(12) STANDARD PATENT (11) Application No. AU 2015212733 B2 (19) AUSTRALIAN PATENT OFFICE

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(12) STANDARD PATENT (11) Application No. AU 2015212733 B2 (19) AUSTRALIAN PATENT OFFICE (12) STANDARD PATENT (11) Application No. AU 2015212733 B2 (19) AUSTRALIAN PATENT OFFICE (54) Title Small molecule drug conjugates (51) International Patent Classification(s) A61P 35/00 (2006.01) (21) Application No: 2015212733 (22) Date of Filing: 2015.02.03 (87) WIPO No: WO15/114171 (30) Priority Data (31) Number (32) Date (33) Country 1401819.6 2014.02.03 GB 1419994.7 2014.11.10 GB 1407530.3 2014.04.29 GB (43) Publication Date: 2015.08.06 (44) Accepted Journal Date: 2018.06.07 (71) Applicant(s) Eidgenoessische Technische Hochschule Zurich (72) Inventor(s) Krall, Nikolaus;Decurtins, Willy;Neri, Dario;Scheuermann, Jorg;Wichert, Moreno (74) Agent / Attorney Davies Collison Cave Pty Ltd, Level 10 301 Coronation Drive, MILTON, QLD, 4064, AU (56) Related Art NIKOLAUS KRALL ET AL, "Small Targeted Cytotoxics: Current State and Promises from DNA-Encoded Chemical Libraries", ANGEWANDTE CHEMIE INTERNATIONAL EDITION, (2013-01-28), vol. 52, no. 5, doi:10.1002/ anie.201204631, pages 1384 - 1402 WO 2013167994 Al (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 W O 2015/114171 Al 6 August 2015 (06.08.2015) W I PO I P CT (51) International Patent Classification: (81) Designated States (unless otherwise indicated,for every A61K 47/48 (2006.01) A61P 35/00 (2006.01) kind of national protection available): AE, AG, AL, AM, AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, (21) International Application Number: BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DK, DM, PCT/EP2015/052214 DO, DZ, EC, EE, EG, ES, Fl, GB, GD, GE, GH, GM, GT, (22) International Filing Date: HN, HR, HU, ID, IL, IN, IR, IS, JP, KE, KG, KN, KP, KR, 3 February 2015 (03.02.2015) KZ, LA, LC, LK, LR, LS, LU, LY, MA, MD, ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, NZ, OM, (25) Filing Language: English PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, RW, SA, SC, (26) Publication Language: English SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, TM, TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, ZW. (30) Priority Data: 1401819.6 3 February 2014 (03.02.2014) GB (84) Designated States (unless otherwise indicated,for every 1407530.3 29 April 2014 (29.04.2014) GB kind of regional protection available): ARIPO (BW, GH, 1419994.7 10 November 2014 (10.11.2014) GB GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, ST, SZ, TZ, UG, ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, RU, (71) Applicant: EIDGENOESSISCHE TECHNISCHE TJ, TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, HOCHSCHULE ZURICH [CH/CH]; Wolfgang-Pauli- DK, EE, ES, Fl, FR, GB, GR, HR, HU, IE, IS, IT, LT, LU, Str.10, CH-8093 Zurich (CH). LV, MC, MK, MT, NL, NO, PL, PT, RO, RS, SE, SI, SK, (72) Inventors: KRALL, Nikolaus; Ziehrerplatz 2/20, A-1030 SM, TR), OAPI (BF, BJ, CF, CG, CI, CM, GA, GN, GQ, Wien (AT). DECURTINS, Willy; Feldeggweg 6, CH- GW, KM, ML, MR, NE, SN, TD, TG). 8810 Horgen (CH). NERI, Dario; Ziehlstrasse 35, CH- Published: 8107 Buchs (CH). SCHEUERMANN, Jirg; Quellenweg with internationalsearch report (Art. 21(3)) 5, CH-5436 Wfrenlos (CH). WICHERT, Moreno; Och senbodenweg 11, CH-8855 Wangen-Nuolen (CH). (74) Agent: MASCHIO, Antonio; Maschio & Soames IP Lim ited, 20 Carlton Crescent, Southampton Hampshire SOl5 2ET (GB). (54) Title: SMALL MOLECULE DRUG CONJUGATES (57) Abstract: A targeted therapeutic agent comprising a compound of formula (I): B-L-D, wherein: B is a low molecular weight binding moiety for Carbonic Anhydrase IX (CAIX); D is a drug moiety; and L is a linker group that undergoes cleavage in vivo for f4 releasing said drug moiety in an active form. The drug moiety is suitably a cytotoxic agent for targeted delivery to cancer cells ex pressing CAIX. The binding moiety B suitably comprises a sulfonamidothiadiazole moiety. The binding moiety B may comprise one, two or more groups capable of binding to CAIX. The linker group suitably comprises a disulfide bond and/or a triazole group and/or a cleavable peptide group. WO 2015/114171 PCT/EP2015/052214 1 SMALL MOLECULE DRUG CONJUGATES FIELD OF THE INVENTION 5 The present invention relates to the field of small molecule targeted drug conjugates (SMDCs) for the treatment of disease. In particular, the invention relates to SMDCs formed of a low molecular weight ligand for binding to Carbonic Anhydrase IX (CAIX), conjugated to a drug by a cleavable linker for delivery of the drug to targeted tissues or 10 cells. In one embodiment, the present invention relates to the application of such SMDCs for the delivery of drugs that can kill or inhibit tumour cells. BACKGROUND 15 The use of cytotoxic agents is at the basis of the treatment of cancer and other pathological conditions. Ideally cytotoxic agents should accumulate at site of disease, sparing normal tissues. In reality this does not happen. Many anticancer drugs do not preferentially accumulate in solid tumors. Indeed, it has been demonstrated in tumor-bearing mice that only a minimal portion of the injected drug reaches the neoplastic mass in comparison to 20 the amount of cytotoxic agent that reaches healthy organs. The targeted delivery of highly potent cytotoxic agents into diseased tissues is therefore desirable for the treatment of cancer and other serious conditions. By attaching a therapeutic effector through a cleavable linker to a ligand specific to a marker of disease, 25 the effector preferentially accumulates and acts at the intended site of action, thus increasing the effectively applied dose while reducing side effects. To date, monoclonal antibodies have been considered as the ligands of choice and, indeed, research in the field of antibody-drug conjugates (ADCs) has led to the recent approval of two ADCs for applications in oncology: brentuximab vedotin and trastuzumab emtansine. 30 However, antibodies are large macromolecules and thus often have difficulties penetrating deeply into solid tumors. In addition, they can be immunogenic and typically long circulation times can lead to premature drug release and undesired side effects. Moreover, WO 2015/114171 PCT/EP2015/052214 2 the production of ADCs is expensive, reflecting the need for clinical-grade manufacturing of antibodies, drugs and the resulting conjugates. The use of smaller ligands as delivery vehicles such as peptides or small drug-like 5 molecules could potentially overcome some of the abovementioned problems. Their reduced size should aid tissue penetration, they should be non-immunogenic and amenable to classic organic synthesis thus reducing manufacturing costs. The favorable properties of drug conjugates using folic acid or ligands against prostate-specific membrane antigen (PSMA) as delivery vehicles have been demonstrated and a folate conjugate has recently 10 entered Phase III clinical studies. However, only a few such conjugates have been successfully identified. W02006137092 describes the use of fluorophore-labeled Carbonic Anhydrase IX inhibitors for the treatment of cancers by inhibiting the activity of CAIX and thereby reversing 15 acidification of the extracellular environment of the tumour. There is no suggestion to use the CAIX inhibitors for targeting cytotoxic agents. Further CAIX inhibitors for the treatment of cancer are described in W02011098610 and W02004048544. The present inventors have found small molecule drug conjugates that target Carbonic Anhydrase IX (CAIX) expressing tumors. 20 SUMMARY OF THE INVENTION According to the first aspect of the invention, therefore, there is provided a targeted therapeutic agent comprising a compound of formula: 25 B-L-D (I), wherein: B is a low molecular weight binding moiety for a Carbonic Anhydrase; D is a drug moiety; and L is a linker group that undergoes cleavage in vivo for releasing said drug moiety in an 30 active form. The binding moiety B suitably binds to a tumor-associated carbonic anhydrase enzyme, most preferably it binds to Carbonic Anhydrase IX (CAIX). The binding to the carbonic WO 2015/114171 PCT/EP2015/052214 3 anhydrase is suitably selective or specific, whereby the binding moiety B accumulates in vivo at sites, such as tumors, where carbonic anhydrase is present at elevated levels. Alternatively or additionally, the binding moiety may bind to other carbonic anhydrases such as Carbonic Anhydrase XII. 5 Suitably, the compound of Formula (I) has a molecular weight less than about 8,000, more suitably less than about 5000, and most suitably less than about 2000. In contrast to antibodies, small molecules can diffuse out of blood vessels in a matter of seconds. The distribution is not restricted to perivascular space, but involves also deep penetration into 10 tissues. This results in faster, deeper and more efficient drug targeting by the agents of the invention. In another aspect, the present invention provides a targeted therapeutic agent in accordance with the first aspect of the invention, for use in the treatment of a neoplastic disease, 15 preferably for the treatment of a solid tumor, more preferably for the treatment of renal cell carcinoma. In another aspect, the present invention provides a pharmaceutical composition comprising a targeted therapeutic agent according to the first aspect of the invention. 20 In another aspect, the present invention provides a product comprising a compound of Formula (I) as defined herein and a cleavage agent for cleaving said cleavable linker L, as a combined preparation for sequential administration in the treatment of cancer. 25 In another aspect, the present invention provides a method of treating a neoplastic disease, preferably a solid tumor such as renal cell carcinoma, comprising administering an effective amount of a pharmaceutical composition according to the present invention to a patient in need thereof.
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