacial acetic acid and evaporated again. The residue was chromatographed on
a 25 mm flash chromatography column manufactured by Ace Glass packed with 50 g silica
(EM Science, Gibbstown, New Jersey, particle size 0.40-0.63 mm) eluting with 15% MeOH/EtOAc.
The product was obtained as a yellow oil (390 mg) in 79% yield.
5. Preparation of 6-(N-methyl-N-biotinyl) amino caproic acid. To a solution of methyl
6-(N-methylcaproylamido-biotin (391 mg, 1.10 mmol) in methanol (2.5 ml) was added
a 0.95 N NaOH solution (1.5 ml). This solution was stirred at 23°C for 3 hours. The
solution was neutralized by the addition of 1.0 M HCl (1,6 ml) and evaporated. The
residue was dissolved in water, further acidified with 1.0 M HCl (0.4 ml) and evaporated.
The gummy solid residue was suspended in water and agitated with a spatula until it
changed into a white powder. The powder was collected by filtration with a yield of
340 mg.
6. Preparation of DOTA-benzylamido-N-methylcaproylamido-biotin. A suspension of 6-(N-methyl-N-biotinyl)amino
caproic acid (29 mg, 0.08 mmol) and N-hydroxysuccinimide (10 mg, 0.09 mmol) in DMF
(0.8 ml) was heated over a heat gun for the short time necessary for the solids to
dissolve. To this heated solution was added EDCI (15 mg, 0.08 mmol). The resultant
solution was stirred at 23°C for 20 hours. To this stirred solution were added aminobenzyl-DOTA
(20 mg, 0.04 mmol) and pyridine (0.8 ml). The mixture was heated over a heat gun for
1 minute. The product was isolated by preparative HPLC, yielding 3 mg.
[0100] E.
Synthesis of a bis-DOTA conjugate with a preserved biotin carboxy group. A reaction scheme is shown below.
1. Preparation of methyl 6-bromocaproate (methyl 5-bromohexanoate). Hydrogen chloride
(gas) was added to a solution of 5.01 g (25.7 mmol) of 6-bromocaproic acid in 250
ml of methanol via vigorous bubbling for 2-3 minutes. The mixture was stirred at 15-25°C
for 3 hours and then concentrated to afford 4.84 g of the product as a yellow oil
(90%):
H-NMR (DMSO) 3.58 (3H, s), 3.51 (2H, t), 2.29 (2H, t), 1.78 (2H, pentet), and 1.62-1.27
ppm (4H, m).
2. Preparation of N,N-bis-(methyl 6-hexanoyl)-amine hydrochloride. To a solution of
4.01 g (16.7 mmol) of N-(methyl 6-hexanoyl)-trifluoroacetamide (prepared in accordance
with section D.2. herein) in 125 ml of anhydrous tetrahydrofuran was added 1.0 g (25
mmol) of 60% sodium hydride in mineral oil. The mixture was stirred at 15-25°C for
1 hour and then 3.50 g (16.7 mmol) of methyl 6-bromocaproate was added and the mixture
heated to reflux. The mixture was stirred at reflux for 22 hours. NMR assay of an
aliquot indicated the reaction to be incomplete. Consequently, an additional 1.00
g (4.8 mmol) of methyl 6-bromocaproate was added and the mixture stirred at reflux
for 26 hours. MNR assay of an aliquot indicated the reaction to be incomplete. An
additional 1.0 g of methyl 6-bromocaproate was added and the mixture stirred at reflux
for 24 hours. NMR assay of an aliquot indicated the reaction to be near complete.
The mixture was cooled and then directly filtered through celite. The solids were
rinsed with 100 ml of tetrahydrofuran. The filtrates were combined and concentrated.
The residue was diluted with 100 ml of methanol and washed with hexane (3x 100 ml)
to remove the mineral oil introduced with the sodium hydride. The methanol phase was
treated with 6 ml of 10 N aqueous sodium hydroxide and stirred at 15-25°C for 3 hours.
The mixture was concentrated. The residue was diluted with 100 ml of deionized water
and acidified to pH 2 with concentrated HCl. The mixture was washed with ether (3
x 100 ml). The aqueous phase was concentrated, diluted with 200 ml of dry methanol
and then hydrogen chloride gas was bubbled through the mixture for 2-3 minutes. The
mixture was stirred at 15-25°C for 3 hours and then concentrated. The residue was
diluted with 50 ml of dry methanol and filtered to remove inorganic salts. The filtrate
was concentrated to afford 1.98 g of the product as a white solid (38%):
H-NMR (DMSO) 8.62 (2H, m) 3.58 (6H, s), 2.82 (4H, m) 2.30 (4H, t), 1.67-1.45 (8H,
m) and 1.38-1.22 ppm (4H, m).
3. Preparation of N,N=bis-(methyl 6-hexanoyl)-biotinamide. To a solution of 500 mg
(1.46 mmol) of N-hydroxysuccinimidyl biotin in 15 ml of dry dimethylformamide was
added 600 mg (1.94 mmol) of N,N-bis-(methyl 6-hexanoyl)amine hydrochloride followed
by 1.0 ml of triethylamine. The mixture was stirred at 80-85'CC for 3 hours and then
cooled and concentrated. The residue was chromatographed on silica gel, eluting with
20% methanol/ethyl acetate, to afford 620 mg of the product as a near colorless oil
(85%):
H-NMR (CDCl3) 5.71 (1H, s), 5.22 (1H, s), 4.52 (1H, m), 4.33 (1H, m), 3.60 (3H, s), 3.58 (3H,
s), 3.34-3.13 (5H, m), 2.92 (1H, dd), 2.75 (1H, d), 2.33 (6H, m) and 1.82-1.22 ppm
(18H, m); TLC-Rf 0.39 (20:80 methanol/ ethyl acetate).
4. Preparation of N,N-bis-(6-hexanoyl)-biotinamide. To a solution of 610 mg (0.819
mmol) of N,N-bis-(methyl 6-hexanoyl)-biotinamide in 35 ml of methanol was added 5.0
ml of 1N aqueous sodium hydroxide. The mixture was stirred at 15-25°C for 4.5 hours
and then concentrated. The residue was diluted with 50 ml of deionized water acidified
to pH 2 with 1N aqueous hydrochloric acid at 4°C. The product, which precipitated
out as a white solid, was isolated by vacuum filtration and dried under vacuum to
afford 482 mg (84%):
H-NMR (DMSO) 6.42 (1H, s), 6.33 (1H, s), 4.29 (1H, m), 4.12 (1H, m), 3.29-3.04
(5H, m), 2.82 (1H, dd), 2.57 (1H, d), 2.21 (6H, m) and 1.70-1.10 ppm (18H, m).
5. Preparation of N',N'-bis-(N-hydroxy-succinimidyl 6-hexanoyl)-biotinamide. To a
solution of 220 mg (0.467 mmol) of N,N-bis-(6-hexanoyl)-biotinamide in 3 ml of dry
dimethylformamide was added 160 mg (1.39 mmol) of N-hydroxysuccinimide followed by
210 mg (1.02 mmol) of dicyclohexyl-carbodiimide. The mixture was stirred at 15-25°C
for 17 hours and then concentrated. The residue was chromatographed on silica gel,
eluting with 0.1:20:80 acetic acid/methanol/ethyl acetate, to afford 148 mg of the
product as a foamy off-white solid (48%):
H-NMR (DMSO) 6.39 (1H, s), 6.32 (1H, s), 4,29 (1H, m), 4,12 (1H, m), 3.30-3.03
(5H, m), 2.81 (9H, dd and s), 2.67 (4H, m), 2.57 (1H, d),. 2.25 (2H, t), 1.75-1.20
(18H, m); TLC-Rf 0.37 (0.1:20:80 acetic acid/methanol/ethyl acetate).
6. Preparation of N,N-bis-(6-hexanoylamidobenzyl-DOTA)-biotinamide. To a mixture of
15 mg of DOTA-benzylamine and 6.0 mg of N',N'-bis-(N-hydroxy-succinimidyl 6-hexanoyl)-biotinamide
in 1.0 ml of dry dimethylformamide was added 0.5 ml of dry pyridine. The mixture was
stirred at 45-50°C for 4.5 hours and at 15-25°C for 12 hours. The mixture was concentrated
and the residue chromatographed on a 2.1 x 2.5 cm octadecylsilyl (ODS) reverse-phase
preparative HPLC column eluting with a --20 minute gradient profile of 0.1:95:5 to
0.1:40:60 trifluoroacetic acid:water:acetonitrile at 13 ml/minute to afford the desired
product. The retention time was 15.97 minutes using the aforementioned gradient at
a flow rate of 1.0 ml/minute on a 4.6 mm x 25 cm ODS analytical HPLC column.
[0101] F.
Synthesis of an N-methyl-glycine linked conjugate. A reaction scheme for this synthesis is shown below.

[0102] The N-methyl glycine-linked DOTA-biotin conjugate was prepared by an analogous method
to that used tc prepare D-alanine-linked DOTA-biotin conjugates. N-methyl-glycine
(trivial name sarcosine, available from Sigma Chemical Co.) was condensed wich biotin-NHS
ester in DMF and triethylamine to obtain N-methyl glycyl-biotin. N-methyl-glycyl biotin
was then activated with EDCI and NHS. The resultant NHS ester was not isolated and
was condensed in situ with DOTA-aniline and excess pyridine. The reaction solution
was heated at 60°C for 10 minutes and then evaporated. The residue was purified by
preparative HPLC to give [(N-methyl-N-biotinyl)-N-glycyl]-aminobenzyl-DOTA.
1. Preparation of (N-methyl)glycyl biotin. DMF (8.0 ml) and triethylamine (0.61 ml,
4.35 mmol) were added to solids N-methyl glycine (182 mg, 2.05 mmol) and N-hydroxy-succinimidyl
biotin (500 mg, 1.46 mmol). The mixture was heated for 1 hour in an oil bath at 85°C
during which time the solids dissolved producing a clear and colorless solution. The
solvents were then evaporated. The yellow oil residue was acidified with glacial acetic
acid, evaporated and chromatographed on a 27 mm column packed with 50 g silica, eluting
with 30% MeOH/EtOAc 1% HOAc to give the product as a white solid (383 mg) in 66% yield.
H-NMR (DMSO): 1.18-1.25 (m, 6H, (CH2)3), 2.15, 2.35 (2 t's, 2H, CH2CO), 2.75 (m, 2H, SCH2), 2.80, 3.00 (2 s's, 3H, NCH3), 3.05-3.15 (m, 1H, SCH), 3.95, 4.05 (2 s's, 2H, CH2N), 4.15, 4.32 (2 m's, 2H, 2CHN's), 6.35 (s, NH), 6.45 (s, NH).
2. Preparation of [(N-methyl-N-biotinyl)glycyl] aminobenzyl-DOTA. N-hydroxysuccinimide
(10 mg, 0.08 mmol) and EDCI (15 mg, 6.08 mmol) were added to a solution of (N-methylglycyl
biotin (24 mg, 0.08 mmol) in DMF (1.0 ml). The solution was stirred at 23 °C for 64
hours. Pyridine (0.8 ml) and aminobenzyl-DOTA (20mg, 0.04 mmol) were added. The mixture
was heated in an oil bath at 63°C for 10 minutes, then stirred at 23 °C for 4 hours.
The solution was evaporated. The residue was purified by preparative HPLC to give
the product as an off white solid (8 mg, 0.01 mmol) in 27% yield.
H-NMR (D2O): 1.30-1.80 (m, 6H), 2.40, 2.55 (2 t's, 2H, CH2CO), 2.70-4.2 (complex multiplet), 4.35 (m, CHN), 4.55 (m, CHN), 7.30 (m, 2H, benzene
hydrogens), 7.40 (m, 2H, benzene hydrogens).'
[0103] G.
Synthesis of a short chain amine-linked conjugate with a reduced biotin carboxy group. A two-part reaction scheme is shown below.

[0104] The biotin carboxyl group is reduced with diborane in THF to give a primary alcohol.
Tosylation of the alcohol with tosyl chloride in pyridine affords the primary tosylate.
Aminobenzyl DOTA is acylated with trifluoroacetic anhydride in pyridine to give (N-trifluoroacetyl)aminobenzyl-DOTA.
Deprotonation with 5.0 equivalents of sodium hydride followed by displacement of the
biotin tosylate provides the (N-trifluoracetamido-N-descarboxylbiotinyl)aminobenzyl-DOTA.
Acidic cleavage of the N-trifluoroacetamide group with HCl(g) in methanol provides
the amine-linked DOTA-biotin conjugate.