WO 2018/071455 Al 19 April 2018 (19.04.2018) W ! P O PCT

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WO 2018/071455 Al 19 April 2018 (19.04.2018) W ! P O PCT (12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date WO 2018/071455 Al 19 April 2018 (19.04.2018) W ! P O PCT (51) International Patent Classification: (US). GHONE, Sanjeevani; 14 Adams Court, Plainsboro, A61K 47/62 (2017.01) C07D 403/14 (2006.01) New Jersey NJ 08536 (US). A61K 47/64 (20 .01) (74) Agent: GARRETT- WACKO WSKI, Eugenia et al; Kil- (21) International Application Number: patrick Townsend & Stockton LLP, Mailstop: IP Docketing PCT/US2017/055994 - 22, 1100 Peachtree Street, Suite 2800, Atlanta, GA 30309 (US). (22) International Filing Date: 10 October 2017 (10.10.2017) (81) Designated States (unless otherwise indicated, for every kind of national protection available): AE, AG, AL, AM, (25) Filing Language: English AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, BZ, (26) Publication Language: English CA, CH, CL, CN, CO, CR, CU, CZ, DE, DJ, DK, DM, DO, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, HN, (30) Priority Data: HR, HU, ID, IL, IN, IR, IS, JO, JP, KE, KG, KH, KN, KP, 10 October 2016 (10.10.2016) 62/406,077 KR, KW, KZ, LA, LC, LK, LR, LS, LU, LY, MA, MD, ME, 62/45 1,658 27 January 2017 (27.01.2017) MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, NZ, (71) Applicant: CELLERANT THERAPEUTICS, INC. OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, RW, SA, [US/US]; 1561 Industrial Road, San Carlos, California SC, SD, SE, SG, SK, SL, SM, ST, SV, SY,TH, TJ, TM, TN, 94070 (US). TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, ZW. (72) Inventors: JUNUTULA, Jagath R.; 34391 Tupelo Street, (84) Designated States (unless otherwise indicated, for every Fremont, California 94555 (US). SMITH, Sean W.; 3219 kind of regional protection available): ARIPO (BW, GH, NE 198th Place, Lake Forest Park, Washington 98155 GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, ST, SZ, TZ, (US). BORKIN, Dmitry; 301 Heights Lane, Apartment UG, ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, RU, TJ, 34a, Feasterville, Pennsylvania 19053 (US). DEGRADO, TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, DK, Sylvia; 53 Redwood Lane, Newton, Pennsylvania 18940 EE, ES, FI, FR, GB, GR, HR, HU, IE, IS, IT, LT, LU, LV, (54) Title: ISOQUINOLIDINOBENZODIAZEPINE (IQB)-l(CHLOROMETHYL)-2,3-DIHYDRO-lH-BENZO[E]INDOLE (CBI) DIMERS Scheme 2. Synthesis of ami o ! moiety and fina! ! -a noC i cSinter assenibiy A j 1. H2 , Pd/C ™ * ¾ ,NH6oc 1 NaH 2 . Bo¾0 2 . A!iBr NHBoc 0 NHBoc. 12 13 14 1. TEMPO OH Boc TEMPO . NBoc Boc p p c Bu s n DC HBoc ,,;^,,.NBoc .NBoc 18 16 17 C : C ! > O CSA, PhS0 a H .. , ' ,. Boc TFA ¾ Ρ Ρ ¾ , ¾ ii 2 . 11 -e7 EDC F DC NHBoc H 6 19a-e 18 N = 1-5 C ! O . 'n 20a, n= D 1 e O'' 20b, n=2 D8 7 © 28c, n=3 D6 3 20 =4 ( 0809) 00 208, n 5 805} Figure 2 o (57) Abstract: Provided herein are isoqumolidinobenzodiazepme (IQB)-l(chloromethyl)-2,3-dihydro-lH-benzo[e]indole (CBI) dimers, antibody-drug conjugates comprising them and methods of use for killing cells and treating disease. [Continued on nextpage] WO 2018/071455 Al llll II II 11III II I II III I i I I III II I II MC, MK, MT, NL, NO, PL, PT, RO, RS, SE, SI, SK, SM, TR), OAPI (BF, BJ, CF, CG, CI, CM, GA, GN, GQ, GW, KM, ML, MR, NE, SN, TD, TG). Declarations under Rule 4.17: — of inventorship (Rule 4.17(iv)) Published: ISOQU QL D ©BENZODIAZEPINE (IQB)-l(CHLOROMETHYL)-2,3- DIHYDRO-IH-BENZO[E]INDOLE (CBI) DIMERS STATEMENT AS TO FEDERALLY SPONSORED RESEARCH [0001] None. REFERENCE TO RELATED APPLICATIONS [0002] The present application is an international application which claims the benefit of the filing date of U.S. Provisional Application No 62/406,077, filed October 10, 2016 entitled "ISOQUINOLIDINO-DUOCARMYCIN DIMERS", and U.S. Provisional Application No 62/451,658, filed January- 27, 2017 entitled "ISOQUINOLIDINOBENZODIAZEPINE (IQB)-l (CH OMETHY )-2,3-D YD O-lH-BENZO[F.] NDO E (CBI) DIMERS", the entire contents of which is incorporated herein by reference for all purposes. BACKGROUND [0003] Benzodiazapines have been used as therapeutics. Benzodiazepine derivatives include pyrrolobenzodiazepines. Pyrrolobenzodiazepine dimers function as DNA cross- linking agents, e.g., by binding in the minor groove of DNA molecules. Certain of these have been suggested as antiproliferative agents in the treatment of cancer. [0004] Duocarmycins also have been used as therapeutics. Duocarmycins bind to the minor groove of DNA. They alkylate the adenine at the N3 position. The general structure of Duocarmycin has two key components - a DNA alkylation unit, such as l-(chioiOmethyl)- 2,3-d ydro- H-benz0[e] dole (CBI), and an indo!e-2 carbonyl unit that non-covalently binds DNA. SUMMARY [0005] The present invention provides isoquinolidinobenzodiazepine-l(chloromethyl)- 2,3-dihydro-lH-benzo[e jmdole (' QB-CB ") compounds and methods of use thereof. n one aspect, provided herein is a compound having the Formula I : Formula I wherein: the dotted bond shown between -C(R ) ~ and - N(R )- is independently a single bond or a double bond; o when a double bond is present between -C(R )- and -N(R )-, the -C(R a)- is olefmic and has a substituent R a, and R of the -N(R b)- is not present; o when a single bond is present between -C(R 3)- and -N(R b)~, the -C(R )- is saturated and has a hydrogen substituent in addition to the R substituent and R of the -N(R ) is present; R is independently H, or OH; if present, Rb is H , L-Rx or - L-Sc; -L-Rx is a linker L attached to a reactive moiety Rx, and -L-Sc is a linker L attached to a substance S ; where L, when on its own or when in combination with Rxor Sc, is a bond or is a moiety having 1-200 nonhydrogen atoms selected from C, N, O, S, or halogen, and optionally incorporates ether, oxo, carboxamidyl, urethanyl, branched, cyclic, unsaturated, heterocyclic, aromatic or heteroaromatic moieties; Rx s a reactive moiety; Sc s a target binding agent selected from a protein, a portion of a protein, a peptide or a nucleic acid; R2 is selected from H , OH, Ci-Cio alkyl, C2-C10 alkenyl or C2-C10 alkynyl; R3, R , R 4, R , R6, and R6' are each independently selected from H , OH, Ci- C10 alkyl, C2-C10 alkenyl or C2-C10 alkynyl, or, if Y is N , is not present; * each of R 5 or R5' is independently NH2 , CO2H, H , OH, C1-C10 alkyl, C2-C10 alkenyl, C2-C10 alkynyl, -L-Rx or -L-Sc, or, if Y is N , is not present; ® R7 is : * G'-Rb' is selected from OH, O-L, O-L-Rx, O-L-Sc, N H 2 , NH-L, NH-L-Rx, or NH-L-Sc; * each Y is, independently, N or C; * each D is, independently, (CH2)n where n = 0 -4, provided that at least one D is (CH2)n where n = 1-4; * X I is any of the listed formulae: l e C-C bond of the carbon bonded to C and CI in Formula I can exist in R or S forms, or the composition can be part of a racemic mixture. In preferred embodiments, the IQB-CBI compound has the S,S configuration and, preferably, is stereoismetrically pure. In another aspect provided herein is an antibody-drug conjugate having a structure of Formula II: Formula II wherem: is an antibody or antibody fragment; W-RM S a linking moiety formed by W and Rx, wherein W is a moiety attached a natural or unnatural amino acid residue of the antibody/antibody fragment and R x is a succinimidyi, maleimidyl, cyclooctynyl, aminooxy, bisulfony], sulfonyl, or isothiocyanate moiety, such that W-RM is a disulfide, a thiolated succinimidyi, an amino substituted succinimidyi, a (cyclooctyl)-l, 4 triazolyl, oxime substituted N- glycan, oxime, a substituted bis-sulfopropyl, a sulfonamidyl, an amide, or a thiocarbamate moiety; L is a linker; QB-CB is a compound having a structure of Formula I : wherein: the dotted bond shown between -C(R a)- and -N(R b)- is independently a single bond or a double bond; o when a double bond is present between -C(R ) ~ and -N(R )-, the -C(R ) ~ is olefmic and has a substituent R , and R of the -N(R b)- is not present; o when a single bond is present between -C(R )- and -N(R )-, the -C(R a)- is saturated and has a hydrogen substituent in addition to the R substituent and Rb of the -N(R )- s present; R is independently or OH; if present, Rb is H, or -L-; -L- is a linker L, where L is a bond or is a moiety having 1-200 nonhydrogen atoms selected from C, N, O, S, or halogen, and optionally incorporates ether, oxo, carboxamidyl, urethanyl, branched, cyclic, heterocyclic, aromatic or heteroaromatic moieties; R2 is selected from H, OH, Ci-Cio alkyl, C -C alkenyl or C2-C10 alkynyl; R3, R , R 4, R4' , R6, and R6' are each independently selected from H, OH, Ci- C10 alkyl, C2-C10 alkenyl or C2~Cio alkynyl, or, if Y is N, is not present; each of R 5 or R is independently H 2 , CO2H, H, OH, Ci-Cio alkyl, C2-C10 alkenyl, C2-C10 alkynyl, -L-, -L-Rx or -L-Sc, or, if Y is N, is not present; is H; G'-Rb' is selected from OH, O-L, O-L-Rx, O-L-Sc, NH2, NH-L, NH-L-Rx, or NH-L-Sc; each Y is, independently, N or C; each D is, independently, ( ¾) where n = 0-4, provided that at least one D is (CH2)n where n = 1-4; X is a spacer group selected from the following formulae: at least one of R , R5, R5' and G'-R ' comprises -L- n a preferred embodiment, the antibody-drug conjugate of Formula II has the following structure: Formula I wherein: an antibody or antibody fragment; W - M is a linking moiety formed by W and Rx, wherein W is a moiety attached a natural or unnatural amino acid residue of the antibody/antibody fragment and Rx is a succinimidyl, maleimidyl, cylooctynyl, aminooxy, bisulfonyl, sulfonyl, or isothiocyanate moiety, such that W-RM is a disulfide, athiolated succinimidyl, an amino substituted succinimidyl,
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