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Type of technology

Antibody conjugated drug molecule

Administration route

Intravenous, Oral, Subcutaneous, Topical (Rectal), Transdermal

Development state and regulatory approval

Active Pharmaceutical Ingredient (API)

ARX788

Development Stage

Phase III

Regulatory Approval

FDA granted orphan drug designation to ARX788 for the treatment of HER2-positive gastric cancer

Description

Antibody-drug conjugates (ADCs) employ site-specific antibodies incorporating non-natural amino acids, novel linker chemistries designed for both in vitro and in vivo stability, and a combination of existing and novel targeted receptor agonists as payloads. The primary mechanism of action for these ADCs involves the accumulation of free payload in the targeted tissues, which emerges as the predominant driver of biological activity. Due to this mechanism, the drug conjugate remains in the body for an extended period with increased plasma concentration peak stability compared to the parent drug.

Developer(s)

Ambrx
Originator
United States of America

Ambrx

Ambrx, founded in 2003 in San Diego, California, emerged from pioneering work in synthetic biology, specifically with the goal of expanding the genetic code to enable precise modifications of proteins. This idea was initiated by co-founders Peter Schultz and others from The Scripps Research Institute.

Johnson & Johnson
Originator

Johnson & Johnson

Technology highlight

1) ADC contains a novel linker molecule that conjugates the drug molecule/ therapeutic protein with the human antibody. 2) Linker molecule is a synthetic amino acid (SAA) with site-specificity, homogenous, and undergoes stable conjugation. 3) These ADCs are based on AMBRX's proprietary genetic code technology i.e., noncanonical amino acids (ncAA) based protein engineering (amber codon (UAG) suppression) 4) These ADCs target human antigen-presenting immune cells, binding to them to subsequently activate specific cell signaling pathways. This leads to stimulation or inhibition of the targeted protein synthesis. Consequently leading to a sustained pharmacological action of the API payload at the target site.

Illustration(s)

Technology main components

1) Payload (API) (Drug that has a functional group that forms a covalent linkage with phosphate linker) 2) Targeting Ligand (eg: Chimeric, humanized, or human antibodies) 3) Linker Arm (Eg: Pyrophosphate ester; triphosphate ester; Tetraphosphate ester) 4) Phosphate Group All these ingredients combine to form a complex. This complex is stable extracellularly and labile intracellularly.

Information on the raw materials sourcing, availability and anticipated price

Not provided

Safety, Efficacy and Evidence Summary

Safety

Phase 1 clinical trials of ARX788 revealed no dose-limiting toxicities or treatment-related serious adverse events (TEAE). 28/30 (93.3%) patients experienced at least one drug-related adverse event (AE) and 13.3% experienced grade 3 ARX788-related AEs. Preclinical studies in monkeys demonstrated a favorable safety profile for ARX788.

Efficacy

Not provided

Evidence Summary

Not provided

References and relevant studies

Not provided

APIs compatibility profile

API desired features
Water-soluble molecules

Water-insoluble molecules

Small molecules

ADC has targeted enzyme inhibitors such as dihydrofolate reductase inhibitors and thymidylate synthase inhibitors, DNA intercalators, glucocorticoid receptor agonists, nuclear receptor agonists, anti-inflammatory agents, DNA cleavers, topoisomerase inhibitors, anthracycline family of drugs, vinca drugs, the mitomycins, bleomycin, the cytotoxic nucleosides, pteridine, diynenes, podophyllotoxins, differentiation inducers, and taxols. Cytotoxic drugs such as duocarmycins and CC-1065 and analogs of CBI, MCBI, doxorubicin, aolastatins, combretastatin, etc. Other drugs are glucocorticoid agonists.

Proteins

Biotherapeutics such as Monoclonal Antibodies (Eg: Brentuximab vedotin, Trastuzumab emtansine, Polatuzumab vedotin, Inotuzumab ozogamicin, Moxetumomab pasudotox) are targeted for the ADC formulation. Therapeutic proteins are also targeted as a payload for the ADC formulation.

Additional solubility data

Not provided

Additional stability data

Not provided

API loading: Maximum drug quantity to be loaded

75-90 wt%

API co-administration

2 different APIs : Not provided

LogP

Min: 3 Max: 6

Scale-up and manufacturing prospects

Scale-up prospects

Ambrx has a manufacturing capacity of 2000 liters for ADC formulations.

Tentative equipment list for manufacturing

Not provided

Manufacturing

1. Expression and purification of antibodies with non-natural amino acids 2. Synthesis of ADC payloads and linkers 3. Site-specific conjugation 4. Intact Mass determination 5. DAR determination and antibody preparation evaluation

Specific analytical instrument required for characterization of formulation

1. Mass Spectrometry (using Thermo Deconvolution 2.0 Software) 2. HPLC 3. Flow Cytometry 4. LCMS

Excipients & delivery device(s)

Proprietary excipients used

No proprietary excipient used

Novel excipients or existing excipients at a concentration above Inactive Ingredient Database (IID) for the specified route of administration

No novel excipient or existing excipient used

Residual solvents used

No residual solvent used

Delivery device(s)

No delivery device

Additional features

Other features of the technology
  • Drug-eluting
Release properties

Preclinical studies of ARX788 show that the API released from the ADC increases with time.

Injectability

18-22 gauge needle is used for the ADC injection infusion

Stability

1. Structural stability - Preclinical studies show that ADCs have robust plasma stability coupled with rapid release of payload in a lysosomal environment. 2. Formulation stability - As a formulation, the stability data of ADC has not yet been disclosed.

Storage conditions and cold-chain related features

Not provided

Therapeutic area(s)

  • Oncology : "Prostate cancer"
Use case(s)
  • Treatment

Potential associated API(s)

Use of technology

Ease of administration
  • Administered by a community health worker
  • Administered by a nurse
  • Administered by a specialty health worker
Frequency of administration

Weekly, Monthly

User acceptance
Not provided

Targeted user groups

Age Cohort
  • Adults
  • Older Adults
Genders
  • All
Pregnant individuals

Unspecified

Lactating individuals

Unspecified

Healthy individuals

No

Comment

Not provided

Class(es)

anti-HER2 antibody drug conjugate

Development stage

Phase III

Clinical trial(s)

Foreseen/approved indication(s)

HER2-positive gastric cancer, advanced or metastatic HER2-positive breast cancer, and other solid tumors

Foreseen user group

Adults < 18 years of old having HER-2 positive gastric cancer

Foreseen duration between application(s)

Every 3 weeks

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

FDA granted orphan drug designation to ARX788 for the treatment of HER2-positive gastric cancer

Class(es)

anti-PSMA antibody drug conjugate

Development stage

Phase I/II

Clinical trial(s)

Foreseen/approved indication(s)

Prostate cancer

Foreseen user group

Adults who are <18 years old with metastatic castration-resistant prostate cancer

Foreseen duration between application(s)

Every 3 weeks; Every 4 weeks

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Class(es)

anti-CD-70 antibody drug conjugate

Development stage

Pre-clinical

Clinical trial(s)

Not provided

Foreseen/approved indication(s)

Not provided

Foreseen user group

Not provided

Foreseen duration between application(s)

Not provided

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Class(es)

IL2 cytokine (PEGlated)

Development stage

Pre-clinical

Clinical trial(s)

Not provided

Foreseen/approved indication(s)

Not provided

Foreseen user group

Not provided

Foreseen duration between application(s)

Not provided

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Description

Antibody drug conjugate for anti-inflammatory applications

Brief description

Antibody-drug conjugates (ADCs) comprising an antibody conjugated to an anti-inflammatory therapeutic agent via a phosphate-based linker with tunable extracellular and intracellular stability are described.

Representative patent

US11510993B2

Category

Not provided

Patent holder

Merck Sharp and Dohme LLC Ambrx Inc

Exclusivity

Not provided

Expiration date

November 15, 2038

Status

Active

Description

Phosphate based linkers for intracellular delivery of drug conjugates

Brief description

Phosphate-based linkers with tunable stability for intracellular delivery of drug conjugates are described. The phosphate-based linkers comprise a monophosphate, diphosphate, triphosphate, or tetraphosphate group (phosphate group) and a linker arm comprising a tuning element and optionally a spacer. A payload is covalently linked to the phosphate group at the distal end of the linker arm and the functional group at the proximal end of the linker arm is covalently linked to a cell-specific targeting ligand such as an antibody. These phosphate-based linkers have differentiated and tunable stability in blood vs. an intracellular environment (e.g. lysosomal compartment).

Representative patent

US10550190B2

Category

Not provided

Patent holder

Ambrx Inc; Merck Sharp and Dohme LLC

Exclusivity

Not provided

Expiration date

March 12, 2036

Status

Active

Description

Prostate-specific membrane antigen antibody drug conjugates

Brief description

This invention relates to prostate-specific membrane antigen (PSMA) antibodies and antibody drug conjugates comprising at least one non-naturally-encoded amino acid. Disclosed herein are αPSMA antibodies with one or more non-naturally encoded amino acids and further disclosed are antibody drug conjugates wherein the αPSMA antibodies of the invention are conjugated to one or more toxins. Also disclosed herein are non-natural amino acid dolastatin analogs that are further modified post-translationally, methods for effecting such modifications, and methods for purifying such dolastatin analogs. Typically, the modified dolastatin analogs include at least one oxime, carbonyl, dicarbonyl, and/or hydroxylamine group. Further disclosed are methods for using such non-natural amino acid antibody dru

Representative patent

US20220033518A1

Category

Formulation

Patent holder

Ambrx Inc

Exclusivity

Not provided

Expiration date

March 2, 2022

Status

Pending