[0001] The present invention relates in general to the field of targeted drug delivery of
anti-cancer drugs. More precisely, the present invention concerns polymer drug conjugates,
namely, conjugates of poly(organo)phosphazenes and anti-cancer drugs, wherein the
conjugates are suitable to selectively release anti-cancer drugs in tumor tissue.
In addition, the present invention relates to a method for manufacturing such poly(organo)phosphazene
molecule conjugates, to poly(organo)phosphazene molecule conjugates for use in medicine,
in particular, to poly(organo)phosphazene molecule conjugates for use in the treatment
of cancer, and to pharmaceutical compositions comprising such poly(organo)phosphazene
molecule conjugates.
BACKGROUND OF THE INVENTION
[0002] Anti-cancer drugs used to control the growth of cancerous cells are commonly known
to have severe side effects, since healthy tissue is always affected by these drugs.
[0003] For instance, anthracycline antibiotics, such as epirubicin, doxorubicin, daunorubicin,
idarubicin and valrubicin, are a group of highly effective DNA intercalators derived
from Streptomyces bacteria. Anthracycline antibiotics as some of the most effective
anti-cancer drugs are used to treat a wide range of cancers, including leukemias,
lymphomas, breast, uterine, ovarian, and lung cancers. However, anthracycline antibiotics
also exhibit severe side effects due to their high toxicity towards healthy tissue.
One of the main side effects of anthracycline antibiotics are cardiotoxicity, which
considerably limits their usefulness, and vomiting.
[0004] Similar, taxanes and vinca alkaloids are anti-cancer drugs interfering with microtubule
and mitotic spindle, respectively, and therefore, always affect both tumor and healthy
tissue.
[0005] Beyond that, anti-cancer drugs are usually highly hydrophobic and, therefore, exhibit
poor aqueous solubility. Thus, administration via blood stream is always critical.
In addition, most anti-cancer drugs are rapidly eliminated from the body and therefore,
have to be administered repeatedly in order to ensure constant therapeutic levels.
[0006] In order to avoid damage of healthy tissue in an effective way, it would be of great
advantage to provide drug delivery systems suitable to selectively deliver and release
anti-cancer drugs in tumor tissue. It would be of further advantage, if the desired
drug delivery system were also suitable to enhance water solubility of hydrophobic
anti-cancer drugs and to improve blood circulation time of anti-cancer drugs, and
thus, suitable to be administered into the blood stream.
[0007] From the state of the art, it is known that water solubility of hydrophobic anti-cancer
drugs generally can be improved and their toxicity reduced through conjugation to
macromolecules. For instance, macromolecular drug carriers have been shown to improve
the therapeutic index of anti-cancer drug molecules, improving their blood solubility
and circulation time (Greco, F. et al, 2009, Haag, R. et al., 2006, Lee, C. C. et
al., 2006, and Lammers, T. et al., 2010).
[0008] Furthermore, it is known that polymers with molecular weights above 30-50 kDa have
decreased renal clearance and hence increased blood circulation time. In this respect,
studies have also shown that an increased number of arms of the macromolecular carrier
decrease renal filtration (Fox, M. E., et al., 2009).
[0009] Beyond that, macromolecules have been observed to accumulate in tumor tissue (Maeda,
H. et al., 2000). This phenomenon is also known as the so-called enhanced permeability
and retention (EPR) effect, which can be regarded as passive tumor targeting.
[0010] The main reason for the EPR effect is thought to be higher vascular permeability
of tumor tissue (tumor vasculature is, in principle, more permeable than healthy tissue),
which allows large macromolecules to penetrate into the tumor. The haphazard structure
of tumor tissue due to the fast growth of the cells and its poor lymphatic system
means removal is slow, particularly for larger macromolecules, and therefore, leads
to accumulation of these molecules. In addition, accumulation is observed to increase
with increasing molecular weight (Maeda, H. et al., 2000).
[0011] However, at a particular threshold molecular weight (hydrodynamic volume) - depending
on the used polymer and its macromolecular architecture - the macromolecules become
too large to penetrate even porous tumor vasculature resulting in no further increase
of the EPR effect.
[0012] In summary, choice and design of the macromolecule is of particular significance
for its potential as drug delivery system of anti-cancer drugs.
[0013] Poly(organo)phosphazenes are a class of macromoleculare polymers of inorganic/organic
hybrid type. Due to their synthetic flexibility, hydrolytic degradability and non-toxic
degradation products, poly(organo)phosphazenes have been reported to have tremendous
potential as materials for biomedical applications (EI-Amin, S.F. et al., 2006). The
polymer backbone of such poly(organo)phosphazenes consists of alternating phosphorus
and nitrogen atoms (scheme 1), wherein organic substituents are linked to the phosphorus
atoms as side chain groups.

[0014] In this respect,
US 6,319,984 concerns biodegradable and thermosensitive poly(organo)phosphazenzes having depsipeptide
and amino acid ethylester side groups for use as drug delivery system in general.
More specific poly(organo)phosphazenes are disclosed in
US 2009/0181088 teaching poly(organo)phosphazene-bioactive molecule conjugates. These conjugates
containing various bioactive molecules are biodegradable and thermosensitive poly(organo)phosphazenes
with a functional group showing sol-gel phase transition upon temperature alteration.
Due to this specific functional group the poly(organo)phosphazenes of
US 2009/0181088 forms (after administration to the human body) a gel-phase at body temperature and,
therefore, allows controlled release of the bioactive molecules. However, gel-phase
forming properties at body temperature means that these poly(organo)phosphazenes are
not suitable to be administered into the blood stream.
[0015] US 2004/0219127 teaches polyphosphanzene-platinum(II) conjugates having enhanced permeability and
retention (EPR) effect to tumor tissues due to poly(ethylene glycol) and dispeptide
ethyl esters introduced into the polyphosphazene backbone.
[0016] Beyond that Zheng et al., 2009, discloses self-assembly of polyphosphazenes into
vesicle-like polymersomes and their encapsulation of water-soluble anti-cancer drug.
However, these polyphosphazenes do not covalently link anti-cancer drugs.
[0017] All the above-mentioned conjugates of poly(organo)phosphazenes and anti-cancer drugs
or polymersomes of polyphosphazenes encapsulating anti-cancer drugs accumulate in
tumor tissues due to the EPR effect, in a more or less pronounced manner. Such accumulation
in tumor tissue reduces side effects of the administered anti-cancer drugs, i.e. toxicity
towards healthy tissue. However, in order to be effective against cancer, anti-cancer
drugs also need to be selectively released from such conjugates and/or polymersomes
while accumulating in tumor tissue.
[0018] Therefore, treatment of cancer would be much more effective and less toxic, if a
drug delivery system could be provided suitable to selectively deliver and, additionally,
to selectively release anti-cancer drugs in tumor tissue.
[0019] For this reason, it was an object of the present invention to provide novel poly(organo)phosphazene
molecule conjugates suitable to selectively deliver and release anti-cancer drugs
in tumor tissue. Furthermore, it was an object of the present invention to provide
a process for preparing such poly(organo)phosphazene molecule conjugates and pharmaceutical
compositions comprising such poly(organo)phosphazene molecule conjugates.
[0020] The object of the present invention, in one preferred embodiment thereof, is solved
by a poly(organo)phosphazene molecule conjugate wherein the anti-cancer drug is covalently
linked to the polymer backbone via a pH-sensitive linker.
[0021] Therefore, in a first aspect the present invention relates to a poly(organo)phosphazene
molecule conjugate represented by formula 1:

wherein,
- a
- represents a degree of polymerisation of the poly(organo)phosphazenes in the range
of 1 and 150;
- m
- is an integer between 1 and 150;
- n and I
- are the same or different and each of n and I is independently from one another is
an integer between 0 and 149;
- X
- represents O, S or NH;
- Y
- represents a pH sensitive functional group, wherein the pH sensitive functional group
is selected from the group consisting of hydrazide, hydroxamate, imine, cyclic acetal
and aconityl;
- R1
- is selected from the group consisting of (C1 to C10)-alkyl, (C1 to C10)-alkenyl, (C1 to C10)-alkinyl, (C1 to C10)-alkoxy, (C1 to C10)-alkenoxy, (C1 to C10)-acyl, cycloalkyl, cycloalkenyl, aryl, arylalkyl, arylalkenyl, (C1 to C10)-heteroalkyl, (C1 to C10)-heteroalkenyl, (C1 to C10)-heteroalkinyl, (C1 to C10)-heteroalkoxy, (C1 to C10)-heteroalkenoxy, (C1 to C10)-heteroacyl, heterocycloalkyl, heterocycloalkenyl, heteroaryl, heteroarykalkenyl,
heteroarylalkyls, and polyalkylerie oxide;
- R2
- represents an anti-cancer drug;
- R3, R4, R5, R6 and R7
- are the same or different and each of R3, R4, R5, R6 and R7 is independently from one another selected from the group consisting of R1-Y-R2, polyalkylene oxide, depsipeptide, amino acid alkyl ester, and a tumor targeting
ligand.
[0022] Due to the functional group "Y" the poly(organo)phosphanzes molecule conjugates of
the present invention are suitable to selectively release anti-cancer drugs in tumor
tissue. The extracellular pH of tumor tissue has a pH of about 4-6 and is, therefore,
significantly lower than the extracellular pH of healthy tissue, which is approximately
around 7.4. Since the poly(organo)phosphazene molecule conjugates of the present invention
covalently link anti-cancer drugs via the pH sensitive functional group "Y", the anti-cancer
drug of the conjugate will be only released in an acidic (tumor) environment. Thus,
covalently linking of anti-cancer drugs via a pH sensitive functional group to poly(organo)phosphazenes
allows the drug to be selectively released when the polymer-drug conjugate is transported
and accumulated in tumor tissue.
[0023] Drugs can also be loaded onto macromolecular carriers via non-covalent interactions
(for example hydrophobic or hydrogen-bonding interactions). However, a major problem
of this method is that the drug molecules can leak out prematurely from the macromolecular
carrier before it has reached the site of action. Some may leak out prior to the site
of action and affect healthy tissue (Lee, MacKay et al. 2005)
[0024] Being able to covalently bind the drug to the polymer according to the present invention
is therefore of significant advantage. However, the polymer must also be able to release
its load rapidly when it reaches the site of action. If the drug molecule is directly
bound to the polymer then biodegradation of the polymer is required before the drug
is released (
US Patent 20091811088). A polymer that degrades too quickly, however, will partially release its payload
before reaching the site of action. In addition, employing a polymer that degrades
more slowly, will lead to a slower release of the drug and delayed therapeutic action
and a reduced efficacy, if polymer degradation is relied upon as the drug release
mechanism.
[0025] Thus, the employment of an acid-sensitive linkage according to the present invention
ensures - for the first time utilising poly(organo)phosphazenes - rapid release of
the drug exclusively in the required environment, i.e. tumor tissue.
[0026] In this respect, a "pH-sensitive functional group" according to the present invention
means any functional group which will respond to a pH lower than 6.5, i.e. which will
be hydrolysed by a pH of lower than 6.5. Preferably, the pH-sensitive functional group
of the present invention will respond to a pH lower than 6.5, 6.4, 6.3, 6.4, 6.3,
6.2, 6.1, 6.0, 5.9, 5.8, 5.7, 5.6, 5.5, 5.4, 5.3, 5.2, 5.1, 5.0, 4.9, 4.8, 4.7, 4.6,
4.5, 4.4, 4.3, 4.2, 4.1 and 4.0. More preferably, the pH-sensitive functional group
of the present invention will respond to a pH in the range of 4.0 to 6.5, preferably,
in the range of 4.5 to 6.0, more preferably, in the range of 4.5 to 6.0, and most
preferably, in the range of 5.0 to 6.0 . Thus, any functional group cleavable in an
acidable environment (pH lower than 6.5, preferably lower than 6.0) known to the person
skilled in the art would be suitable for the present invention. Preferably, the pH
sensitive functional group is selected from the group consisting of hydrazide, hydroxamate,
imine, cyclic acetal and aconityl.
[0027] In one preferred embodiment of the poly(organo)phosphazene molecule conjugate according
to the present invention the pH sensitive group "Y" within formula 1 is represented
by one formula 2 to 7 selected from the group consisting of

[0028] In order to receive such pH sensitive functional group "Y" a pH sensitive linker
is reacted with the polymeric backbone selected from the group consisting of formula
8 to 13:

wherein X and R1 are defined as above.
[0029] In another preferred embodiment of the poly(organo)phosphazene molecule conjugate
according to the present invention R
1 is selected from the group consisting of (C
1 to C
9)-alkyl, (C
1 to C
9)-alkenyl, (C
1 to C
9)-alkinyl, (C
1 to C
9)-alkoxy, (C
1 to C
9)-alkenoxy, (C
1 to C
9)-acyl, cycloalkyl, cycloalkenyl, aryl, arylalkyl, arylalkenyl, (C
1 to C
9)-heteroalkyl, (C
1 to C
10)-heteroalkenyl, (C
1 to C
9)-heteroalkinyl, (C
1 to C
9)-heteroalkoxy, (C
1 to C
9)-heteroalkenoxy, (C
1 to C
9)-heteroacyl, heterocycloalkyl, heterocycloalkenyl, heteroaryl, heteroarykalkenyl,
heteroarylalkyls, and polyalkylene oxide. Preferably, R
1 is selected from the group consisting of (C
1 to C
8)-alkyl, (C
1 to C
8)-alkenyl, (C
1 to C
8)-alkinyl, (C
1 to C
8)-alkoxy, (C
1 to C
8)-alkenoxy, (C
1 to C
8)-acyl, cycloalkyl, cycloalkenyl, aryl, arylalkyl, arylalkenyl, (C
1 to C
8)-heteroalkyl, (C
1 to C
8)-heteroalkenyl, (C
1 to C
8)-heteroalkinyl, (C
1 to C
8)-heteroalkoxy, (C
1 to C
9)-heteroalkenoxy, (C
1 to C
8)-heteroacyl, heterocycloalkyl, heterocycloalkenyl, heteroaryl, heteroarykalkenyl,
heteroarylalkyls, and polyalkylene oxide. More preferably, R
1 is selected from the group consisting of (C
1 to C
7)-alkyl, (C
1 to C
7)-alkenyl, (C
1 to C
7)-alkinyl, (C
1 to C
7)-alkoxy, (C
1 to C
7)-alkenoxy, (C
1 to C
7)-acyl, cycloalkyl, cycloalkenyl, aryl, arylalkyl, arylal-kenyl, (C
1 to C
7)-heteroalkyl, (C
1 to C
7)-heteroalkenyl, (C
1 to C
7)-heteroalkinyl, (C
1 to C
7)-heteroalkoxy, (C
1 to C
7)-heteroalkenoxy, (C
1 to C
7)-heteroacyl, heterocycloalkyl, heterocycloalkenyl, heteroaryl, heteroarykalkenyl,
heteroarylalkyls, and polyalkylene oxide.
[0030] In the context of this invention, the term "alkyl" is understood as saturated, linear
or branched hydrocarbons, which can occur unsubstituted, mono- or polysubstituted.
In this respect, (C
1 to C
7)-alkyl represents C1-, C2-, C3-, C4-, C5-, C6- or C7-alkyl, (C
1 to C
8)-alkyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7- or C8-alkyl, (C
1 to C
9)-alkyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7-,C8 or C9-alkyl, and (C
1 to C
10)-alkyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7-, C8-, C9- or C10-alkyl. Alkyls
of the present invention are, for example, methyl, ethyl, propyl, isopropyl, methylethyl,
butyl, tert-butyl, 1-methylpropyl, 2-methylpropyl, 1,1-dimethylethyl, pentyl, 1,1-dimethylpropyl,
1,2-dimethylpropyl, 2,2-dimethylpropyl, 1-methylpentyl, if substituted also CHF
2, CF
3 or CH
2OH etc.
[0031] In connection with the present invention - unless defined otherwise - the term "substituted"
is understood as meaning replacement of at least one hydrogen radical by F, Cl, Br,
I, NH
2, SH or OH. In this respect "monosubstituted" means the replacement of one hydrogen
radical by F, Cl, Br, I, NH
2, SH or OH, wherein "polysubstituted" (more than once substituted) is means that the
replacement takes effect both on different and on the same atoms several times, e.g.
at least two times, with the same or different substituents, for example three times
on the same C atom, as in the case of CF
3, or at different places, as in the case of e.g.-CH(OH)-CH=CH-CHCl
2. "Optionally at least monosubstituted" means either "monosubstituted", "polysubstituted"
or - if the option is not fulfilled - "unsubstituted".
[0032] The term "alkenyl" as used herein is understood as unsaturated, linear or branched
hydrocarbons containing at least one double bond, which can be unsubstituted, mono-
or polysubstituted. In this respect, (C
1 to C
7)-alkenyl represents C1-, C2-, C3-, C4-, C5-, C6- or C7-alkenyl, (C
1 to C
8)-alkenyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7- or C8-alkenyl, (C
1 to C
9)-alkenyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7-,C8 or C9-alkenyl, and (C
1 to C
10)-alkenyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7-, C8-, C9- or C10-alkenyl. "Alkenyls"
of the present invention are, for example, methenyl, ethenyl, propenyl, isopropenyl,
butenyl, isobutenyl, tert-butenyl, pentenyl, hexenyl, octenyl, butadienyl, and allenyl
groups.
[0033] The term "alkinyl" as used herein is understood as unsaturated, linear or branched
hydro-carbons containing at least one triple bond, which can be unsubstituted, mono-
or polysub-stituted. In this respect, (C
1 to C
7)-alkinyl represents C1-, C2-, C3-, C4-, C5-, C6- or C7-alkinyl, (C
1 to C
8)-alkinyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7- or C8-alkinyl, (C
1 to C
9)-alkinyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7-,C8 or C9-alkinyl, and (C
1 to C
10)-alkinyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7-, C8-, C9- or C10-alkenyl. "Alkinyls"
of the present invention are, for example, methinyl, ethinyl, propinyl, isopropinyl,
butinyl, isobutinyl, tert-butinyl, pentinyl, hexinyl, octinyl, and allinyl groups.
[0034] The terms "alkoxy" and "alkenoxy" as used herein refers to an alkyl and alkenyl,
respectively, as defined above, which is linked to oxygen and which can be unsubstituted,
mono-or polysubstituted. In this respect, (C
1 to C
7)- alkoxy represents C1-, C2-, C3-, C4-, C5-, C6-or C7- alkoxy, (C
1 to C
8)- alkoxy represents C1-, C2-, C3-, C4-, C5-, C6-, C7- or C8- alkoxy, (C
1 to C
9)- alkoxy represents C1-, C2-, C3-, C4-, C5-, C6-, C7-,C8 or C9- alkoxy, and (C
1 to C
10)- alkoxy represents C1-, C2-, C3-, C4-, C5-, C6-, C7-, C8-, C9- or C10- alkoxy. In
addition, (C
1 to C
7)- alkenoxy represents C1-, C2-, C3-, C4-, C5-, C6- or C7- alkenoxy, (C
1 to C
8)-alkenoxy represents C1-, C2-, C3-, C4-, C5-, C6-, C7- or C8- alkenoxy, (C
1 to C
9)- alkenoxy represents C1-, C2-, C3-, C4-, C5-, C6-, C7-,C8 or C9- alkenoxy, and (C
1 to C
10)- alkenoxy represents C1-, C2-, C3-, C4-, C5-, C6-, C7-, C8-, C9- or C10- alkenoxy.
Examples of "alkoxy" and "alkenoxy" of the present invention are methoxy, ethoxy,
propoxy, butoxy, pentoxy, hexoxy, octoxy,groups, methenoxy, ethenoxy, propenoxy, butenoxy,
pentenoxy, hexenoxy, octenoxy groups, etc.
[0035] The term "acyl" as used herein refers a functional group of R-(C=O)-, wherein R is
an alkyl, alkenyl, alkinyl, cycloalkyl or cycloalkenyl as defined herein which can
be unsubstituted, mono- or polysubstituted. Thus, the term "acyl" comprises linear,
branched, cyclic, saturated or unstaturated hydrocarbons containing the functional
group R-(C=O)-. In this respect, (C
1 to C
7)- acyl represents C1-, C2-, C3-, C4-, C5-, C6- or C7- acyl, (C
1 to C
8)- acyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7- or C8- acyl, (C
1 to C
9)- acyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7-,C8 or C9- acyl, and (C
1 to C
10)- acyl represents C1-, C2-, C3-, C4-, C5-, C6-, C7-, C8-, C9- or C10- acyl. Examples
of "acyl" are methanoyl-, acetoyl-, ethanoyl-, propanoyl-, butanoyl-, malonyl-, benzoyl-groups,
etc.
[0036] The term "cycloalkyl" or "cycloalkenyl" as used herein is a subdefinition of "alkyl"
or "alkenyl" as defined above and is a carbon ring which can be unsubstituted, mono-
or polysubstituted. The term "cycloalkyl" or "cycloalkenyl" typically refers to C
3, C
4, C
5, C
6, C
7, C
8, C
9 or C
10 cycloalkyl or cycloalkenyl, preferably refers to C
4, C
5, C
6, C
7, or C
8 cycloalkyl or cycloalkenyl and may include cyclopropyl, cyclobutyl, cyclopentyl,
cyclohexyl, cyclooctyl, cyclopropenyl, cyclobutenyl, cyclopentenyl, cyclohexenyl,
and cyclooctenyl groups.
[0037] A "heteroalkyl", "heteroalkenyl", "heteroalkinyl", "heteroyalkoxy", "heteroalkenoxy",
"heteroacyl", "heterocycloalkyl", "heterocycloalkenyl", "heteroaryl", "heteroarylalkenyl",
or a "heteroarylalkyls" are defined as an alkyl, an alkenyls an alkinyl, an alkoxy,
an alkenoxy, an acyl, a cycloalkyl, a cycloalkenyl, an aryl, an arylalkenyl or an
arylalkyl, as defined above, wherein said structures contain 0-7 heteroatoms selected
from O, N or S, which replace at least one carbon atom in the alkyl, an alkenyls an
alkinyl, an alkoxy, an alkenoxy, an acyl, a cycloalkyl or a cycloalkenyl as defined
above.
[0038] The term "aryl" or "heteroaryl" as used herein refers to a 5- or 6-membered aromatic
or heteroaromatic ring system containing 0-3 heteroatoms selected from O, N or S,
a bicyclic 9- or 10-membered aromatic or heteroaromatic ring system ring containing
0-5 heteroatoms selected from O, N or S, or a tricyclic 13- or 14 membered aromatic
or heteroaromatic ring system containing 0-7 heteroatoms selected from O, N or S and
which can be unsubstituted, mono- or polysubstituted. The aromatic 6- to 14-membered
ring systems include e.g. phenyl, naphthalene, indane, tetraline, and fluorene and
the 5- to 10-membered aromatic heterocycloc ringsystems include e.g. imidazole, pyridine,
indole, thiophene, benzopyranone, thiazole, furane, benzimidazole, chinolin, isochinoline,
chinoxaline, pyrimidine, pyrazine, tetrazole, pyrazole, pyrrole, imidazole, pyridazine,
indolizine, isoindole, indole, indazole, purine, quinolizine, isoquinoline, quinoline,
phthalazine, naphthyridine, quinoxaline, quinazoline, cinnoline, pteridine, carbazole,
carboline, phenanthridine, acridine, phenanthroline, isothiazole, phenazine, isoxazole,
phenoxazine, phenothiazine, imidazolidine, imidazoline, piperidine, piperazine, and
indoline.
[0039] Arylalkyl, arylalkenyls, heteroarylalkyl, heteroalkylalkenyl, heterocycloalkyl, heterocycloalkenyl
moieties are each defined as their corresponding basic structures alkyl, alkenyl,
aryl, heteroaryl, heteroalkyl, or heterocycloalkyl.
[0040] Any of the above alkyl, alkenyl, alkinyl, alkoxy, alkenoxy, acyl, cycloalkyl, cycloalkenyl,
aryl, arylalkyl, arylalkenyls, heteroalkyl, heteroalkenyl, heteroalkinyl, heteroalkenyl,
heteroalkoxy, heteroalkenoxy, heteroacyl, heterocycloalkyl, heterocycloalkenyl, heteroaryl,
heteroarylalkyl groups may either be unsubstituted or (mono- or poly-) substituted
with one or more non-interfering substituents, e.g., halogen, alkoxy, acyloxy, hydroxy,
mercapto, carboxy, benzyloxy, phenyl, benzyl, or other functionality which may or
has been suitably blocked with a protecting group so as to render the functionality
non-interfering. Each substituent may be optionally substituted with additional non-interfering
substituents. The term "non-interfering" characterizes the substituents as not adversely
affecting any reactions to be performed in accordance with the process of this invention.
[0041] "Anti-cancer drugs" (also commonly known as "cytostatics") according to the present
invention are any drug known in the art suitable to treat cancer, i.e. to treat malignancies,
or cancerous growths in order to control the growth of cancerous cells.
[0042] In one preferred embodiment of the poly(organo)phosphazene molecule conjugate according
to the present invention the anti-cancer drug of the present invention is selected
from the group consisting of antibiotics, si-RNA, antisense RNA, alkylating agents,
platinum analogues, intercalating drugs, antibiotics, mitotic inhibitors, taxanes,
topoisomerase inhibitors, anti-metabolites, hydroxycarbamid, podophyllotoxin, enzymes,
hormones, tumor necrosis factor, biological response modifiers and any other known
cytostatic.
[0043] Preferably, the anti-cancer drug of the poly(organo)phophazene molecule conjugate
according to the present invention is selected from the group consisting of aminolevulinic
acic, abarelix, abiraterone, aclacinomycins, agatolimoc, alitretinoin, altretamine,
americium, amifostine, aminoglutethimice, aminopterin, amrubicin, amsacrine, anastrozole,
ancitabine, aplicine, aprinocarsen, arsenic trioxice, arzoxifene, asparaginase, atrasentan,
axitinib, azaciticine, batimastat, belinostat, belotecan, bencamustine, bevacizumab,
bexarotene, bicalutamice, biricocar, bisantrene, bleomycins, bortezomibm bosutinib,
brostallicin, broxuricine, buserelin, busulfan, cabazitaxel, cactinomycin, calcitriol,
californium, canertinib, canfosfamice, capecitabine, carboplatin, carboquone, carmofur,
carmustine, carubicin, cetrorelix, cetuximab, chlorambucil, chlormacinone acetate,
chlornaphazine, chlorozotocin, chromic phosphate, cilengitice, cintrecekin besucotox,
cisplatin, clacribine, clofarabine, cobalt, contusugene lacenovec, cositecan, cyclophosphamice,
cytarabine, cacarbazine, cactinomycin, casalini, caunorubicin, cecitabine, cegarelix,
cehycroequol, cenileukin ciftitox, cenopterin, ciaziquone, ciethylstilbestrol, cimesna,
cocetaxel, coxifluricine, coxorubicin, croloxifene, cromostanolone, ecteinascicins,
ecatrexate, ecotecarin, ecotreotice, ecrecolomab, efaproxiral, eflornithine, elliptinium
acetate, eniluracil, enocitabine, enzastaurin, epirubicin, epitiostanol, epratuzumab,
eribulin, erlotinib, estramustine, etanicazole, ethiocizec oil, etoglucic, etoposice,
everolimus, exatecan, exemestane, facrozole, fenretinice, flavopiricol, floxuricine,
flucarabine, fluorouracil, flutamice, folinic acic, formestane, fosfestrol, fotemustine,
fulvestrant, gallium nitrate, gefitinib, gemcitabine, gemtuzumab ozogamicin, glufosfamice,
golc, racioactive, colloical, goserelin, hexestrol, histamine, histrelin, homoharringtonine,
hycroxyurea, ibritumomab tiuxetan, icarubicin, icoxifene, ifosfamice, imatinib, imiquimoc,
improsulfan, incisulam, interferon-, interleukin-2, iobenguane, irinotecan, irofulven,
ixabepilone, kahalalice f, lanreotice, lapatinib, laromustine, lentinan, letrozole,
leuprolice, liarozole, lobaplatin, lomustine, lonafarnib, lonicamine, marimastat,
mechlorethamine oxice hycrochlorice, mechlorethamine, mecroxyprogesterone, megestrol
acetate, melphalan, mepact, mepitiostane, mesna, methotrexate, methyl aminolevulinate,
micostaurin, miltefosine, mitobronitol, mitoguazone, mitolactol, mitomycins, mitotane,
mitoxantrone, mofarotene, motesanib, motexafin gacolinium, motexafin lutetium, nelarabine,
neovastat® (aeterna), nilutamice, nimustine, ninopterin, nitra crine, nolatrexec,
norcihycroguaiaretic acic, oblimersen socium, ofatumumab, olaparib, olivomycins, onapristone,
oregovomab, oxaliplatin, paclitaxel poliglumex, paclitaxel, palifermin, panitumumab,
panobinostat, pazopanib, pemetrexec, pentostatin, peplomycin, perfosfamice, perifosine,
pertuzumab, picoplatin, pipobroman, piposulfan, pirarubicin, piritrexim, pixantrone,
plicamycin, polyestraciol phosphate, porfimer socium, porfiromycin, potassium arsenite,
precnimustine, prinomastat, procarbazine, propagermanium, psk® (kureha chemical incustry
co., Itc. pharmaceutical civ.; kureha), pteropterin, racium, racon, raltitrexec, ranimustine,
ranpirnase, razoxane, retinoic acic, rituximab, romicepsin, roquinimex, rubitecan,
samarium 153sm lexicronam, satraplat in, seliciclib, seocalcitol, sipuleucel-t, sizofiran,
sobuzoxane, socium iocice, racioactive, socium phosphate, radioactive, sorafenib,
spirogermanium, streptozocin, strontium chlorice, strontium, sunitinib, talaporfin,
tamibarotene, tamoxifen, tariquicar, tegafur, temoporfin, temozolomice, temsirolimus,
teniposice, tesmilifene, testolactone, thiamiprine, thioguanine, tiazofurin, tipifarnib,
tirapazamine, topotecan, toremifene, tositumomab, trabecersen, trastuzumab, trichlormethine,
triethylenemelamine, triethylenephosphoramice, triethylenethiophosphoramice, trilostane,
trimetrexate, triptorelin, trofosfamice, troxacitabine, ubenimex, uracil mustarc,
urecepa, valrubicin, valspocar, vancetanib, catalani, vinblastine, vincristine, vincesine,
vinflunine, vinorelbine, vorinostat, vorozole, zinostatin, zorubicin, zosuquicar,
6-azauricine, 6-mercaptopurine and 9-aminocamptothecin.
[0044] More preferably, the anti-cancer drug of the poly(organo)phophazene molecule conjugate
according to the present invention is selected from the group consisting of epirubicin,
doxorubicin, daunorubicin, idarubicin and valrubicin.
[0045] In one particular preferred embodiment of the poly(organo)phosphazenes of the present
invention the anti-cancer drug is epirubicin. In this respect the release of epirubicin
from the polymer-drug conjugates was simulated under physiological conditions at 37°C
in a pH 7.4 phosphate buffer and in an acidic medium at pH 5 in an acetate buffer
solution. At pH 5 a steady release of the drug molecule from the polymer was observed,
with 100% release from the polymer-drug conjugate being observed within 15 hours.
Meanwhile, only minimal release was observed within a period of 24h from the polymers
at pH 7.4 (Figure 2).
[0046] The term "polyalkylene oxide" according to the present invention is a polymer composed
of repeating oxyalkylene units (-OR-), for example CH
2O, C
2H
6O, C
3H
6O, C
4H
8O, or combinations thereof, from 2 to 800 repeat units, preferably 10-50 repeat units.
They can be linear or branched, but must be overall hydrophilic. Preferred polymers
comprise majority (>50%) -C
2H
6O- units. The polymers should be end-capped with a non-nucleophilic group at one end,
preferably CH
3O or C
2H
7O and a nucleophilic moeity at the other end, preferably NH
2.
[0047] Poly(organo)phosphazenes comprising polyalkylene oxides exhibit enhanced water solubility,
hydrodynamic volume and number of arms to the polymers. As already mentioned above
an increased number of arms of the macromolecular carrier decrease renal filtration
and therefore, exhibit increased blood circulation time (Fox, M. E., et al., 2009).
[0048] Therefore, in one preferred embodiment of the poly(organo)phosphazenes of the present
invention, R
3 and/or R
4 and/or R
5 and/or R
6 and/or R
7 represents a polyalkylene oxide as defined above. ,
[0049] In one preferred embodiment of the poly(organo)phosphazene molecule conjugate according
to the present invention the polyalkylene oxide is selected from the group consisting
of polyether, methoxypolyether, ethoxypolyether, polyethylene oxide, polypropylene
oxide, polybutylene oxide, polyethylene glycol, polypropylene glycol, polybutylene
glycol, methoxypolyethylene oxide, methoxypolypropylene oxide, methoxypolybutylene
oxide, methoxypolyethylene glycol, methoxypolypropylene glycol, methoxypolybutylene
glycol, ethoxypolyethylene oxide, ethoxypolypropylene oxide, ethoxypolybutylene oxide,
ethoxypolyethylene glycol, ethoxypolypropylene glycol, ethoxypolybutylene glycol,
poly(ethylene oxide-co-propylene oxide), poly(ethylene glycol-co-propylene glycol),
poly(ethylene oxide-co-butylene oxide), poly(ethylene glycol-co-butylene glycol),
poly(propylene oxide-co-butylene oxide), poly(propylene glycol-co-butylene glycol),
methoxypoly(ethylene oxide-co-propylene oxide), methoxypoly(ethylene glycol-co-propylene
glycol), methoxy-poly(ethylene oxide-co-butylene oxide), methoxypoly(ethylene glycol-co-butylene
glycol), methoxypoly(propylene oxide-co-butylene oxide), methoxypoly(propylene glycol-co-butylene
glycol), ethoxypoly(ethylene oxide-co-propylene oxide), ethoxypoly(ethylene glycol-co-propylene
glycol), ethoxypoly(ethylene oxide-co-butylene oxide), ethoxy-poly(ethylene glycol-co-butylene
glycol), ethoxypoly(propylene oxide-co-butylene oxide) and ethoxypoly(propylene glycol-co-butylene
glycol).
[0050] "Depsipetide" according to the present invention means a peptide, wherein one or
more peptide linkages are substituted by ester linkages, i.e. a peptide in which one
or more of the amide (-CONHR-) bonds are replaced by ester (COOR) bonds. In one preferred
embodiment of the poly(organo)phosphazene molecule conjugate according to the present
invention depsipeptide is selected from the group consisting of beauvericin, morpholinedione,
valinomycin, Depsipeptide A, Depsipeptide B, ethyl-2-(O-glycyl)glycolate and ethyl-2-(O-glycyl)lactate.
[0051] The term "amino acid alkyl ester" according to the present invention is an alkyl
derivative of an amino acid, i.e. an ester formed by an amino acid and an alkanol,
wherein the alkanol is an alkyl, as defined above, carrying an OH-moiety, preferably
an (C
1 to C
10)-alkyl. In this respect, an amino acid is any natural or non-natural amino acid selected
from the group consisting of Alanine, Arginine, Asparagine, Aspartic Acid, Cysteine,
Glutamic Acid, Glutamine, Glycine, Histidine, Isoleucine, Leucine, Lysine, Methionine,
Phenylalanine, Proline, Serine, Threonine, Tryptophan, Tyrosine, Valine, 2-Aminoadipic
acid, 3-Aminoadipic acid, beta-Alanine, beta-Aminopropionic acid, 2-Aminobutyric acid,
4-Aminobutyric acid, piperidinic acid, 6-Aminocaproic acid, 2-Aminoheptanoic acid,
2-Aminoisobutyric acid, 3-Aminoisobutyric acid, 2-Aminopimelic acid, 2,4 Diaminobutyric
acid, Desmosine, 2,2'-Diaminopimelic acid, 2,3-Diaminopropionic acid, N-Ethylglycine,
N-Ethylasparagine, Hydroxylysine, allo-Hydroxylysine, 3-Hydroxyproline, 4-Hydroxyproline,
Isodesmosine, allo-Isoleucine, N-Methylglycine, sarcosine, N-Methylisoleucine, 6-N-Methyllysine,
N-Methylvaline, Norvaline, Norleucine, Ornithine Selenocysteine, and Taurine.
[0052] It is known that polymers with a molecular weight above the renal clearance limit
will accumulate in the body, and, therefore, lead to damaging side effects. Thus,
it is extremely desirable that polymers used for drug delivery applications degrade
under physiological conditions. However, a major disadvantage of many organic polymers
is their lack of biodegradability. In this respect, it is well-reported that poly(organo)phosphanzes
degrade to biocompatible products under physiological conditions. The rate of degradation
can vary greatly, depending on the properties of the side-substituents and hydrophilicity
of the polymer. (Allock, H.R. et al., 1977; lbim, S.E.M. et al., 1997). This can be
readily utilized to give a broad spectrum of polymers with very different rates of
degradation. In addition to the corresponding side groups, polyphosphazenes have been
shown to degrade to low toxicity compounds including ammonia and phosphates (Allock,
H. R. et al., 1994). In particular, hydrophilic amino substituted polyphosphazenes
are known to be hydrolytically unstable and the stability can be tailored by careful
choice of substituents such as depsipeptides or amino acid esters.
[0053] Therefore, in one preferred embodiment of the poly(organo)phosphazenes of the present
invention, R
3 and/or R
4 and/or R
5 and/or R
6 and/or R
7 represents a depsipeptide as defined above.
[0054] In another preferred embodiment of the poly(organo)phosphazenes of the present invention,
R
3 and/or R
4 and/or R
5 and/or R
6 and/or R
7 represents an amino acid alkyl ester as defined above.
[0055] It has been reported that the rate of degradation of polyphosphazenes can be altered
significantly by careful choice of substituents. In particular, the incorporation
of amino acid side chains has been shown to considerably decrease the hydrolytic stability
of hydrophilic poly(organo)phosphazenes (Vandorpe, J. et al., 1996, Andrianov, A.K.
et al., 2006). In this respect, a series of polymers were synthesised via sequential
addition of linker, PEO-PPO-NH
2 and then ethyl glycinate ester side chains in varying ratios. As shown in figure
3, the degradation is considerably accelerated upon incorporation of ethyl glycinate
side groups. After 2 weeks, the M
n of polymer 7, in which around 47% of the chlorine atoms were substituted with ethyl
glycinate groups, was reduced to 66% of its original value, whereby polymer 2 had
a M
n value 80% of its original.
[0056] A "tumor targeting ligand" according to the present invention means any substance
specifically targeting tumor-specific antigens and/or tumor-specific receptors. For
instance, the folate receptor has been shown to be over-expressed in many human cancers
(Lu, Y. and Low, P.S., 2002). Thus, folic acid binding to the folate receptor is a
"tumor targeting ligand".
[0057] Therefore, in one preferred embodiment of the poly(organo)phosphazenes of the present
invention, R
3 and/or R
4 and/or R
5 and/or R
6 and/or R
7 represents an amino acid alkyl ester as defined above.
[0058] Poly(organo)phosphazene molecule conjugates of the present invention comprising at
least one tumor targeting ligand have the advantage to selectively target tumor tissue.
In one pre-ferred embodiment of the poly(organo)phosphazene molecule conjugate according
to the present invention the tumor targeting ligand is selected from the group consisting
of biotin, folic acid, vitamin B12, riboflavin, hyaluronic acid, monoclonal antibodies
targeting tumor-specific antigens and/or tumor-specific receptors and variants thereof,
polyunsaturated fatty acids, aptamers targeting tumor-specific antigens and/or tumor-specific
receptors, oligopeptides targeting tumor-specific antigens and/or tumor-specific receptors.
In this respect "tumor-specific antigen or receptor" means any antigen and/or receptor
which specifically is expressed within tumor tissue.
[0059] In one preferred embodiment of the poly(organo)phosphazene molecule conjugate according
to the present invention the sum of a, m, n and l is ≤ 150, preferably the sum of
a, m, n and l is ≤ 140, ≤ 130, ≤ 120, ≤ 110, ≤ 100, ≤ 90, ≤ 80. More preferably, the
sum of a, m, n and l is in the range of 1 to 150, 1 to 140, 1 to 130, 1 to 120, 1
to 110, 1 to 100, 1 to 90, 1 to 80, and 1 to 75, alternatively, the sum of a, m, n
and l is in the range of 5 to 150, 5 to 140, 5 to 130, 5 to 120, 5 to 110, 5 to 100,
5 to 90, 5 to 80, and 5 to 75, alternatively, the sum of a, m, n and l is in the range
of 10 to 150, 10 to 140, 10 to 130, 10 to 120, 10 to 110, 10 to 100, 10 to 90, 10
to 80, and 10 to 75, alternatively, the sum of a, m, n and l is in the range of 15
to 150, 15 to 140, 15 to 130, 15 to 120, 15 to 110, 15 to 100, 15 to 90, 15 to 80,
and 15 to 75, alternatively, the sum of a, m, n and I is in the range of 20 to 150,
20 to 140, 20 to 130, 20 to 120, 20 to 110, 20 to 100, 20 to 90, 20 to 80, and 20
to 75, alternatively, the sum of a, m, n and l is in the range of 25 to 150, 25 to
140, 25 to 130, 25 to 120, 25 to 110, 25 to 100, 25 to 90, 25 to 80, and most preferably,
the sum of a, m, n and l is in the range of 25 to 75.
[0060] In one preferred embodiment of the poly(organo)phosphazene molecule conjugate according
to the present invention "a" represents a degree of polymerisation of the poly(organo)phosphazenes
in the range of 1 to 150, 1 to 140, 1 to 130, 1 to 120, 1 to 110, 1 to 100, 1 to 90,
1 to 80, and 1 to 75, alternatively, "a" represents a degree of polymerisation of
the poly(organo)phosphazenes in the range of 5 to 150, 5 to 140, 5 to 130, 5 to 120,
5 to 110, 5 to 100, 5 to 90, 5 to 80, and 5 to 75, alternatively, "a" represents a
degree of polymerisation of the poly(organo)phosphazenes in the range of 10 to 150,
10 to 140, 10 to 130, 10 to 120, 10 to 110, 10 to 100, 10 to 90, 10 to 80, and 10
to 75, alternatively, "a" represents a degree of polymerisation of the poly(organo)phosphazenes
in the range of 15 to 150, 15 to 140, 15 to 130, 15 to 120, 15 to 110, 15 to 100,
15 to 90, 15 to 80, and 15 to 75, alternatively, "a" represents a degree of polymerisation
of the poly(organo)phosphazenes in the range of 20 to 150, 20 to 140, 20 to 130, 20
to 120, 20 to 110, 20 to 100, 20 to 90, 20 to 80, and 20 to 75, alternatively, "a"
represents a degree of polymerisation of the poly(organo)phosphazenes in the range
of 25 to 150, 25 to 140, 25 to 130, 25 to 120, 25 to 110, 25 to 100, 25 to 90, 25
to 80, and most preferably, "a" represents a degree of polymerisation of the poly(organo)phosphazenes
in the range of 25 to 75.
[0061] In another preferred embodiment of the poly(organo)phosphazene molecule conjugate
according to the present invention "m" represents an integer between 1 to 150, 1 to
140, 1 to 130, 1 to 120, 1 to 110, 1 to 100, 1 to 90, 1 to 80, and 1 to 75, alternatively,
"m" represents an integer between 5 to 150, 5 to 140, 5 to 130, 5 to 120, 5 to 110,
5 to 100, 5 to 90, 5 to 80, and 5 to 75, alternatively, "m" represents an integer
between 10 to 150, 10 to 140, 10 to 130, 10 to 120, 10 to 110, 10 to 100, 10 to 90,
10 to 80, and 10 to 75, alternatively, "m" represents an integer between 15 to 150,
15 to 140, 15 to 130, 15 to 120, 15 to 110, 15 to 100, 15 to 90, 15 to 80, and 15
to 75, alternatively, "m" represents an integer between 20 to 150, 20 to 140, 20 to
130, 20 to 120, 20 to 110, 20 to 100, 20 to 90, 20 to 80, and 20 to 75, alternatively,
"m" represents an integer between 25 to 150, 25 to 140, 25 to 130, 25 to 120, 25 to
110, 25 to 100, 25 to 90, 25 to 80, and most preferably, "m" represents an integer
between 25 to 75.
[0062] In one preferred embodiment of the poly(organo)phosphazene molecule conjugate according
to the present invention "n" and "l" are the same or different and each of n and l
is independently from one another an integer between 1 and 149, preferably, between
1 to 139, 1 to 129, 1 to 119, 1 to 109, 1 to 99, 1 to 89, 1 to 79, and 1 to 74, alternatively,
"n" and "l" are the same or different and each of n and l is independently from one
another an integer between 1 to 145, 1 to 140, 1 to 135, 1 to 130, 1 to 125, 1 to
120, 1 to 115, 1 to 110, 1 to 105, 1 to 100, 1 to 95, 1 to 90, 1 to 85, 1 to 75, and
1 to 70, alternatively, "n" and "l" are the same or different and each of n and l
is independently from one another an integer between 5 to 145, 5 to 140, 5 to 135,
5 to 130, 5 to 125, 5 to 120, 5 to 115, 5 to 110, 5 to 105, 5 to 100, 5 to 95, 5 to
90, 5to 85, 5 to 75, and 5 to 70, alternatively, "n" and "I" are the same or different
and each of n and l is independently from one another an integer between 10 to 145,
10 to 140, 10 to 135, 10 to 130, 10 to 125, 10 to 120, 10 to 115, 10 to 110, 10 to
105, 10 to 100, 10 to 95, 10 to 90, 10 to 85, 10 to 75, and 10 to 70, alternatively,
"n" and "I" are the same or different and each of n and I is independently from one
another an integer between 15 to 145, 15 to 140, 15 to 135, 15 to 130, 15 to 125,
15 to 120, 15 to 115, 15 to 110, 15 to 105, 15 to 100, 15 to 95, 15 to 90, 15 to 85,
15 to 75, and 15 to 70, alternatively, "n" and "I" are the same or different and each
of n and l is independently from one another an integer between 20 to 145, 20 to 140,
20 to 135, 20 to 130, 20 to 125, 20 to 120, 20 to 115, 20 to 110, 20 to 105, 20 to
100, 20 to 95, 5 to 90, 20 to 85, 20 to 75, and 20 to 70, alternatively, "n" and "l"
are the same or different and each of n and l is independently from one another an
integer between 25 to 145, 25 to 140, 25 to 135, 25 to 130, 25 to 125, 25 to 120,
25 to 115, 25 to 110, 25 to 105, 25 to 100, 25 to 95, 25 to 90, 25 to 85, 25 to 75,
and 25 to 70.
[0063] In another preferred embodiment of the poly(organo)phosphazene molecule conjugate
according to the present invention X is NH.
[0064] In another preferred embodiment of the poly(organo)phosphazenes of the present invention,
R
3 and/or R
4 and/or R
5 and/or R
6 and/or R
7 represents R
1-Y-R
2, wherein R
1-Y-R
2 is defined as above.
[0065] As already outlined above, the molecular architecture and hydrodynamic volume of
the polymer plays a crucial role in the pharmacokinetics and in-vivo distribution
of polymeric drug carriers (Fox, M. E., et al., 2009), accurate control of both molecular
weight and dispersity is an important factor for polymer therapeutics.
[0066] In this respect, the polydispersity index (PDI) is the weight average molecular weight
divided by the number average molecular weight and, therefore, a measure of the distribution
of molecular mass in a given polymer sample. Thus, the PDI indicates the distribution
of individual molecular masses in a batch of polymers. A PDI equal to or little above
1 indicates that the distinct polymer chains in a given polymer sample approach uniform
chain length, i.e. only one length of polymer is present. In contrast, a PDI around
10 to 20 refers to a batch of polymers having polymer chains varying in chain lengths
over a wide range of molecular masses.
[0067] Therefore, in one preferred embodiment of the poly(organo)phosphazenes of the present
invention the poly(organo)phosphazene has a polydispersity of 1.8 or less, preferably,
the poly(organo)phosphazene has a polydispersity of 1.7 or less, more preferably of
1.6 or less, even more preferably of 1.5 or less and most preferably of 1.4 or less.
[0068] In this respect, it should be noted that the major precursor of poly(organo)phosphazenes
is dichloropolyphosphazene. Dichloropolyphosphazene is extremely hydrolytically unstable,
however, can be readily substituted to give a wide range of stable poly(organo)phosphazenes
with an extremely wide range of properties.
[0069] So far, the most developed method of synthesis for preparation of dichloropolyphosphazene
is the so-called thermal ring-opening polymerisation of hexachlorophosphazene at 250°C.
This method does not allow any controlling of the molecular weight of the synthesized
polymers. Therefore, dichloropolyphosphazenes synthesized by thermal ring-opening
polymerisation generally have high molecular weights (M
w>10
6 daltons) and, in addition, broad polydispersities, i.e. polydispersity indexes (PDI)
up to 19. Limited control of the molecular weight utilizing thermal ring-opening polymerisation
can be achieved by the use of catalysts such as OP(OPh)
3/BCl
3 or AlCl
3. However, high temperatures are still required which also result in broad polydispersity,
as it is the case, for example, for the condensation polymerisation of Cl
3P=(O)Cl
2. By high temperature reaction of PCl
5 with NH
4Cl (Allcock, H. R., et al., 1996) only low molecular weight dichloropolyphosphazene
with limited molecular weight control can be achieved.
[0070] To date synthesis of the precursor polymer dichloropolyphosphazene with controlled
molecular weights and narrow molecular weight distribution, i.e. narrow polydispersities,
such as, for example PDIs in the range of 1.1-1.8, preferably, 1.1-1.6, more preferably,
1.1-1.4 according to the present invention, is enabled by the room temperature living
cationic polymerisation of chlorophosphoranimine, pioneered by Allcock and Manners,
(Allcock, H. R., et al., 1996 and Blackstone, V. et al., 2009) and unavailable by
any other methods as disclosed in
US Patent 5698664 or
US Patent 5914388.
[0071] Thus, the development of a living polymerisation route to polyphosphazenes was a
key advancement allowing access to block copolymers (Nelson, J.M., et al., 1998 and
Matyjaszewski, K. et al., 1993) star-branched and dendritic polymers based on polyphosphazenes
(Nelson, J.M., et al., 1997 and Cho, S. Y., et al. 2007).
[0072] Therefore, in a second aspect the present invention concerns a process for preparing
a poly(organo)phosphazenes conjugates according to the present invention, comprising
cationic living polymerisation of chlorophosphoranimines.
[0073] In one preferred embodiment, the present invention relates to a process for preparing
a poly(organo)phosphazene molecule conjugate according to the present invention, comprising
the steps of:
- a) preparation of dichloropolyphosphazenes by living cationic polymerisation of chlorophosphoranimines;
- b) substitution of at least one chlorine atom of the dichloropolyphosphazenes of step
a) with a pH sensitive linker; and
- c) covalently binding an anti-cancer drug to the pH sensitive linker.
[0074] "Living cationic polymerisation" is known in the art. In one preferred embodiment
of the process for preparing a poly(organo)phosphazene conjugate according to the
present invention, dichloropolyphosphazenes are synthesised by the polymerisation
of chlorophosphoranimine utilising living polymerisation according to Allock, H.R.,
1996 and
US Patent 5698664. This simple room temperature polymerisation results in polymers with narrow polydispersities,
i.e. polydispersities of 1.8 or less.
[0075] In one preferred embodiment of the process according to the present invention, the
polymerised dichloropolyphosphazene of step a) of the process of the present invention
has a polydispersity of 1.8 or less, preferably, of 1.7 or less, more preferably,
of 1.6 or less, even more preferably of 1.5 or less and most preferably of 1.4 or
less. In one preferred embodiment the polymerised dichloropolyphosphazene of step
a) of the process of the present invention has a polydispersity in the range of 1.0
to 1.8, preferably, 1.1 to 1.7, more preferably, in the range of 1.2 to 1.6 and most
preferably, in the range of 1.3 to 1.5.
[0076] The polymers in this state are very hydrolytically unstable, due to the labile chlorine
groups and must be stored in a dry, inert atmosphere. It is also critical that all
reagents used in the polymerisation and subsequent reactions are extremely dry as
H
2O reacts readily with dichloropolyphosphazenes.
[0077] However, the advantage of these labile chlorine atoms is that they can then be readily
substituted with the desired nucleophilic substituents, such as alcohols, thiols or
amines. In one preferred embodiment of the present invention, amine-capped organic
reagents in THF (wherein any dry polar solvent, such as dioxane would be also suitable)
and with an equimolar amount of triethylamine as a scavenger for the HCl by-product
are used.

[0078] In one preferred embodiment of the process of the present invention the pH sensitive
linker can be any linker resulting in a "pH sensitive functional group" as defined
above, i.e a "pH-sensitive functional group" which will respond to a pH lower than
6.5, i.e. which will be hydrolysed by a pH of lower than 6.5. Preferably, the pH-sensitive
functional group of the present invention will respond to a pH lower than 6.5, 6.4,
6.3, 6.4, 6.3, 6.2, 6.1, 6.0, 5.9, 5.8, 5.7, 5.6, 5.5, 5.4, 5.3, 5.2, 5.1, 5.0, 4.9,
4.8, 4.7, 4.6, 4.5, 4.4, 4.3, 4.2, 4.1 and 4.0. More preferably, the pH-sensitive
functional group of the present invention will respond to a pH in the range of 4.0
to 6.5, preferably, in the range of 4.5 to 6.0, more preferably, in the range of 4.5
to 6.0, and most preferably, in the range of 5 to 6.0 . Thus, any functional group
cleavable in an acidable environment (pH lower than 6.5, preferably lower than 6.0)
known to the person skilled in the art would be suitable. For the present invention,
the pH sensitive functional group is selected from the group consisting of hydrazide,
hydroxamate, imine, cyclic acetal and aconityl.
[0079] In one particular preferred embodiment for preparing a poly(organo)phosphazene molecule
conjugate according to the present invention the pH sensitive linker is selected from
the group consisting of formula 8 to 13

wherein X and R1 are defined as above.
[0080] In one particular preferred embodiment for preparing a poly(organo)phosphazene molecule
conjugate according to the present invention the pH sensitive linker is selected from
the group consisting of formula 14 to 19

[0081] In another preferred embodiment for preparing a poly(organo)phosphazene molecule
conjugate according to the present invention the pH sensitive linker is protected
before step b).
[0082] The term "protected" as used herein and unless otherwise defined refers to a group
that is added to an oxygen or nitrogen atom to prevent its further reaction during
the course of derivatization of other moieties in the molecule in which the oxygen
or nitrogen is located. A wide variety of oxygen and nitrogen protecting groups are
known to those skilled in the art of organic synthesis. Preferably, the protecting
group is selected from the group consisting of allyloxycarbonyl (Aloc), benzyl (Bn),
benzyloxycarbonyl (Cbz), benzyloxymethyl (BOM), tert-butoxycarbonyl (Boc), tert-butyldimethylsilyl
(TBS), tert-butyldiphenylsilyl (TBDPS), p-methoxybenzyl (PMB), methoxymethyl (MOM),
p-methoxyphenyl (PMP), tosyl (Ts), 2-tosylethoxycarbonyl (Tsoc), 2-(trimethylsilyl)ethoxycarbonyl
(Teoc), triisopropylsilyl (TIPS), trityl (Tr), fluorenylmethyl carbamate, fmoc, t-butyl
carbamate, benzyl carbamate, acetamide, tosylamide, triphenylmethylamine, benzylamine,
acetonide, benzylidene acetal, benzoic acid ester, benzoate ester, benzoate, pivalic
acid ester, pivalate ester, pivalate, acetic acid ester, acetate ester, acetate, t-butyldiphenylsilyl
ether, TBDPS ether, t-butyldimethylsilyl ether, TBDMS ether, benzyl ether, allyl ether,
t-butyl ether, tetrahydropyranyl ether, THP ether, methoxymethyl ether, MOM ether,
methyl ester,
t-Butyl ester, benzyl ester and 2-alkyl-1,3-oxazoline.
[0083] In one preferred embodiment of the process of the present invention the protected
pH sensitive linkers are selected from the group consisting of formula 20 to 25:

wherein PG is a protecting group as defined above.
[0084] In one particular preferred embodiment of the process of the present invention the
protected pH sensitive linkers are selected from the group consisting of formula 26
to 31

[0085] For instance, a hydrazone-containing linker capped with an ethylamine group and a
boc protecting group (King, H.D. et al., 1999) could be used for the present invention.
Such linker has a free amine group, for reaction with the polymer backbone.

[0086] The boc-protected hydrazide linker could be then added to the dichloropolyphosphazene.

[0087] Synthesis of any other pH sensitive functional group (as defined above) covalently
linked to the polymeric backbone of the poly(organo)phosphazenes of the present invention
are described below in the examples.
[0088] In another preferred embodiment the process for preparing poly(organo)phosphazenes
of the present invention further comprises the step of substitution of at least one
chlorine atom with a polyalkylene oxide between steps b) and c).
[0089] In one preferred embodiment the process for preparing poly(organo)phosphazenes of
the present invention further comprises the step of substitution of at least one chlorine
atom with a depsipeptide between steps b) and c).
[0090] In another preferred embodiment the process for preparing poly(organo)phosphazenes
of the present invention further comprises the step of substitution of at least one
chlorine atom with an amino acid alkyl ester between steps b) and c).
[0091] In one preferred embodiment the process for preparing poly(organo)phosphazenes of
the present invention further comprises the step of substitution of at least one chlorine
atom with a tumor targeting ligand between steps b) and c). In this respect any tumor-targeting
ligand known in the art and suitable to be covalently bound to polyalkylene oxide
oligomers could be used.
[0092] In one particular preferred embodiment of the process for preparing poly(organo)phosphazenes
according to the present invention, polyethylene glycol oligomers were synthesised
with an additional folic acid tumor-targeting ligand in a separate reaction, wherein
the diamino polyethylene glycol oligomers were firstly protected on one end. The remaining
amino group was then allowed to react with folic acid via a well-reported coupling
procedure with EDCI.

[0093] Following simple deprotection in TFA/CH
2Cl
2, the chosen amount (1-5 mol%) of the boc-protected was then added to the dichloropolyphosphazene,
previously substituted with the hydrazide linker. This substitution was allowed to
continue to completion (10-24h) before further steps.

[0094] In another preferred embodiment of the process for preparing poly(organo)phosphazenes
according to the present invention, chlorine atoms of the polyphosphazenes were substituted
in order to enhance the aqueous solubility of the poly(organo)phosphazenes. In this
respect any hydrophilic polyalkylene oxide based chain with an amine end group could
be used, wherein the length of the chain could be varied.
[0095] In a particular preferred embodiment of the process for preparing poly(organo)phosphazenes
according to the present invention step d) was performed by replacing the remaining
chlorine atoms with mono amine-capped polyalkylene oxide oligomers. These mono amine-capped
polyalkylene oxide oligomers add water solubility, hydrodynamic volume and number
of arms to the polymers (in this respect it should be noted that a large number of
arms might also be an important factor for renal clearance). Preferably, amine-capped
Jeffamines
® are used for this purpose. The excess PEO-PPO-NH
2 and remaining salts are then removed by dialysis.

[0096] In a third aspect, the present invention relates to the polyorganophosphazene molecule
conjugates obtainable by the process according to the present invention.
[0097] In a fourth aspect, the present invention relates to the polyorganophosphazene molecule
conjugates according to the present invention or to the polyorganophosphazene molecule
conjugates obtainable by the process according to the present invention for use in
medicine, preferably for use in the treatment of cancer.
[0098] In a fifth aspect, the present invention relates to pharmaceutical compositions comprising
a polyorganophosphazene molecule conjungate according to present invention or a polyorganophosphazene
molecule conjugate obtainable by the process according to the present invention and
a pharmaceutically active carrier.
[0099] Pharmaceutical compositions as defined herein typically can be formulated by methods
known to those skilled in the art preferably utilizing pharmaceutically acceptable
components. The term "pharmaceutically acceptable" refers to those properties and/or
substances which are acceptable to the patient from a pharmacological/toxicological
point of view and to the manufacturing pharmaceutical chemist from a physical/chemical
point of view regarding factors such as formulation, stability, patient acceptance
and bioavailability.
[0100] In this context, a pharmaceutically acceptable carrier and/or vehicle typically includes
the liquid or non-liquid basis of the inventive pharmaceutical composition. If the
inventive pharmaceutical composition is to be provided in liquid form as it is preferred
in the present invention the carrier will be typically pyrogen-free water; isotonic
saline or buffered (aqueous) solutions, e.g. phosphate, citrate etc. buffered solutions.
The injection buffer may be hypertonic, isotonic or hypotonic with reference to the
specific reference medium, i.e. the buffer may have a higher, identical or lower salt
content with reference to the specific reference medium, wherein preferably such concentrations
of the afore mentioned salts may be used, which do not lead to damage of cells due
to osmosis or other concentration effects. Reference media are e.g. liquids occurring
in
"in vivo" methods, such as blood, lymph, cytosolic liquids, or other body liquids, or e.g.
liquids, which may be used as reference media in
"in vitrd' methods, such as common buffers or liquids. Such common buffers or liquids are known
to a skilled person. Ringer-Lactate solution is particularly preferred as a liquid
basis.
[0101] In another aspect, the present invention concerns compounds for use in a method of
treatment of cancer which are poly(organo) phosphazenes according to the present claims.
Preferably, the poly(organo) phosphazene according to the present invention is to
be administered into the blood stream, i.e. intravenously.
BRIEF DESCRIPTION OF THE DRAWINGS
[0102]
Figure 1 shows a UV-Vis spectra in H2O of i) epirubicin (dotted line) and polyphosphazene 1 (dashed line) and polymer 1
loaded with 2 wt % epirubicin hydrochloride (continuous line); ii) folic acid (dotted
line) and polymer 5, loaded with 0.5 wt% folic acid.
Figure 2 shows the release of epirubicin from the hydrazide-linked polyphosphazene
at 37°C in acidic environment ■ (acetate buffer, pH 5), and a neutral solution ▼ (pH
7.4, phosphate buffer). The amount of the released epirubicin was estimated using
a calibration curve for the free drug.
Figure 3 shows GPC chromatographs showing the degradation of polymer 2 (left) and
polymer 7 (right) at 37°C in an aqueous buffer solution (pH 7.4). Broadening and decrease
in intensity and a shift to longer retention time of the polymer peak is observed
alongside an increase in the peak associated with the polyalkylene oxide side chains
as they are eliminated from the polymer. Polymer 7, incorporating 25 % ethyl glycinate
side groups, degrades considerably faster than for polymer 2, with no amino acid ester
side groups.
Figure 4 shows an ATR-FTIR spectrum of polymer 1. Significant bands include the P=N
stretching band of the polyphosphazene main chain at 1104cm-1, the C=O bands stemming from the hydrazone linker, a relatively large C-H band, predominantly
from the polyalkylene oxide side chains at 2867 cm-1 and the NH bands at 3292 cm-1 and 3500 cm-1.
Figure 5 shows a 31P NMR of polymer 1. A single broad peak is observed due to the mixed substitution
of the phosphazene backbone.
Figure 6 shows a 1H NMR of polymer 1 showing: a) Polyalkylene oxide CH2 protons, b)-OCH3 end groups c) Boc protecting group of the hydrazone linker and d) CH3- groups from the PPO groups of the polyalkylene oxide side chains.
Figure 7 shows an ATR-FTIR spectrum of polymer 7. Relevant bands include the P=N stretching
band of the polyphosphazene main chain at 1104cm-1, the C=O bands stemming from both the linker and the ethyl glycinate side groups,
a relatively large C-H band, predominantly from the polyalkylene oxide side chains
at 2867 cm-1 and the NH bands at 3292 cm-1 and 3500 cm-1.
Figure 8 shows a 1H NMR spectrum of polymer 7 showing: a) Polyalkylene oxide CH2 protons, b) -OCH3 end groups c) boc protecting group of the hydrazone linker d) CH3 groups of the ethyl glycinate groups and e) CH3- groups from the PPO groups of the polyalkylene oxide side chains.
Figure 9 shows a 31P NMR of polymer 7. A single broad peak is observed due to the mixed substitution
of the phosphazene backbone.
EXAMPLES
1. General Experimental
1.1. Materials
[0103] All solvents were dried using standard laboratory procedures. All synthetic procedures
were carried out either in a glove box (MBRAUN) under argon or under nitrogen using
standard schlenk line techniques. Epirubicin hydrochloride was purchased from Molekula
Deutschland Ltd. (Taufkirchen, Germany). Amine capped polyetheramine copolymers (PEOPPO-NH
2), sold under the trademane Jeffamines; were donated by Huntsman Performance Products
and used as received. Unless otherwise stated, the PEO-PPO-NH
2 had an M
n of 1000 and an ethylene oxide/propylene oxide ratio of 19/3. Where stated that a
2K poly-etheramine was used, it had an M
n of 2070 and ethylene oxide/propylene oxide ratio of 10/31. PCl
5 was purified by sublimation and stored under argon. Triethylamine was dried over
molecular sieves and distilled prior to use. All other chemicals were purchased from
Sigma Aldrich and used without prior purification. All glassware was dried in an oven
overnight prior to use.
1.2. Measurements
[0104] Characterisation by NMR spectroscopy was conducted on Bruker 200 MHz spectrometer
using CDCl
3, DMSO-d
6 or D
2O, as reported.
31P NMR was conducted using 85% phosphoric acid as an external standard. UV-Vis spectra
were carried out on a Perkin Elmer Lambda 25 UV/VIS spectrophotometer. Gel permeation
chromatography was carried out on a Viscotek HT-GPC instrument using two PLgel mixed
bead columns assembled in series and a refractive index detector. Molecular weights
were estimated from Viscothek Polycal polystyrene standards. Samples were eluted at
35°C with THF containing 0.1% (w/w) tetra-n-butyl ammonium nitrate. FTIR spectra were
measured with a Perkin Elmer Spectrum 100 FTIR spectrometer. A 1290 Infinity UPLC
system (Agilent Technologies, Vienna, Austria) equipped with a diode array detector
and a Zorbax Eclipse Plus C18 column (2.1 mm x 50 mm, 1.8 µm particle size) was used
for kinetic studies of the drug release. The samples were eluted at a flow rate of
0.5 mL/min at room temperature with a mobile phase composition of 25 % acetonitrile
in water (v/v) containing 0.1 % formic acid (v/v) in isocratic mode. UV detection
was carried out at 254 nm in the linear range of the detector.
1.3. Synthesis of monomer Cl3PNTMS (Honeyman, C.H. et al., 1994)
[0105] 40 g LiN(SiMe
3)
2 (239 mmol) were dissolved in 800 mL diethylether. The reaction was then cooled to
0°C and stirred for 30 min. 20,91 mL PCl
3 (239 mmol) were then added dropwise at 0°C. The solution was allowed to warm to room
temperature and stirred for 2.5 hours. After cooling to 0°C again, 19.35 mL SO
2Cl
2 (239 mmol) were added and the mixture was stirred for another 3 hours at 0°C. The
reaction was filtered through Celite and the volatiles removed under vacuum. The product
was purified by vacuum distillation (50°C, 4 mbar) to yield chlorophosphoranimine
as a colourless, viscous oil. The product was stored under inert argon atmosphere
at -40°C. Yield 35%;
1H NMR (CDCl
3): 8= 0.15 (s, 9H) ppm,
31P NMR (CDCl
3); -54.1 ppm.
1.4. Synthesis of β-alanyl-boc-hydrazide
[0106] The boc-protected linker, β-alanyl-boc-hydrazide was synthesised similar to literature
procedures (King, H. D. et al., 1999). β-Ala-OH (5.00 g, 22.4 mmol), boc-NH-NH
2 (2.96g, 22.4 mmol) and
N-(3-dimethylaminopropyl)-
N ethylcarbodiimide hydrochloride (EDCI) (4.51 g,23.51 mmol) were dissolved in 200
mL DCM and stirred for 2 hours at room temperature. The reaction mixture was extracted
with 200 mL of 0.1 M acetic acid. The aqueous layer was extracted three times with
50 mL DCM. The organic layers were then combined and extracted twice with 200 mL 0.1
M acetic acid, twice with 200 mL of saturated aqueous sodium hydrogencarbonate and
once with 200 mL H
2O. The organic layer was dried over MgSO
4, solvents removed under vacuum and the product then further dried under high vacuum
to yield β-alanyl-boc-hydrazide as a white powder. Alanyl-boc-hydrazide (5.01 g, 14.86
mmol) was hydrogenated at 3 bar in 150 mL methanol with 10% Pd-C (0.3g) for 24 hours.
The reaction was filtered through Celite and rotary evaporated. The product was dried
under high vacuum to yield β-Alanyl-BOC-hydrazide as white foam. Yield 65%, FTIR (solid)
νmax/cm
-1 = 32606
br (N-H), 2867 w (C-H), 1670
s (C=O).
1H-NMR (CDCl
3): 8= 1.46 (s, 9H), 2.50 (m, 2H), 3.13 (m, 2H), 5.30 (b, 4H) ppm.
1.5. Synthesis of pegylated folic acid
[0107] Di-
tert-butyl carbonate (0.9 g, 0.66 mmol) was added dropwise to a solution of
o,d-bis(3-aminopropyl)polyethylene glycol (144 mg, 0.6 mmol) in dioxane (20 mL) and triethylamine
(73 mg, 0.7 mmol). The mixture was the stirred at room temperature for 16 hours. The
solvent was removed under vacuum, the product dissolved in CH
2Cl
2 and reprecipitated into diethylether/hexane at -15°C. The white solid was filtered
and used for the next step. A portion of the product (320 mg) and EDCI (45 mg, 234
mmol) were added to a flask and placed under nitrogen. In a separate vessel, folic
acid (103 mg, 234 mmol) was dissolved with heating in DMF 25mL. The solution was returned
to room temperature and added to the reaction mixture. The mixture was stirred for
12h at room temperature. The DMF was removed under high vacuum and the product purified
in a Sephadex column, eluted with 0.1 M NaHCO
3. The product was then deprotected in a 2:1 CH
2Cl
2: CF
3COOH solution and stirred for 3 hours at room temperature after which the solvent
was removed under high vacuum. Overall yield 35%.
1H-NMR (d
6-dmso): δ= 1.69 (m, 4H), 1.92 (b, 2H), 2.12 (b, 2H), 2.74 (t, 4H), 3.14 1 (m, 2H),
3.85 (m, 2H), 4.08 (m, 1H), 4.43 (b, 2H), 6.63 (d, 2H), 6.83 (s, 2H), 6.59 (d, 2H),
7.93 (s, 1 H) 8.57 (s, 1 H) ppm. UV-Vis λmax (0.1M NaOH)/nm 228, 262 and 302 (
ε/dm
3 mol-
1 cm
-1 26900, 21500 and 11500).
1.6. Polymer synthesis
1.6.1. General polymer synthesis procedure
[0108] Polymers were synthesised according to Allcocks' procedure for the living cationic
polymerisation of chlorophosphoranimine (Allock, H.R. et al., 1996). The following
example procedure describes the procedure used for the synthesis of polymer 1. Other
polymers were synthesised accordingly, with the ratio of monomer to initiator varied
and the relative amounts of substituents adjusted in order to obtain polymers desired
polymers.
[0109] In the glove box, initiator PCl
5 (18.55 mg, 0.09 mmol) and monomer Cl
3PNTMS (0.51 g, 2.26 mmol) were dissolved in CH
2Cl
2 (5 mL) at room temperature. The solution was stirred for 12h and the solvent removed
under vacuum. The resulting polydichlorophosphazene was then dissolved in anhydrous
THF in an inert atmosphere. 0.2 equivalent of the hydrazide linker (0.18 g, 0.91 mmol)
and NEt
3 (0.09 g, 0.91 mmol) were then added to the polymer solution and allowed to react
for 24 hours. An excess of PEO-PPO-NH
2 (2.4eq, 10.86 g, 10.86 mmol) was then added to the reaction mixture and allowed to
react for a further 24 hours. The solvent was then removed under vacuum and resulting
polymers were purifed by dialysis (12 kDa cut-off) for 48 hours against deionized
H
2O followed by 24 hours against MeOH. The solvent was removed under a stream on nitrogen
and the polymers were dried under vacuum to give waxy solids or highly viscous liquids
in yields of 50-60%. All polymers were analysed by GPC analysis,
31P NMR,
1H NMR and FTIR spectros-copy. All other polymers were synthesized using this procedure
with the exception that polymers 5-6 were synthesised via the sequential addition
of 0.25 eq linker, 0.01 eq FA-PEO-NH
2 and then an excess (2.74eq) PEO-PPO-NH
2 and that polymers 7-9 were synthesised with 0.2 eq linker, followed by the desired
amount of PEO-PPO-NH
2 and then an excess of ethyl glycinate ester, with 24 hours reaction time allowed
between each addition.
1.6.1.1. Characterisation data for polymers 1-4
[0110]
Polymer 1: M:I 25:1, Linker:PEO-PPO 1:2; FTIR (solid) νmax/cm-1 = 3277 (N-H), 2881 (C-H), 1740 (C=O), 1688 (C=O) and 1106 (P=N); 1H-NMR (CDCl3): δ = 1.12 (br, 14H), 1.43 (s, . 9H), 3.37 (s, 6H), 3.64 (m, 170H); 31P NMR (CDCl3): δ = -1.5 (ppm). GPC (g mol-1) Mn = 32360, Mw = 41188.
Polymer 2: M:I 25:1, Linker:PEO-PPO 1:1.7; FTIR (solid) νmax/cm-1 = 3268 (N-H), 2865 (C-H), 1735 (C=O), 1687 (C=O) and 1104 (P=N). 1H-NMR (CDCl3): 8 = 1.13 (d, 16H), 1.47 (s, 9H), 3.38 (s, 6H), 3.64 (m, 144H). 31P NMR (CDCl3): δ = -0.7 (ppm). GPC (g mol-1) Mn = 31319, Mw = 46172.
Polymer 3: M:I 25:1, Linker:PEO-PPO 1:0.1; FTIR (solid) νmax/cm-1 = 3269 (N-H), 2872 (C-H), 1722 (C=O), 1672 (C=O) and 1093 (P=N). 1H-NMR (CDCl3): δ = 1.13 (d, 1 H) 1.46 (s, 9H), 3.38 (m, 0.3H), 3.65 (s, 9H). 32P NMR (CDCl3): 8 (ppm). GPC (g mol-1) Mn = 13968, Mw = 18220.
Polymer 4: M:I 25:1, Linker:PEO-PPO 1:1 (2070 Mn PEO-PPO-NH2 side chains); FTIR (solid) νmax/cm-1 = 3259 (N-H), 2863 (C-H), 1727 (C=O), 1646 (C=O) and 1101 (P=N). 1H-NMR (CDCl3): δ = 1.15 (d, 30H) 1.49 (s, 9H), 3.62 (b, 124H). 31P NMR (CDCl3): 8 (ppm). GPC (g mol-1) Mn = 48954, Mw = 63799.
1.6.1.2. Characterisation data for polymers 5 und 6
[0111]
Polymer 5: UV-Vis λmax (H2O)/nm 256, 283 and 368 (ε/dm3 mol-1 cm-1 26900, 25100 and 9120). FTIR (solid) νmax/cm-1 = 3289 (N-H), 2882 (C-H), 1653 (C=O), and 1107 (P=N). 1H-NMR (CDCl3): 8 = 1.11 (d, 15H), 1.41 (s, 9H), 3.35 (6H), 3.61 (s, 178H). 31P NMR (CDCl3): δ= -0.8 (ppm). GPC (g mol-1) Mn = 53200, Mw = 159800.
Polymer 6: UV-Vis λmax (H2O)/nm 256, 283 and 368 (ε/dm3 mol-1 cm-1 26900, 25100 and 9120); FTIR (solid) νmax/cm-1 = 3289 (N-H), 2882 (C-H), 1653 (C=O), and 1107 (P=N). 1H-NMR (CDCl3): δ = 1.12 (m, 12H), 1.46 (s, 9H), 3.35 (m, 6H), 5.30 (b, 160H). 31P NMR (CDCl3): δ = -0.8 (ppm). GPC (g mol-1) Mn = 33225, Mw = 81393.
1.6.1.3. Characterisation data for polymers 7-9
[0112]
Polymer 7: M:I 1:50, Linker: PEO-PPO: Ethyl glycinate 1:1.3:2; FTIR (solid) νmax/cm-1 = 3281 (N-H), 2866 (C-H), 1739 (C=O), 1691 (C=O), and 1108 (P=N). 1H-NMR (500MHz, CDCl3): 8= 1.14 (d, br, 9.2H), 1.26 (br, 6.4H), 1.45 (s, 9H), 3.38 (s, 4H), 3.65 (br, 108H).
31P NMR (CDCl3): δ (ppm) -0.3. GPC (g mol-1) Mn = 63197, Mw = 100688.
Polymer 8: M:I 1:50, Linker: PEO-PPO: Ethyl glycinate 1:1.4:1.7; FTIR (solid) νmax/cm-1 = 3280 (N-H), 2866 (C-H), 1739 (C=O), 1691 (C=O), and 1107vs (P=N). 1H-NMR (200MHz, CDCl3): δ= 1.12 (d, br, 10H), 1.26 (t, 4.5H), 1.44 (s, 9H), 3.38 (s, 5H), 3.65 (br, 120H).
31P NMR (CDCl3): 8 (ppm) - 0.6. GPC (g mol-1) Mn = 75681, Mw = 104429.
Polymer 9: M:I 1:50, Linker: PEO-PPO: Ethyl glycinate 1:1.4:1.3; FTIR (solid) νmax/cm-1 = 3292 (N-H), 2867 (C-H), 1793 (C=O), 1683 (C=O), and 1104 (P=N). 1H-NMR (200MHz, CDCl3): δ= 1.12 (d, br, 12H), 1.26 (t, 4.2H), 1.44 (s, 9H), 3.38 (s, 4H), 3.65 (br, 120H).
31P NMR (CDCl3): δ (ppm) 0.8. GPC (g mole-1) Mn = 68467, Mw = 103219.
1.7. Drug loading
[0113] A sample of the protected polymer (150 mg) was dissolved in a 2:1 CH
2Cl
2: CF
3COOH solution and stirred for 3 hours. The solvent was then removed under high vacuum.
The deprotected polymer was then added to anhydrous methanol (10mL) and 1 equivalent
per hydrazide group of epirubicin hydrochloride. The mixture was stirred under reflux
for 24 hours. The product was then purified by dialysis against methanol for 5 days.
The amount of epirubicin hydrochloride covalently bound to the polymers was measured
in H
2O by UV-Vis spectroscopy from the absorbance at 481 nm (ε =11200) (Erdinc, N. et al.,
2004).
1.8. Drug release
[0114] The release of the anticancer drug from the hydrazone-linked poly(phosphazene) epirubicin
conjugates was carried out at 37°C in aqueous buffers in the dark. An incubator was
used to control the temperature of the sample solutions during the release experiments.
In order to simulate the pH-value of tumor and healthy tissue the polymer-drug conjugates
were incubated in aqueous buffer solutions at pH 5 (0.1 M sodium acetate) and pH 7.2
(0.1 M phosphate), respectively. The sample vials were only removed from the incubator
for the short time of the analysis with UPLC (ultra performance liquid chromatography).
A 1290 Infinity UPLC system (Agilent Technologies, Vienna, Austria) equipped with
a diode array detector and a Zorbax Eclipse Plus C18 column (2.1 mm x 50 mm, 1.8 µm
particle size) was used for kinetic studies of the drug release. The samples were
eluted at a flow rate of 0.5 ml/min at room temperature with a mobile phase composition
of 25 % acetonitrile in water (v/v) containing 0.1 % formic acid (v/v) in isocratic
mode. UV detection was carried out at 254 nm in the linear range of the detector.
Injections of 1 µl were performed in regular time intervals after addition of the
buffer solution to the PPZ-EPI conjugates (2.5 mg/ml) and the amount of EPI released
from the PPZ was determined. For this purpose the calibration was carried out with
the pure substance epirubicin hydrochloride in acetate buffer (0.1 M, pH 5) in a concentration
range from 1 µg/ml to 50 µg/ml. The linear response of the detector was confirmed
by a correlation coefficient >0.99. Thus the peak areas allowed calculation of the
concentration of free EPI in the sample solutions.
1.9. Polymer degradation studies
[0115] Polymer samples (0.20g) were dissolved in a pH 7.4 phosphate buffer (5 mL) and incubated
at 37°C. An aliquot (0.25 mL) was then removed at regular intervals and the solvent
was evaporated. The polymer was then dissolved in THF, filtered through a 45µm PTFE
filter and analysed by GPC with an RI detector.
2. Synthesizing of different poly(organo)phosphazenes (polymers 1- 9) according to
the present invention
2.1. Synthesizing of comb-branched poly(organo)phosphazenes
[0116] Dichloropolyphosphazenes were synthesised by the polymerisation of chlorophosphoranimine
according to scheme 2. This simple room temperature polymerisation results in hydrolytically
unstable polymers with narrow polydispersities. The chlorine atoms were then substitued
with the required amount of boc-protected hydrazide linker (scheme 11).

[0117] This substitution was allowed to continue to completion before addition of an excess
of the hydrophilic, amine capped polyoxyalkylene copolymer (PEO-PPO-NH
2), thus replacing the remaining chlorine atoms to give a series polymers with excellent
aqueous solubility (with the exception of polymer 3, with only 5% PEO-PPO side chains.
The structures confirmed by
1H,
31P NMR and FTIR spectroscopy.
31P NMR analysis showed that all Cl atoms have been substituted with only one broad
peak being observed due to the mixed geminal substitution pattern (Hindenlang, M.D.
et al., 2010).
1H NMR spectrsocopy was therefore used to calculate the relative ratios of the two
substituents (table 1) by integration of the doublet associated with the PPO methyl
groups at 1.1 ppm versus the boc groups belonging to the hydrazide linker at 1.4 ppm.
GPC analysis was used to estimate the molecular weights of the polymers (table 1).
The molecular weights of the polymers could be carefully controlled by varying the
initial ratio of initiator to monomer and the susbsequent substituents. The measured
molecular weights measured by GPC calibrated against linear polystyrene standards
were a factor of 2-3 lower than that estimated by the initiator:monomer ratio, with
the factor greater for polymers with a higher molecular weight. This deferred elution
time being attributed to the branched, closely packed nature of the polymers, leading
to a lower hydrodynamic volume in comparison to the linear standards Kaskhedikar,
N. et al., 2006). The polydispersities Mw/Mn were measured to be 1.2-1.4. The slightly
higher usual range for these polymers (1-1.3) (Allock, H.R. et al., 1997) and is thought
to be a consequence of the mixed substitution of the side chains, which would be expected
to produce a statistical distribution of substituents.
Table 1
Polymer |
M:I |
Linker/PEO-PPO ratioa |
Mn (calc)/kg mol-1 |
Mnc/kg mol-1 |
Mw/Mn |
1 |
25:1 |
1:2 |
80 |
32 |
1.27 |
2 |
25:1 |
1:1.7 |
83 |
31 |
1.47 |
3 |
25:1 |
1:0.1 |
27 |
14 |
1.30 |
4* |
25:1 |
1:1 |
159 |
49 |
1.30 |
5 |
50:1 |
1:2 |
160 |
53 |
1.25 |
6 |
25:1 |
1:2 |
81 |
34 |
1.28 |
a Measured by 1H NMR; b Calculated from the initial monomer:initiator and side group ratios; c Measured by GPC analysis and calibrated against linear polystyrene standards; * Synthesised
with 2070 Mn PEO-OPO-NH2 side chains |
2.2. Conjugation of folic acid
[0118] Polymers 5 and 6 were also synthesized with an additional folic acid tumor-targeting
ligand. The folate receptor has been shown to be over-expressed in many human cancers
(Lu, Y.J. et al., 2002) and its conjugation to macromolecular, carriers has been successfully
implemented by a number of authors (Lu, Y.J. et al., 2002, Zhang, Y.Q. et al., 2010;
Pan, D. et al., 2003, Zhang, Y.H. et al., 2010). FA-PEO-NH
2 (M
n≈1940) was synthesised via coupling of the γ- carboxylic acid group to a mono boc-protected
diamine. Following deprotection, the FA-PEO-NH
2 was added, in small amounts (<1%), to the polymer chains in a sequential substitution
reaction as described earlier. UV-Vis spectroscopy was used to confirm the incorporation
of folic acid moieties in the polymers (figure 1). Observed 0.5 wt% of the 5 pegylated
folic acid gives an average of 1-2 folic acid moieties per macromolecule.
2.3. Loading of epirubicin
[0119] The boc protected hydrazide groups on the polymers were deprotected with CF
3COOH and the resulting amine groups allowed to react with carbonyl group in the side
chain of the anti-cancer drug epirubicin (a stereoisomer doxorubicin) (scheme 12).

[0120] The polymer-drug conjugates were then purified by dialysis for several days against
methanol. Successful loading of the drug was confirmed, and the % loading calculated,
by UV-Vis analysis (figure 1) from the absorbance at 481 nm. Loading was, however,
lower than expected (=2-3%), with only approximately 10% of the total available hydrazide
groups bearing drug moeities. Further reactions, in which the epirubicin-polymer solution
was heated to reflux did improve the loading and enabled the preparation of polymers
with a loading of up to 7%, which corresponds to approximately 40% of the total hydrazide
moieties.
2.4. pH controlled release of epirubicin
[0121] The release of epirubicin from the polymer-drug conjugates was then analysed by HPLC
under simulated physiological conditions at 37°C in a pH 7.4 phosphate buffer and
in an acidic medium at pH 5 in an acetate buffer solution (figure 2). At pH 5 a steady
release of the drug molecule from the polymer was observed, with 100% release from
the polymer-drug conjugate being observed within 15 hours. Meanwhile, only minimal
release was observed within a period of 24h from the polymers at pH 7.4. The rate
of release is comparable to reports from authors using similar hydrazide based polymer
systems (Lee, C.C. et al., 2006; Prabaharan, M. et al., 2009).
2.5 Biodegradability
[0122] The biodegradability of a selection of these polymers was tested at 37°C at pH 7.4
and at pH 5 and monitored by size exclusion chromatography. No significant degradation
is observed during the time-frame of the drug release (0-24 hours), making these polymers
viable candidates for the intended application of drug-delivery. The polymers did,
however, undergo degradation over longer periods under these simulated physiological
conditions (figure 3). A clear broadening and a shift to longer retention time of
the polymer peak is observed. Furthermore, a peak in the GPC chromatographs was observed
to appear at a later retention time. This peak, which increases in relative intensity
over time, corresponds to an Mn ≈1000, strongly suggesting that the polyalkyleneoxide
side chains are first ejected from the polymers. This supports previous studies which
suggest that the mechanism for degradation of amino substituted polyphosphazenes involves
removal of the side groups to form hydroxyphosphazenes and phosphazanes, which then
undergo rapid hydrolytic chain cleavage (Allock, H.R. et al., 1977). It has been reported
that the rate of degradation of polyphosphazenes can be altered significantly by careful
choice of substituents. In particular, the incorporation of amino acid side chains
has been shown to considerably decrease the hydrolytic stability of hydrophilic poly(organo)phosphazenes
(Vandorpe and Schacht, 1996; Andrianov and Marin, 2006). To this end, a series of
polymers via sequential addition of Linker were synthesized, PEO-PPO-NH
2 and then ethyl glycinate ester side chains in varying ratios (table 2).
Table 2
Polymer |
Ratio of substituentsa |
Mnc/kg mol-1 |
Mw/Mn |
Linker |
PEO-PPO |
Ethyl glycinate |
7 |
1 |
1.3 |
2 |
63 |
1.6 |
8 |
1 |
1.4 |
1.7 |
76 |
1.4 |
9 |
1 |
1.4 |
1.3 |
68 |
1.5 |
aDetermined by 1H NMR Monomer: initiator ratio used 1:50 |
[0123] The polymers all showed good water solubility but the incorporation of a third different
side chain led to a small increase in the polydispersity. As shown in figure 3, the
degradation is considerably accelerated upon incorporation of ethyl glycinate side
groups. After 2 weeks, the Mn of polymer 7, in which around 47% of the chlorine atoms
were substituted with ethyl glycinate groups, was reduced to 66% of its original value,
whereby polymer 2 had an Mn value 80% of its original. The effect of polymer molecular
weight, of steric crowding, as well as the different ratios of polyalkylene oxide
and amino acid ester groups render a direct correlation for the rate of degradation
for all polymers difficult and the precise impact of these relationships requires
further investigation (Vandorpe and Schacht, 1996) in order to attain a better understanding
and hence ability to truly tailor the precise required rate of degradability.
Conclusions
[0124] These results demonstrate the potential of polyphosphazenes to create defined and
tunable macromolecules for the targeted delivery of anti-cancer drugs. The present
invention describes the synthesis of hydrophilic, biodegradable polyphosphazenes via
the living polymerisation procedure. The polymers can be readily decorated with a
combination of targeting ligands and drug molecules. In addition, the present invention
demonstrates the pH triggered release of an anti-cancer drug from the polymer drug
conjugates, as well as the tailoring of the biodegradability by incorporation of amino
acid ester side groups. Thus, the polymers represent of the present invention extremely
promising candidates for the targeted delivery of anti-cancer drugs.
3. Examples of binding anti-cancer drugs to polyphosphazenes via a hydrazide linker
[0125] Below are two examples of how anti-cancer drugs that do not already possess an available
carbonyl or amine (for acontityl linker) functionality could also be bound to the
polymers.
3.1. Binding of cisplatin to poly(organo) phophazene according to the present invention
[0126] The cisplatin pro-drug of formula 32 is formed by a simple reaction of the well known
compound Pt (IV)Cl
2(OH)
2(NH
3)
2 with an anhydride (Aryal, Hu et al.). The platinum IV pro-drug would be rapidly reduced
to upon release to platinum II and hence would release the actual free drug cisplatin
and not the conjugate.

3.2. Binding of Paclitaxel to poly(organo)phophazene according to the present invention
[0127] A second example involves the synthesis of a prodrug of Paclitaxel LEV-PTX as reported
in the literature (Alani, Bae et al.). LEV-PTX (formula 34, centre) would allow the
simple coupling of this common anti-cancer drug to our polyphosphazene system via
the carbonyl group at positon 4.

4. Synthesis of poly(organo)phosphazenes covalently binding pH sensitive linkers
4.1. Imine linker
[0128]

[0129] An imine linker can be realised by reaction of the readily available n-boc ethylenediamine
with chloropholyphosphazene in an analgous reaction to that described for the hydrazide
linker above. Following deprotection, the amine bond can react with a carbonyl functionality
of a given drug compound. The imine bond hydrolyses much slower than the hydrazide
bond and is therefore less preferable.

4.2. Acetal Linkers
[0130]

[0131] Starting with 3-aminopropane-1,2-diol or 4-aminobutane-1,3-diol for the 5 or 6 membered
cyclic acetal respectively. Protection of the diol as cyclic acetal groups using standard
procedures gives an amino functionalised compound which can be used as a substituent
for the polyphosphazene substitution reaction. The diol functionalised polymer can
then react with the carbonyl group of the desired drug compound to form a pH labile
bond between the polyphosphazene and the drug compound.

4.3. Hydroxamate linker
[0132]

[0133] A hydroxamate linker can be easily synthesised using standard synthetic procedures.
Readily available benzyl protected alanine can be reacted with the chloropolyphosphazene
using the general procedure reported in the patent. The polymer would then be completely
substituted with polyalkylene oxide chains as reported in the patent. Following simple
deprotection and activation with an N-hydroxysuccinimide group (NHS) using standard
synthetic procedures, the polymer is reacted with N-methylhydroxylamine hydrochloride
or hydroxylamine as per (Kenawy, EI-Newehy et al. 2007), to give the hydroxamate linker.
This linker can bind to any carboxylate group of a given anti-cancer drug.

4.4. Acotinyl linkers
[0134]

[0135] Aconitic anhydride reacts with n-boc ethylenediamine (Yoo, Lee et al. 2002). This
product can then be used for the substitution of chloropolyphosphazene. The carboxylic
acid group can be used to couple anti-cancer drugs via an amine group.

LITERATURE
[0136]
S. F. EI-Amin, M. S. Kwon, T. Starnes, H. R. Allcock and C. T. Laurencin, J. Inorg.
Organomet. Polym. Mater., 2006, 16, 387-396:
H. R. Allcock, in Chasin, M. and R. Langer, Editon edn., 1990, pp. 163-194.
V. Blackstone, A. J. Lough, M. Murray and I. Manners, Journal of the American Chemical
Society, 2009, 131, 3658-3667.
H. R. Allcock, C. A. Crane, C. T. Morrissey, J. M. Nelson, S. D. Reeves, C. H. Honeyman
and I. Manners, Macromolecules, 1996, 29, 7740-7747.
J. M. Nelson, A. P. Primrose, T. J. Hartle, H. R. Allcock and I. Manners, Macromolecules,
1998,31,947-949.
K. Matyjaszewski, M. K. Moore and M. L. White, Macromolecules, 1993, 26, 6741-6748.
J. M. Nelson and H. R. Allcock, Macromolecules, 1997, 30, 1854-75 1856.
S. Y. Cho and H. R. Allcock, Macromolecules, 2007, 40, 3115-3121.
H. R. Allcock, T. J. Fuller, D. P. Mack, K. Matsumura and K. M. Smeltz, Macromolecules,
1977, 10, 824-830.
S. E. M. Ibim, A. M. A. Ambrosio, M. S. Kwon, S. F. EI-Amin, H. R.
Allcock and C. T. Laurencin, Biomaterials, 1997, 18, 1565-1569.
H. R. Allcock, S. R. Pucher and A. G. Scopelianos, Biomaterials, 1994, 15, 563-569.
J. Vandorpe and E. Schacht, Polymer, 1996, 37, 3141-3145.
H. R. Allcock, S. R. Pucher and A. G. Scopelianos, Macromolecules, 1994, 27, 1071-1075.
A. Singh, N. R. Krogman, S. Sethuraman, L. S. Nair, J. L. Surgeon, P. W. Brown, C.
T. Laurencin and H. R. Allcock, Biomacromolecules, 2006, 7, 914-918.
S. Sethuraman, L. S. Nair, S. EI-Amin, R. Farrar, M. T. N. Nguyen, A. Singh, H. R.
Allcock, Y. E. Greish, P. W. Brown and C. T. Laurencin, J. Biomed. Mater. Res. Part
A, 2006, 77A, 679-687.
J. H. L. Crommen, E. H. Schacht and E. H. G. Mense, Biomaterials, 95 1992, 13, 511-520.
J. H. L. Crommen, E. H. Schacht and E. H. G. Mense, Biomaterials, 1992, 13, 601-611.
S. M. Ibim, A. A. Ambrosio, D. Larrier, H. R. Allcock and C. T. Laurencin, Journal
of Controlled Release, 1996, 40, 31-39.
S. Sethuraman, L. S. Nair, S. EI-Amin, M. T. Nguyen, A. Singh, N. Krogman, Y. E. Greish,
H. R. Allcock, P. W. Brown and C. T. Laurencin, Acta Biomater., 6, 1931-1937.
L. S. Nair and C. T. Laurencin, Prog. Polym. Sci., 2007, 32, 762-798.
A. K. Andrianov, A. Marin and B. E. Roberts, Biomacromolecules, 2005, 6, 1375-1379.
A. K. Andrianov, J. Inorg. Organomet. Polym. Mater., 2006, 16, 397-406.
J. Luten, M. J. van Steenbergen, M. C. Lok, A. M. 5 de Graaff, C. F. van Nostrum,
H. Talsma and W. E. Hennink, European Journal of Pharmaceutical Sciences, 2008, 33,
241-251.
M. D. Hindenlang, A. A. Soudakov, G. H. Imler, C. T. Laurencin, L. S. Nair and A.
H. R., Polymer Chemistry, 2010, Advance article DOI 10.1039/C1030PY00126K.
S. Lakshmi, D. S. Katti and C. T. Laurencin, Advanced Drug Delivery Reviews, 2003,
55, 467-482.
C. Chun, S. M. Lee, C. W. Kim, K. Y. Hong, S. Y. Kim, H. K. Yang and S. C. Song, Biomaterials,
2009, 30, 4752-4762.
G. D. Kang, S. H. Cheon and S. C. Song, International Journal of Pharmaceutics, 2006,
319, 29-36.
J. Y. Seong, Y. J. Jun, B. M. Kim, Y. M. Park and Y. S. Sohn, International Journal
of Pharmaceutics, 2006, 314, 90-96.
J. X. Zhang, L. Y. Qiu, Y. Jin and K. J. Zhu, J. Biomed. Master. Res. 20 Part A, 2006,
76A, 773-780.
L. Y. Qiu and M. Q. Yan, Acta Biomater., 2009, 5, 2132-2141.
Y. S. Sohn, H. Baek, Y. H. Cho, Y. A. Lee, O. S. Jung, C. O. Lee and Y. S. Kim, International
Journal of Pharmaceutics, 1997, 153, 79-91.
R. Song, Y. J. Jun, J. I. Kim, C. Jin and Y. S. Sohn, Journal of Controlled Release,
2005, 105, 142-150.
F. Greco and M. J. Vicent, Advanced Drug Delivery Reviews, 2009, 61, 1203-1213.
R. Haag and F. Kratz, Angewandte Chemie-International Edition, 30 2006, 45, 1198-1215.
C. C. Lee, E. R. Gillies, M. E. Fox, S. J. Guillaudeu, J. M. J. Frechet, E. E. Dy
and F. C. Szoka, Proc. Natl. Acad. Sci. U. S. A., 2006, 103, 16649-16654.
T. Lammers, V. Subr, K. Ulbrich, W. E. Hennink, G. Storm and F. Kiessling, Nano Today,
2010, 5, 197-212.
M. E. Fox, F. C. Szoka and J. M. J. Frechet, Accounts of Chemical Research, 2009,
42, 1141-1151.
H. Maeda, J. Wu, T. Sawa, Y. Matsumura and K. Hori, Journal of Controlled Release,
2000, 65, 271-284.
Y. J. Lu and P. S. Low, Advanced Drug Delivery Reviews, 2002, 54, 675-693.
E. R. Gillies and J. M. J. Frechet, Pure and Applied Chemistry, 2004, 76, 1295-1307.
R. Tong and J. J. Cheng, Polymer Reviews, 2007, 47, 345-381.
T. Etrych, P. Chytil, M. jelinkova, B. Rihova and K. Ulbrich, Macromolecular Bioscience,
2002, 2, 43-52.
M. Shin, H. Matsunaga and K. Fujiwara, Histochem Cell Biol, 133, 677-682.
C. H. Honeyman, A. J. Lough and I. Manners, Inorg. Chem., 1994, 50 33, 2988-2993.
H. D. King, D. Yurgaitis, D. Willner, R. A. Firestone, M. B. Yang, S. J. Lasch, K.
E. Hellstrom and P. A. Trail, Bioconjugate Chemistry, 1999, 10, 279-288.
N. Erdinc, S. Gokturk and W. Tuncay, Journal of Pharmaceutical Sciences, 2004, 93,
1566-1576.
N. Kaskhedikar, J. Paulsdorf, M. Burjanadze, Y. Karatas, D. Wilmer, B. Roling and
H. D. Wiemhofer, Solid State Ionics, 2006, 177, 703-707.
H. R. Allcock, S. D. Reeves, J. M. Nelson, C. A. Crane and I. Manners, Macromolecules,
1997, 30, 2213-2215.
Y. Q. Zhang, Y. H. Sun, X. P. Xu, X. Z. Zhang, H. Zhu, L. L. Huang, Y. J. Qi and Y.
M. Shen, Journal of Medicinal Chemistry, 2010, 53, 3262-3272.
D. Pan, J. L. Turner and K. L. Wooley, Chemical Communications, 65 2003, 2400-2401.
Y. H. Zhang, T. P. Thomas, A. Desai, H. Zong, P. R. Leroueil, I. J. Majoros and J.
R. Baker, Bioconjugate Chemistry, 2010, 21, 489-495.
M. Prabaharan, J. J. Grailer, S. Pilla, D. A. Steeber and S. Q. Gong, Biomaterials,
2009, 30, 5757-5766.
A. K. Andrianov and A. Marin, Biomacromolecules, 2006, 7, 1581-1586.
Gillies, E. R. and J. M. J. Fréchet, Pure and Applied Chemistry, 2004, 76 (7-8): 1295-1307.
Kenawy, E. R., M. EI-Newehy, et al. Biomacromolecules, 2007, 8: 196-201.
Lee, C. C., J. A. MacKay, et al. Nature Biotechnology, 2005, 23(12): 1517-1526.
Yoo, H. S., E. A. Lee, et al. Journal of Controlled Release, 2002, 82(1): 17-27.