ENGINEERED LIPOSOMAL PARTICLES CONTAINING CORE-LOADED PRO-DRUGS FOR THE CONTROLLED
RELEASE OF CAMPTOTHECINS
This application claims the benefit of U.S. Provisional Patent
Application Serial No. 60/331,908 filed November 20, 2001.
Technical Field
The present invention relates to camptothecin pro-drugs comprising camptothecin-20-aminoester derivatives loaded into the aqueous core of a liposome. The invention further relates to methods for reducing toxicity and extending in vivo survival of a camptothecin or camptothecin analogue, comprising synthesizing camptothecin-20-aminoester derivatives and loading them into the aqueous core of a liposome. Still further, the invention relates to pharmaceutical compositions comprising the camptothecin pro-drugs as described, and to methods of inhibiting topoisomerase I and treating cancer in a mammal using the camptothecin pro-drugs.
Background of the Invention
Camptothecin and related analogs (Figure 1) represent an important
class of agents useful in the treatment of cancer. The widespread clinical
interest in the camptothecins stems from their unique mechanism of action:
they stabilize the covalent binding of the enzyme topoisomerase I (topo I), an
intranuclear enzyme that is overexpressed in a variety of tumor lines, to DNA.
This drug/enzyme/DNA complex leads to reversible, single strand nicks that,
according to the fork collision model, are converted to irreversible and lethal
double strand DNA breaks during replication. Therefore, due to the
mechanism of its cytotoxicity, CPT is S-phase specific, indicating that it is
only toxic to cells that are undergoing DNA synthesis. Rapidly dividing
cells, such as cancerous cells, spend more time in the S-phase relative to
healthy tissues. Thus, the overexpression of topo I, combined with the
faster rate of mitosis, provide a limited basis for selectivity via which
camptothecins can effect cytotoxicity on cancerous cells rather than healthy
host tissues.
As a class, the camptothecins have exhibited unique dynamics and
reactivity in vivo, both with respect to drug hydrolysis and blood protein
interactions. These factors have confounded their pharmaceutical development
and clinical implementation. In terms of hydrolysis, each of the clinically
relevant camptothecins shown in Figure 1 contains an α-hydroxy-δ-lactone
pharmacophore; at pH 7 and above this functionality is highly reactive and
readily converts to the "ring opened" carboxylate form (as is shown for
camptothecin in Figure 2). Unfortunately, the carboxylate form of the
camptothecin agent is inactive. Thus, as a result of the labile α-hydroxy-δ-
lactone pharmacophore, camptothecins exist in an equilibrium consisting of
two distinct drug species: 1) the biologically active lactone form where the
lactone ring remains closed; and 2) a biologically-inactive carboxylate form
generated upon the hydrolysis of the lactone ring of the parent drug.
This hydrolysis problem with camptothecin and many analogs (e.g.
9-aminocamptothecin, 9-nitrocamptothecin) is exacerbated in human blood.
In human blood and tissues, the camptothecin equilibrium of active lactone
form vs. inactive carboxylate form can be greatly affected by the presence of
human serum albumin (HSA). Time-resolved fluorescence spectroscopic
measurements taken on the intensely fluorescent camptothecin lactone and
camptothecin carboxylate species have yielded direct information on the
differential nature of these interactions with HSA. The lactone form of
camptothecin binds to HSA with moderate affinity yet the carboxylate form of
camptothecin binds tightly to HSA, displaying a 150-fold enhancement in its
affinity for this highly abundant serum protein. Thus, when the lactone form
of camptothecin is added to a solution containing HSA, the preferential
binding of the carboxylate form to HSA drives the chemical equilibrium to the
right, resulting in the lactone ring hydrolyzing more rapidly and completely
than when camptothecin is in an aqueous solution without HSA.
These dynamic processes present a major hurdle to achieving
successful chemotherapy for a cancerous disease state. I n a d d i t i o n t o
modulating human blood stability, it has been shown that the presence of
physiologically relevant concentrations of HSA can greatly attenuate (by
several orders of magnitude) the anticancer activities (IC50 values) of these
agents. In humans it appears that protein binding interactions make it
difficult to achieve therapeutically effective unbound lactone levels of these
agents, particularly when one considers that continuous exposures (for tumor
cells to cycle through S-phase) of the active lactone form are requisite for
efficacy purposes.
Liposomes have been shown to provide an excellent means by which to
stabilize the biologically-active lactone form of camptothecins. Water-soluble
drugs such as topotecan can be entrapped within the pH-adjusted aqueous
compartments of liposomes with the acidic microclimate of liposomes
stabilizing the active lactone form. Lipophilic drugs can partition into the
bilayer where the lactone ring is stabilized and protected from hydrolysis.
Liposomes can also serve as controlled release depots. The camptothecins are
S-phase specific drugs, and it has been shown that optimal activity is obtained
when the tumors of a patient are exposed to the drugs for continuous periods
of time. Liposomes that target tumors and slowly release drug (such that tumor
cells are continuously exposed to drug) appear as attractive drug delivery
systems to pursue.
The first FDA approval of a liposomal anticancer product was
liposome-encapsulated doxorubicin (Doxil) from SEQUUS (now ALZA). In
early 1996 liposome-encapsulated daunorubicin (DaunoXome) from Nexstar
(now Gilead) was also approved for marketing. Both products use
unilamellar liposome configurations composed of phosphatidylcholines
with saturated fatty acid chains and cholesterol as their basic ingredients.
These lipids in combination create a durable bilayer that prevents the leakage
of drug from the vesicle. The tough bilayer also deters the opsonization
process from occurring. The Doxil formulation includes 5%
polyethyleneglycol (PEG)-linked distearoyl-phosphatidyethanolamine in the
liposome, which effectively extends the lifetime of the liposome in
circulation. Studies have shown that the Doxil and Daunoxome products pass
through the fenestrated vasculature of growing tumors; thus, the leaky nature
of the vasculature promotes drug accumulation. An excellent example of this
is Kaposi's sarcoma, a common cancer in patients with AIDS, that is known to
respond well to tumor-targeted liposomes; the enhanced accumulation of drug
at the tumor site has been directly attributed to the leaky blood vessels that are
characteristic of Kaposi's sarcoma. The successful use of the Doxil and
Daunoxome medications described above (and other favorable clinical results
obtained with TLC-99 liposomal doxorubicin) has been achieved as a result of
30 years of intensive and persistent research and development.
Clearly, the past several years have seen rapid advancement and
progress in both the camptothecin drug development field as well as the
liposomal drug delivery arena. A number of companies have been active in
the liposomal formulations of camptothecins in recent years. The lead
liposomal camptothecin is GG 211. Both Gilead and ALZA developed
liposomal formulations of this agent. Both companies reported encouraging
findings that liposomal formulation resulted in 3 to 5-fold gains in the
efficacy of the agents against human cancers carried in murine models. In
addition to GG211, Inex has reported favorable results in formulating
topotecan in liposomes, showing a significant improvement in efficacy
through the liposomal formulation process. There is also significant interest in
liposomal aerosol formulations of 9-AC and 9-NC, although these drugs only
load into the bilayer compartment of liposomes since they lack a basic amino
functionality necessary for core-loading. Core-loaded liposomal formulations
of CPT-11 have also been prepared and evaluated. Liposomal core-loading of
camptothecins has been limited to date to agents such as topotecan, CPT-11%
GG-211, and CKD602 which actively load using ion gradients into pre-made
liposomes.
Summary of the Invention
In accordance with the purposes of the present invention as described
herein, the present invention provides a composition comprising a
camptothecin-20-aminoester derivative having the structure:
wherein R1 may be hydrogen, a halogen atom, a branched or linear
alkyl group, a branched or linear alkenyl group, a C3.7 cycloalkyl group, a
branched or linear alkynyl group, an alkoxy group, an alkylamino group, a
dialkylamino group, an alkylthiol group, a thiol group, a phenyl group, an
amino group, a nitro group, a cyano group, or (CH2)γNR8R9, wherein: (a) Y is
an integer from 1-10 and Rg and R9 are, independently, hydrogen, an alkyl
group, an alkenyl group , an alkynyl group, an amine, an alkyl amine, a dialkyl
amine, a hydroxy group, an alkoxy group, an acyl group, or a carbamate, and
(b) R8, Rg and the nitrogen to which they are attached may form a saturated or
unsaturated three- to ten-membered heterocyclic ring containing O, S, and
NR10 wherein R10 is a hydrogen, an alkyl group, an alkenyl group, an alkynyl
group, an alkoxy group or a carbamate. R1 may also be a CM0 cycloalkyl
group, a C,.10 cycloalkenyl group, or a C,.10 cycloalkynyl group.
R2 may be hydrogen, a halogen atom, a linear or branched alkyl group,
a linear or branched alkenyl group, a linear or branched alkynyl group, an
amino group, an alkylamino group, a dialkylamino group, a nitro group, a 3-10
membered heterocyclic ring, a C3.10 cycloalkyl group, a C3.10 cycloalkenyl
group, a C3.10 cycloalkynyl group, a thiol group, or a cyano group. R2 may
also be (CH2)YNR8R9, wherein: (a) Y is an integer from 1-10; and (b) R8 and
R9 are, independently, hydrogen, an alkyl group, an alkenyl group , an alkynyl
group, an amine, an alkyl amine, a dialkyl amine, a hydroxy group, an alkoxy
group, an acyl group, or a carbamate; and (c) R8, Re, and the nitrogen to which
they are attached may form a saturated or unsaturated tliree to ten membered
heterocyclic ring.
R3 may be hydrogen, a halogen atom, a linear or branched alkyl group,
a linear or branched alkenyl group, a linear or branched alkynyl group, an
amino group, an alkylamino group, a dialkylamino group, a nitro group, a 3-10
membered heterocyclic ring, a C3.10 cycloalkyl group, a C3.10 cycloalkenyl
group, a C3-10 cycloalkynyl group, a thiol group, a cyano group, a hydroxyl
group, or may be a compound having the formula (CH2)YNR8R9, wherein: (a)
Y is an integer from 1-10; (b) R8 and R9 are, independently, hydrogen, an alkyl
group, an alkenyl group, an alkynyl group, an amine, an alkyl amine, a dialkyl
amine, a hydroxy group, an alkoxy group, an acyl group, a carbamate; and (c)
R8, R9 and the nitrogen to which they are attached may form a saturated or
unsaturated three to ten membered heterocyclic ring.
R4 may be a hydrogen, a halogen atom, a hydroxy group, an amino
group, a methoxy group, an alkyl group, an alkynyl group or an alkenyl group.
R5 may be hydrogen or fluorine. R6 may be an alkyl group, an alkenyl group,
an alkynyl group, or a benzyl group. R7 may be a side chain of a naturally
occurring amino acid, or a compound having the formula (CH2)LNR14R15,
wherein L is an integer ranging from 1-30 and R14 and R15 are independently
the same or different and are hydrogen, a CW5 alkyl group, a C2-15 alkenyl
group, a C2-i5 alkynyl group or an aryl group.
R1 may be linked to R2 in accordance with the structure R1(CH2)QR2,
wherein Q represents an integer 1-10, a SiRπR12R13 group. Q may also
represent a compound having the formula (CH2)FSiRnR12R13, wherein F is an
integer from 1-10, and Rn, R12 and R13 independently represent hydrogen, a
halogen atom, an alkyl group, an alkenyl group, an alkynyl group, a C3.10
cycloalkyl group, a C3.10 cycloalkenyl group, a C3.10 cycloalkynyl group, an
amino group, or a hydroxy group. R2 may be linked to R3 in accordance with
the structure R2(CH2)GR3, wherein G is an integer from 1-10, and one or more
N, O or S atoms are substituted for one or more -CH2- groups.
R3 may be linked to R4 in accordance with the structure R3(CH2)GR4
wherein G is an integer from 1-10, and one or more N, O or S atoms are
substituted for one or more -CH2- groups. Typically, L will be an integer
ranging from 1-6.
Suitable camptothecins from which the camptothecin-20-aminoester
derivative may be derived include camptothecins selected from the group
consisting of SN-38, 9-aminocamptothecin, DX-8951f, GG-211, 9-
nitrocamptothecin, topotecan, CPT-11, lurtotecan, CKD-602, 10-
hydroxycamptothecin, and ST 1481.
In another aspect, the present invention provides a method for reducing
toxicity of a camptothecin, comprising the steps of synthesizing a
camptothecin-20-aminoester pro-drug, and incorporating the camptothecin-20-
aminoester pro-drug into an aqueous core of a liposome. The camptothecin-
20-aminoester pro-drug may be selected from compounds having the structure
as described above, and may be synthesized from any camptothecin as
described above.
In yet another aspect, the present invention provides a method for
extending in vivo survival of a camptothecin comprising the steps of
synthesizing a camptothecin-20-aminoester pro-drug having the structure as
described above, and incorporating the camptothecin-20-aminoester pro-drug
into an aqueous core of a liposome. The camptothecin-20-aminoester pro-
drug may be synthesized from the group of camptothecins as described above.
In still yet another aspect of the present invention, a phaπnaceutical
composition is provided, comprising an amine-containing camptothecin
derivative incorporated into an aqueous core of a liposome. The amine-
containing camptothecin derivative is typically a camptothecin-20-aminoester
having a structure as described above. The pharmaceutical composition may
be derived from any of the group of camptothecins as described above.
In still yet another aspect of the present invention, a method of forming
a topoisomerase I-inhibiting camptothecin compound in a mammal is
provided, comprising administering a liposome preparation comprising a
liposome containing a camptothecin-20-aminoester derivative in an aqueous
core. The liposome preparation is administered to a mammal in an amount
sufficient to inliibit topoisomerase I. The camptothecin-20-ester may have the
structure as substantially described above, and may be derived from any of the
group of camptothecins as described above. Typically, a sufficient amount of
the liposome preparation of the present invention will be administered to
provide from about 1 to about 200 mg/kg body weight per week of the
camptothecin-20-aminoester derivative. The liposome preparation may be
administered parentally.
In still yet another aspect of the invention, a method of treating cancer
in a mammal, including a human, is provided comprising administering an
effective "amount of a liposome preparation. The liposome preparation may
comprise a liposome containing a camptothecin-20-aminoester derivative
having the structure as described above in the aqueous core of the liposome.
The camptothecin-20-aminoester derivative may be derived from a
camptothecin selected from the group consisting of SN-38, 9-
aminocamptothecin, DX-8951f, GG-211, 9-nitrocamptothecin, topotecan,
CPT-11, lurtotecan, CKD-602, 10-hydroxycamptothecin, and ST1481 as
described above. Typically, a sufficient amount of the liposome preparation of
the present invention will be administered to provide from about 1 to about
200 mg/kg body weight per week of the camptothecin-20-aminoester
derivative. The liposome preparation may be administered parentally.
Other objects and applications of the present invention will become
apparent to those skilled in this art from the following description wherein
there is shown and described a preferred embodiment of this invention, simply
by way of illustration of the modes currently best suited to carry out the
invention. As it will be realized, the invention is capable of other different
embodiments and its several details are capable of modification in various,
obvious aspects all without departing from the mvention. Accordingly, the
drawings and descriptions will be regarded as illustrative in nature and not as
restrictive.
Brief Description of the Drawings
The accompanying drawing incorporated in and forming a part of the
specification illustrates several aspects of the present invention and, together
with the description, serves to explain the principles of the invention. In the
drawing:
Figure 1 shows the structures of clinical candidates and FDA-approved
analogs in the camptothecin family of antitumor agents.
Figure 2 schematically depicts camptothecin hydrolysis at
physiological pH.
Figure 3 shows a structural comparison between SN-38 and DB-67.
Figure 4 schematically depicts the two compartments for drug loading
that are contained within a lipid vesicle. The top panel represents the
situation where an entrapped drug loads predominantly into the lipid bilayer
compartment; the lower panel represents drug loading into the aqueous cavity
contained in the core of the liposomal particle.
Figure 5 shows the mechanism of active drug loading in a liposomal
particle, whereby an amine-containing agent loads into the particle by a
gradient caused by ammonia gas diffusing out of the particle, thereby creating
a driving force for an amine-containing compound to enter the liposome.
Upon being suspended in blood, forces act on the drug and the liposome
promoting release of the agent.
Figure 6 schematically depicts the structures of camptothecin and related camptothecin-20-ester analogs displaying enhanced E-ring lactone stability.
Figure 7 shows a HPLC chromatogram depicting the separation of
camptothecin from camptothecin carboxylate.
Figure 8 shows a HPLC chromatogram depicting the markedly
improved solution stability of camptothecin-20-acetate relative to
camptothecin as shown in Figure 7.
Figure 9 illustrates the improved human blood stability of
camptothecin-20-acetate relative to camptothecin in phosphate buffered saline
and in human blood (1 μM drug concentration).
Figure 10 shows HPLC chromatograms depicting the high purity and
high stability in non-aqueous DMSO solution of a hydrochloride salt
preparation (left panel) and a trifluoroacetate salt preparation (right panel) of
camptothecin-20-glycinate ester.
Figure 11 shows HPLC chromatograms depicting the pronounced and
instantaneous reactivity of camptothecin-20-glycinate ester hydrochloride
upon addition to PBS buffer under near physiological conditions of ionic
strength and temperature.
Figure 12 shows HPLC chromatograms depicting the pronounced and
instantaneous reactivity of camptothecin-20-glycinate ester hydrochloride
upon addition to human blood.
Figure 13 illustrates the pronounced reactivity of camptothecin-20-
glycinate ester in human plasma (left panel) and human blood (right panel)
at an initial pro- drug concentration of 1 μM.
Figure 14 shows the impact of pH on the chemical decomposition of
camptothecin-20-glycinate ester in PBS buffer at 37 °C at a pro-drug
concentration of 1 μM.
Figure 15 shows the effect of pH on the reversibility of the formation
of the chemical degradation products of camptothecin-20-glycinate ester in
PBS buffer at 37 °C at a pro-drug concentration of 1 μM.
Figure 16 schematically depicts reaction mechanisms which
camptothecin-20-glycinate ester hydrochloride undergoes in aqueous
solution at 37 °C at a pro-drug concentration of 1 μM.
Figure 17 shows stability profiles of several different camptothecin
pro-drug structures in PBS buffer.
Figure 18 shows stability profiles of several different camptothecin
pro-drug structures in whole blood. Data sets are shown for both free drugs
in whole blood as well as core-loaded pro-drugs.
Figure 19 shows normalized fluorescence emission spectra of 1 μM
of camptothecin-20-glycinate ester hydrochloride in PBS buffer at different
pH values.
Figure 20 shows fluorescence excitation and emission spectra of 1
μM of camptothecin-20-glycinate ester hydrochloride in PBS buffer in the
presence and absence of 0.1 M dimyristoylphosphatidyl choline (DMPC) or
0.1 M dimyristoylphosphatidlyglycerol (DMPG) small unilamellar
liposomes.
Figure 21 illustrates the associations of camptothecin-20-glycinate
ester to small unilamellar vesicles composed of electroneutral DMPC
(Panel A) and DMPG (Panel B) suspended in phosphate buffered saline,
using fluorescence anisotropy titration.
Figure 22 shows the pronounced reactivity of camptothecin-20-
glycinate ester in the presence of varying concentrations of DMPC SUVs in
PBS buffer at 37 °C at pH 7.4 at an initial pro-drug concentration of 1 μM.
Figure 23 shows the pronounced reactivity of camptothecin-20-
glycinate ester in the presence of varying concentrations of DMPC SUVs in
PBS buffer at 37 °C at pH 10 (top panel) and pH 3.0 at an initial pro-drug
concentration of 1 μM.
Figure 24 illustrates the pronounced stabilization in PBS (left panel)
and whole human blood (right panel) which core loading of camptothecin-
20-glycinate ester hydrochloride into DSPC liposomes provides for pro-
drug stability at 37 °C at pH 7.4.
Figure 25 shows the pronounced stabilization in PBS (left panel) and
whole human blood (right panel) provided by core loading of
camptothecin-20-glycinate ester trifluoroacetate into DSPC liposomes has
on pro-drug stability at 37 °C at pH 7.4.
Figure 26 provides a comparison of the model membrane
associations of several A-ring and A,B-ring modified camptothecin
glycinate ester compounds to small unilamellar vesicles (SUVs) composed
of electroneutral dimyristoylphosphatidylcholine (DMPC) and negatively-
charged dimyristoylphosphatidylglycerol (DMPG) in PBS. Data sets are
also shown for camptothecin-20-glycinate ester, 7-chloromethyl-10,l l-
methylenedioxy-camptothecin-20-glycinate ester, 9-chloro- 10,l l-
methylenedioxycampto-thecin-20-glycinate ester, and 7-ethyl-10,l l-
methylenedioxycamptothecin-20-glycinate ester binding to DMPC and
DMPG bilayers.
Figure 27 provides a comparison of the equilibrium binding of
several E-ring modified camptothecin-20-OR esters (where R=CO[CH2]n
NH2HC1 where n= 1-3) to small unilamellar vesicles (SUVs) composed of
electroneutral dimyristoylphosphatidylcholine (DMPC) and negatively-
charged dimyristoylphosphatidylglycerol (DMPG) in PBS. Data sets are also
shown for camptothecin-20-glycinate ester, camptothecin-20-propanate ester,
and camptothecin-20-butanate ester. Data for camptothecin is included for
comparative purposes.
Figure 28 shows the reactivity of highly lipophilic 7-t-
Butyldimethylsilyl-10-hydroxycamptothecin glycinate ester (DB-67
glycinate) in PBS buffer (left panel) and human blood (right panel) at an
initial pro-drug concentration of 1 μM.
Figure 29 shows a comparison of the reactivities of several E-ring
modified camptothecin-20-OR esters (where R=CO[CH2]nNH2HCl where n=
1-3) in PBS buffer (left panel) and human blood (right panel) at an initial
pro-drug concentration of 1 μM.
Figure 30 depicts the reactivity of camptothecin-20-propanate ester
hydrochloride in the presence of varying concentrations of DMPC SUVs in
PBS buffer at 37 °C at pH 7.4 at an initial pro-drug concentration of 1 μM.
Figure 31 illustrates the reactivity of camptothecin-20-butanate ester
hydrochloride in the presence of varying concentrations of DMPC SUVs in
PBS buffer at 37 °C at pH 7.4 at an initial pro-drug concentration of 1 μM.
Figure 32 shows the markedly improved stability of core-loaded
liposomal camptothecin-20-propanate in PBS buffer relative to the
corresponding data set for camptothecin-20-glycinate.
Figure 33 summarizes the markedly improved stability of liposomal
core-loaded camptothecin-20-propanate ester in PBS versus bilayer-loaded
camptothecin-20-propanate ester.
Figure 34 shows the markedly improved stability of core-loaded
liposomal camptothecin-20-butanate pro-drug dispersed in human blood
versus drug in its free unencapsulated form.
Figure 35 illustrates the stability of core-loaded liposomal DB-67
glycinate dispersed in human blood.
Figure 36 illustrates the stability of DB-67 butanate (free drug) in
PBS buffer and whole human blood.
Figure 37 summarizes the markedly improved stability of core-
loaded liposomal camptothecin-20-glycinate ester in PBS.
Figure 38 shows the markedly improved solution stability of
liposomal DB-67 butanate ester in whole human blood.
Reference will now be made in detail to the presently
preferred embodiments of the invention, examples of which are illustrated
in the accompanying drawing.
Detailed Description of the Invention
In the present patent application we demonstrate how opportunities
in the areas of camptothecin rational design and liposomal formulation can
be used to engineer controlled release vehicles for camptothecins. The
methods and compositions of the present invention may be accomplished by
various means which are illustrated in the examples below. These examples
are intended to be illustrative only, as numerous modifications and
variations will be apparent to those skilled in the art.
We have developed particles that contain camptothecin pro-drugs
that readily core-load, even if the parent active agent is highly lipophilic.
This invention provides a means of preparing tumor-targeted liposomes
containing pro-drugs of camptothecin and related analogs.
The simple, versatile and tractable chemically activated pro-drug
(CAP) approach of the present invention can be applied to essentially any
camptothecin including the agents summarized in Figure 1. Many
companies have tried to prepare core-loaded liposomal formulations of
specific camptothecins but have been unable to do so because the active
agent did not possess an amino group of sufficient basic character to allow
for core-loading by active loading methods. Significant but unsuccessful
efforts were made by a number of labs to attempt to core-load 9- AC (an
agent that was evaluated extensively in humans but apparently failed in the
clinic largely because of its highly specific interactions with human albumin
and its resultant poor human blood stability). ALZA and others have been
unable to succeed with generating core-loaded liposomal 9-AC
formulations. Conversion of 9-AC to a CAP (via esterification of a glycine)
should readily allow the agent to core-load. In light of the extensive human
data on the 9-AC agent (trials were terminated at the end of phase III), it
seems logical to examine the potential of liposomal 9-AC CAP. Another
way the CAP approach could find commercial interest is to further optimize
drug retention in the core of liposomes. Gilead has developed GG211 core-
loaded in liposomes; results by this lab and several others have shown that
GG211 leaks from the core of NX-211 liposomes. Gilead now has their
core-loaded liposomal GG211 product in phase II clinical trials, but they are
reports of hematological toxicities; these toxicities may be due to premature
leakage of the agent into the blood prior to targeting at the tumor site. Our
CAP approach may have two advantages for the Gilead product: 1) it would
create an inactive prodrug that, in the case of leakage in the blood, would
potentially reduce toxicity; and 2) the additional positive charge earned by
the CAP side-chain may significantly aid in retaining the drug in the particle
until release occurs at the tumor site. CKD602 is now being formulated in
the core of liposomes by ALZA/Johnson and Johnson, and conversion of
CKD602 into a pro-drug may provide for particle retention advantages.
CAP is a versatile approach in that it can be used on any of the
existing camptothecins such as SN-38, 9-AC, 9-NC, and GG-211. The CAP
pro-drug ester approach focuses on position 20(S) of the E-ring and entails
the esterification with the amino acid glycine or larger R=CO[CH2]n
NH2HC1 functionalities. The synthesis of this type of camptothecin pro-
drug ester has been previously described by Wall and Wani (PCT Patent
Application S.N. WO09602546A1) and Vishnuvajjala and Garzon-Aburbeh
(U.S. Patent No. 4,943,579). We have shown that the CAP 20(S)-glycinate
ester is spontaneously converted to the parent agent through a lactam
intermediate. We have shown that the longer chain esters propanate and
butanate react at a much slower rate than glycinate (because the resulting
seven- and eight- membered lactams are significantly less stable than the
six-membered lactams formed from glycinate ester decomposition). We
have also demonstrated the pro-drugs are significantly more stable at low
pH, indicating that a low pH environment within the liposomal particle
would be favorable in maintaining the pro-drug intact.
Our specific CAP technology relates to a liposome composition
having entrapped parent camptothecin ester derivatives loaded
predominantly in the aqueous core of the particle. Through judicious
choice of liposomal encapsulation methodologies, lipid ingredients, and the
choice of the R=CO[CH2]n NH2HC1 functionality of the camptothecin-20-
ester, formulations have been described which release camptothecin pro-
drug from the liposomal particle to generate active parent camptothecin in a
rational and controlled fashion resulting in optimal therapeutic efficacy.
Upon departing the liposomal particle at the tumor site the camptothecin -
20-ester undergoes spontaneous decomposition and generates the active
lactone forms of camptothecins which are potent inhibitors of DNA
topoisomerase I and potent anti-cancer agents. Tumor-targeting will allow
for a reduction of systemic toxicity of the encapsulated agent. Thus, the
availability of the liposomal CAP described in this provisional patent
application provides convenient handles on controlling the rate of formation
of active camptothecin; using these various delivery systems the optimal
rate of camptothecin parent drug release at the tumor site for optimal
regression to occur can be achieved.
The parent structure camptothecin is water-insoluble and hence a
number of investigators have pursued the development of more water-
soluble agents. U.S. Patent No. 4,943,579 by Vishnuvajjala and Garzon-
Aburbeh discloses water-soluble derivatives of camptothecins having the
formula CPT(20)-OR where R=C0CH(2)NH(2)HC1. U.S. Pat. No.
4,943,579 discloses the esterification of the hydroxyl group at the 20-
position of camptothecin to form several pro-drugs. This patent further
discloses that the pro-drugs are water soluble and are converted into the
parent camptothecin compounds by hydrolysis.
Following the above disclosure by Vishnuvajjala and Garzon-
Aburbeh, Wall and Wani in U.S. Pat. Nos. 5,916,896, 5,646,159, and
6,040,313 disclose that esterification of the hydroxyl group at the 20-
position of camptothecin compounds produces a non-toxic water-soluble
pro-drug. Wall and Wani claim the pro-drug is non-toxic even though the
parent camptothecin compound itself may be substantially more toxic. Wall
and Wani teach hydrolysis of the ester formed at the 20-position reforms the
parent camptothecin compound after administration thereby reducing the
overall toxicity experienced by the patient during camptothecin therapy.
Wall and Wani studied the toxicity or non-toxicity of the camptothecin
esters by monitoring weight loss in test animals such as mice which have
been administered the ester compounds. By "non-toxic", Wall and Wani
teach the glycinate ester compounds of camptothecin are not toxic
according to Protocol 4, section 4.301(b)(3) where toxicity is defined as a
weight loss of 4.0 grams as reported in R. I. Geran, N. H. Greenberg, M. M.
MacDonald, A. M. Schumacher and B. J. Abbott, Cancer Chemotherapy
Reports, Part 3, Vol. 3, No. 2, September 1972 (incorporated herein by
reference). Wall and Wani teach that pro-drugs formed by esterifying the
hydroxyl group at the 20-position are non-toxic in contrast to the toxicity of
parent camptothecin compounds even though the esterified derivatives are
hydrolyzed to the parent camptothecin compounds after administration.
Wall and Wani in U.S. Pat. No. 4,943,579 do not suggest that pro-drugs
formed by esterifying the hydroxyl group at the 20-position are non-toxic
relative to the parent compounds, and claim the compounds disclosed in
U.S. Pat. No. 4,943,579 are not within their inventions described in U.S.
Pat. Nos. 5,916,896, 5,646,159, and 6,040,313.
It is important to note that both Vishnuvajjala and Garzon-Aburbeh
and Wall and Wani teach that hydrolysis of the ester formed at the 20-
position reforms the parent camptothecin compound after administration.
Wall and Wani claim that hydrolysis of the exocyclic ester bond in vivo
regenerates the parent hydroxyl group containing camptothecin compound.
No additional mechanistic detail is given as to how this hydrolysis occurs.
Alkyl esters have also been described by Cao and Giovanella also contain
an exocyclic ester bond and no information is given by Wall and Wani as to
how the hydrolysis of these two classes of camptothecin esters vary in terms
of the hydrolysis of the exocyclic ester (00=0) bond. Wadkins et al. also
teach that camptothecin glycinate esters also hydrolyze, but no information
is given in their work as to how the exocyclic ester bonds of camptothecin
glycinate esters and camptothecin alkyl esters vary. Further, Wall and Wani
claim in their patent R=CO[CH2]nNH2HCl where n= from a short value of 1
to a long value such as 12 with no discussion whatsoever of how extension
of this chain would impact on hydrolysis. Wall and Wani teach that the
compounds of their invention can be administered in the form of liposome
or microvesicle preparations. They describe liposomes as microvesicles
which encapsulate a liquid within lipid or polymeric membranes.
Liposomes and methods of preparing liposomes are known and are
described by Wall and Wani, for example, in U.S. Pat. No. 4,452,747, U.S.
Pat. No. 4,448,765, U.S. Pat. No. 4,837,028, U.S. Pat. No. 4,721,612, U.S.
Pat. No. 4,594,241, U.S. Pat. No. 4,302,459 and U.S. Pat.No. 4,186,183.
The disclosures of these U.S. patents are incorporated herein by reference.
Suitable liposome preparations for use in the present invention are also
described in WO-9318749-W, J-02056431-A and EP-276783-A, also
incorporated herein by reference, No mention is made by Wall and Wani as
to how the esters with the R=CO[CH2]nNH2HCl functionality where n= 1
to a long value such as 12 differ in their interactions with liposome
formulations. Further, no discussion is made as to how the esters with the
R=CO[CH2]n NH2HC1 functionality interact with the lipid bilayers of the
liposomal formulations.
In 1992 it was discovered that the active lactone forms of
camptothecins could be readily stabilized by using liposomal carriers (Burke,
U.S. Patents 5,552,156 and 5,736,156, incorporated herein by reference).
Liposomes contain both aqueous and lipid bilayer compartments, and it was
shown that both of these compartments could be utilized to stabilize the
lactone form of the drug. All of the camptothecins studied to date display
some degree of lipophilicity, and some fraction of the drug encapsulated
within a liposomal formulation will be located within the lipid bilayer at any
given time. The bilayer-localized fraction of the camptothecins preferentially
partition as the active lactone form. In this manner the lipid bilayer
compartment of a liposome contributes to stabilizing the active lactone form
of a camptothecin. In 1992 it was also disclosed that agents displaying
reduced lipophilicity could be further stabilized by reducing the pH of the
internal aqueous core (Burke, U.S. Patents 5,552,156 and 5,736,156). The
reduced pH of the internal core prevents hydrolysis of drugs localizing in
the internal aqueous compartments and not within the bilayer compartment.
Liposome delivery systems can thus aid in solving an inherent
shortcoming of this important class of anticancer agents by enhancing drug
stability and anticancer activity. The drug-laden liposomal particles can be
administered to patients and prolonged plasma exposure has been achieved.
The particles can be passively or actively targeted to tumor using methods
known in the art and, as a consequence, elevated active lactone levels of the
drug can be realized at this site.
Liposomes can also serve as controlled release depots. As previously
stated, the camptothecins are S-phase specific drags, and it has been shown
that optimal activity is obtained when the tumors of a patient are exposed to
the drugs for continuous periods of time. This approach allows the drug to be
present as the cancer cells cycle through S-phase. Liposomes that target
tumors and slowly release internally contained drugs (such that tumor cells are
continuously exposed to the desired drug) appear to be attractive drug delivery
systems to pursue since they likely provide slow, continuous drug release to
the tumor. The combination of internalizing a non-toxic camptothecin pro-
drug that spontaneously activates at the tumor (at rates controllable by
changing the alkyl linkage length between the ester bond and the amine) and
the release determined by the bilayer composition result in novel controlled
release carriers that possess an added advantage of being tumor-targeted.
Example 1
Name: tert-Butoxycarbonylamino-acetic acid 4-ethyl-3,13-dioxo-
3,4, 12, 13-tetrahydro-lH-2-oxa-6, 12fl-diaza-dibenzo[t ,/t]fluoren-4-yl-ester (1)
Molecular Weight: 505 g/mol
Molecular Formula: C27H27N307
Calculated Log P: 2.3352
Procedure:
Camptothecin(CPT) (1.00 g, 2.8 mmol) was placed in an oven
dried flask under Nitrogen. Next anhydrous DMF (25 ml) was added
followed by N-(tert-butoxy-carbonyl)glycine ( 1.06 g, 6.1 mmol), DMAP
(0.189 g, 1.5 mmol) and DCC (1.20g, 5.82 mmol) generating a yellow slurry. o After 5h at 22 C the reaction became clear and the DMF was concentrated
without heating under high vacuum. Next dichloromethane (25x3 ml) was
added and the mixture was filtered each time. Finally, the crude material was
purified by flash chromatography (99:1 CH2Cl2/acetone; 97:3 CH2Cl2/acetone;
95:5 CH2Cl2/acetone; 9:1 CH2Cl2/acetone) to provide (1) 482 mg (34% yield)
as a light yellow solid: Η NMR (CD2C12) 300 MHz δ 1.01 (t, J= 7 Hz, 3 H),
1.406 (s, 9 H), 2.03-2.25 (m, 2 H), 4.06 (dd, J,= 18 Hz, J2= 6 Hz, 1 H), 4.20
(dd,
6 Hz, 1 H), 5.11 (d, J= 19 Hz, 1 H) 5.19 (d, J= 19 Hz, 1
H), 5.30-5.43 (m, 2 H), 5.64 (d, J= 17 Hz, 1 H), 7.26 (s, 1 H), 7.62(t, J= 7 Hz,
1 H), 7.78 (t, J= 7 Hz, 1 H), 7.91 (d, J= 7 Hz, 1 H), 8.14 (d, J= 8 Hz, 1 H),
8.33 (s, IH); 13C NMR (CD2C12) 100 MHz δ 8.0, 28.6, 32.0, 43.0, 50.4, 67.4,
77.3, 80.3, 96.4, 120.0, 128.1, 128.5, 128.6, 129.1, 129.8, 130.8, 131.5, 146.0,
146.7, 149.0, 152.7, 156.1, 157.5, 167.6, 170.0.
Name: 4-Ethyl-3, 13-dioxo-3,4, 12, 13-tetrahydro- lH-2-oxa-6,12a-diaza-
dibenzo[b,/ϊ]-fluoren-4-yloxycarbonylmethyl-ammonium chloride (2)
Molecular Weight: 442 g/mol
Molecular Formula: C22H20ClN3O5
Calculated Log P (on salt w/o counterion): 0.5394
The Boc protected glycinate ester of camptothecin (1) (85 mg, 0.30
mmol) was placed in an oven dried flask. Next a solution of hydrogen
chloride in dioxane (33 ml, 4.0 M) was added dropwise generating a bright
yellow mixture. After 3h the solvent was evaporated, the residue was washed
with ether (3x5 ml) and pumped on overnight providing (2) as a bright yellow
solid weighing 68 mg (92% yield): Η NMR (d6-DMSO) 400 MHz δ 0.95 (t,
J= 7 Hz, 3 H), 2.06-2.23 (m, 2 H), 4.01-4.06 (m, 1 H), 4.28-4.38 (m,l H),
5.26-5.38 (m, 2 H), 5.55 (s, 2 H), 7.32 (s, 1 H), 7.74 (ddd, J,= 8 Hz, J2= 7 Hz,
J3= 1 Hz, 1 H), 7.88 (ddd, J,= 8 Hz, J2= 7 Hz, J3= 1 Hz, 1 H), 8.15-8.18 (m, 2
H), 8.46-8.62 (br m, 2 H), 8.73 (s, 1 H).
Example 3
Name: 4-Ethyl-3 , 13-dioxo-3 ,4, 12, 13 -tetrahydro- lH-2-oxa-6, 12a-diaza-
dibenzo[b,A]-fluoren-4-yloxycarbonylmethyl-ammonium trifluoroacetate (3)
Molecular Weight: 535 g/mol
Molecular Formula: C25H24F3N307
Calculated Log P: 0.5394
Camptothecin ester (1) (20 mg, 0.04 mmol) was placed in an oven
dried flask under nitrogen and anhydrous CH2C12 (0.5 ml) was added. Next o o
TFA (0.5 ml) was added dropwise at 0 C. After 5 h at 22 C the reaction
mixture was concentrated providing a light brown oily residue. The residue
was washed with ether (3x1 ml) and placed under high vacuum overnight
providing (3) as a bright yellow solid weighing 21 mg (98% yield): *H NMR
(d6-DMSO) 400 MHz δ 0.95 (t, J= 7 Hz, 3 H), 2.15-2.22 (m, 2 H), 4.12 (br d,
J= 18 Hz, 1 H), 4.36 (br d, J= 18 Hz, 1 H), 5.25-5.40 (m, 2 H), 5.56 (s, 2 H),
7.30 (s, 1 H), 7.74 (ddd, Jx= 8 Hz, J2= 7 Hz, J3= 1 Hz, 1 H), 7.89 (ddd, Jx= 8
Hz, J2= 7 Hz, J3= 1 Hz, 1 H), 8.15 (d, J= 1 Hz, 1 H), 8.17 (d, J= 1 Hz, 1 H),
8.34-8.48 (br m, 2 H), 8.74 (s, 1 H); ; LRMS (MALDI) m/z 428 (M+Na), 406
(M+H), 379, 338, 331, 294, 228, 212, 190, 172, 164..
Example 4
Name: 3-tert-Butoxycarbonylamino-propionic acid 4-ethyl-3,13-dioxo-
3,4,12,13-tetrahydro-lH-2-oxa-6,12a-diaza-dibenzo[b, z]fluoren-4-yl ester (4)
Molecular Weight: 519 g/mol
Molecular Formula: C28H29N307
Calculated Log P: 2.6824
Procedure:
Camptothecin(CPT) (0.50 g, 1.4 mmol) was placed in an oven dried
flask under Nitrogen. Next anhydrous DMF (12.5 ml) was added followed by
3-tert-Butoxycarbonylamino-piOpionic acid (0.55 g, 2.9 mmol), DMAP
(0.087 g, 0.71 mmol) and DCC (0.60 g, 2.9 mmol) generating a yellow slurry. o
After 5h at 22 C the reaction became clear and the DMF was concentrated
without heating under high vacuum. Next dichloromethane (25x3 ml) was
added and the mixture was filtered each time. Finally, the crude material was
purified by flash chromatography (99:1 CH2Cl2/acetone; 98:2 CH2Cl2/acetone;
96:4 CH2Cl2/acetone; 9: 1 CH2Cl2/acetone) to provide (4) 306 mg (41% yield)
as a light yellow solid: Η NMR (CD2C12) 400 MHz δ 0.99 (t, J= 7 Hz, 3 H),
1.35 (s, 9 H), 2.00-2.70 (m, 2 H), 2.60-2.80 (m, 2 H), 3.30-3.50 (m, 2 H) 5.10-
5.23 (br s, 1 H), 5.26 (br s, 2 H), 5.37 (d, J= Yl Hz, 1 H), 5.64 (d, J= 17 Hz, 1
H), 7.20 (s, 1 H), 7.67 (ddd, J,= 8 Hz, J2= 6 Hz, J3= 1 Hz, 1 H), 7.83 (ddd, Jχ=
8.4 Hz, J2= 7 Hz, J3= 2 Hz), 7.97 (d, J= 8 Hz, 1 H), 8.17 (d, J= 8 Hz, 1 H),
8.41 (s, 1 H) 13C NMR (CD2C12) 100 MHz δ 8.0, 28.6, 32.0, 35.3, 37.0, 50.5,
67.6, 76.9, 79.5, 96.1, 120.1, 128.4, 128.8, 129.3, 130.0, 131.1, 131.8, 146.4,
147.0, 149.3, 153.0, 156.2, 157.8, 168.3, 172.0; LRMS (El) m/z 519 (M+),
402, 330, 302, 287.
Example 5
Name: 2-(4-Ethyl-3, 13-dioxo-3,4, 12, 13-tetrahydro- lH-2-oxa-6, 12a-
diaza-dibenzo[b,Λ]-fluoren-4-yloxycarbonyl)-ethyl-ammonium chloride (5)
Molecular Weight: 456 g/mol
Molecular Formula: C23H22C1N305
Calculated Log P(w/o counterion): 0.9040
Camptothecin ester (4) (50 mg, 0.10 mmol) was placed in an oven
dried flask under nitrogen and hydrogen chloride in dioxane (10 ml, 4.0 M)
was added generating a bright yellow solution. After 5 h the dioxane was
concentrated, the residue was washed with ether 3x2 ml and the bright yellow
product was placed under high vacuum overnight providing 43.7 mg (96%>
yield) of (5) as the hydrochloride salt: Η NMR (d6-DMSO) 400 MHz δ 0.92
(t, J= 1 Hz, 3 H), 2.14-2.23 (m, 2 H), 2.94-3.06 (m, 4 H), 5.26-5.38 (m, 2 H),
5.49 (d, J= 17 Hz, 1 H), 5.54 (d, J= 17 Hz, 1 H), 7.17 (s, 1 H), 7.73 (ddd, Jx= 8
Hz, J2= 7 Hz, J3= 1 Hz, 1 H), 7.88 (ddd, J= 8 Hz, J2= 7 Hz, J3= 1 Hz, 1 H),
7.92-8.08 (br m, 2 H), 8.15 (d, J= 8 Hz, 1 H), 8.17 (d, 8 Hz, 1 H), 8.72 (s, 1
H); HRMS (MALDI) mlz Calcd for C23H21N305K (M+K) 458.111, found
458.111.
Example 6
Name : 2-(4-Ethyl-3 , 13 -dioxo-3 ,4,12,13 -tetrahydro- lH-2-oxa-6, 12a-
diaza-dibenzo[b,/ϊ]-fluoren-4-yloxycarbonyl)-ethyl-ammoniumtrifluoiOacetate
(6) Molecular Weight: 533
Molecular Formula: C25H22F3N307
Calculated Log P(w/o counterion): 0.9040
Camptothecin ester (4) (44.5 mg, 0.09 mmol) was placed in an oven
dried flask under nitrogen and anhydrous CH2C12 (1.0 ml) was added. Next o o TFA (1.0 ml) was added dropwise at 0 C. After 5 h at 22 C the reaction
mixture was concentrated providing a light brown oily residue. The residue
was washed with ether (3x1 ml) and placed under high vacuum overnight
providing (6) as a bright yellow solid weighing 35.2 mg (73% yield): 'H NMR
(d6-DMSO) 400 MHz δ 0.92 (t, J= 7 Hz, 3 H), 2.10-2.26 (m, 2 H), 2.84-3.10
(m, 4 H), 5.29 (d, J= 20 Hz, 1 H), 5.34 (d, J= 20 Hz, 1 H), 5.49(d, J= 17 Hz, 1
H), 5.54 (d, J= 17 Hz, 1 H), 7.17 (s, 1 H), 7.73 (t, J= 8 Hz, 1 H), 7.78-7.98 (m,
4 H), 8.15 (d, J- 7 Hz, 1 H), 8.17 (d, J= 8 Hz, 1 H), 8.72 (s, 1 H); 13C NMR
(CD2C12) 100 MHz δ 7.6, 30.3, 31.1, 34.3, 50.3, 66.5, 76.5, 95.0, 118.9, 127.8,
128.0, 128.7, 128.9, 129.8, 130.6, 131.7, 145.0, 146.1, 147.9, 152.4, 156.5,
167.2, 169.7; LRMS (MALDI) m/z 458 (M+K), 442 (M+Na), 420 (M+H),
331, 228, 212, 164.
Example 7
Name: 4-tert-Butoxycarbonylamino-butyric acid 4-ethyl-3,13-dioxo-
3 ,4, 12, 13-tetrahydro- lH-2-oxa-6, 12a-diaza-dibenzo[t ,/i] fluoren-4-yl ester (7)
Molecular Weight: 533 g/mol
Molecular Formula: C29H31N307
Calculated Log P: 3.0296
Procedure:
Camptothecin(CPT) (0.50 g, 1.4 mmol) was placed in an oven
dried flask under Nitrogen. Next anhydrous DMF (12.5 ml) was added
followed by 4-tert-Butoxycarbonylamino-butyric acid (0.59 g, 2.9 mmol),
DMAP (0.087 g, 0.71 mmol) and DCC (0.60 g, 2.9 mmol) generating a
yellow slurry. After 5h at 22 C the reaction became clear and the DMF was
concentrated without heating under high vacuum. Next dichloromethane
(25x3 ml) was added and the mixture was filtered each time. Finally, the
crude material was purified by flash chromatography (99:1 CH2Cl2/acetone;
98:2 CH2Cl2/acetone; 96:4 CH2Cl2/acetone; 9 : 1 CH2Cl2/acetone) to provide (7)
151 mg (20% yield) as a light yellow solid: Η NMR (CD2C12) 400 MHz δ
0.97 (t, J= 7 Hz, 3 H), 1.39 (s, 9 H), 1.82 (p, J= 7 Hz, 2 H), 2.06-2.25 (m, 2
H), 2.52 (t, J= 7 Hz, 2 H), 3.00-3.19 (m, 2 H) 4.94-5.02 (br s, 1 H), 5.19 (d, J=
20 Hz, 1 H), 5.24 (d, J= 20 Hz, 1 H), 5.34 (d, J= 17 Hz, 1 H), 5.60 (d, j= 17
Hz, 1 H), 7.15 (s, 1 H), 7.64 (t, J= 7 Hz, 1 H), 7.80 (t, J- 7 Hz, 1 H), 7.94 (d,
J= 8 Hz, 1 H), 8.18 (d, J= 8 Hz, 1 H), 8.38 (s, 1 H) 13C NMR (CD2C12) 100
MHz δ 7.9, 25.6, 28.6, 31.5, 32.0, 40.1, 50.5, 67.5, 76.5, 79.3, 96.1, 120.3,
128.4, 128.4, 128.8, 129.3, 129.9, 131.0, 131.8, 146.5, 146.9, 149.3, 153.0,
156.4, 157.7, 168.1, 172.7; LRMS (El) m/z 533 (M+), 477, 348, 330, 302,
287, 248, 218.
Example 8
Name: 3-(4-Ethyl-3,13-dioxo-3,4,12,13-tetrahydro-lH-2-oxa-6,12a-
diaza-dibenzo[b,/t]-fluoren-4-yloxycarbonyl)-propyl-ammonium chloride (8)
Molecular Weight: 470 g/mol
Molecular Formula: C24H24C1N305
Calculated Log P w/o counterion: 1.2686
Camptothecin ester (7) (57 mg, 0.11 mmol) was placed in an oven-
dried flask under nitrogen and hydrogen chloride in dioxane (4 ml, 4.0 M) was
added generating a bright yellow solution. After 6 h the dioxane was
concentrated, the residue was washed with ether 3x2 ml and the bright yellow
product was placed under high vacuum overnight providing (8) 48 mg (93%
yield) as the hydrochloride salt: Η NMR (d6-DMSO) 400 MHz δ 0.89 (t, J= 7
Hz, 3 H), 1.74-1.83 (m, 2 H), 2.06-2.16 (m, 2 H), 2.66 (t, J= 7 Hz, 2 H), 2.74-
2.84 (m, 2 H), 5.28 (s, 2 H), 5.42-5.52 (m, 2 H), 7.04 (s, 1 H), 7.66-7.72 (m, 1
H), 7.80-7.88 (m, 2 ), 8.11 (d, J= 9 Hz, 1 H), 8.13 (d, J= 9 Hz, 1 H), 8.68 (s, 1
H); 13C NMR (CD2C12) 100 MHz δ 7.6, 22.2, 30.2, 30.3, 37.7, 50.3, 66.4, 76.0,
94.8, 118.9, 127.9, 128.1, 128.7, 128.9, 129.9, 130.6, 131.8, 145.4, 146.1,
147.9, 152.4, 156.6, 167.4, 171.5; LRMS (MALDI) mlz All (M+K), 456
(M+Na), 434 (M+H).
Example 9
Name: 3-(4-Ethyl-3,13-dioxo-3,4,12,13-tetrahydro-lH-2-oxa-6,12a-
diaza-dibenzo[t3,/ϊ]-fluoren-4-yloxycarbonyl)-proρyl-ammonium trifluoro-
acetate (9)
Molecular Weight: 547 g/mol
Molecular Formula: C26H24F3N307
Calculated Log P(w/o counterion): 1.2686
Camptothecin ester (7) (38.4 mg, 0.07 mmol) was placed in an oven-
dried flask under nitrogen and anhydrous CH2C12 (1.0 ml) was added. Next o o
TFA (1.0 ml) was added dropwise at 0 C. After 5 h at 22 C the reaction
mixture was concentrated providing a light brown oily residue. The residue
was washed with ether (3x1 ml) and placed under high vacuum overnight
providing (9) as a bright yellow solid weighing 32.5 mg (85% yield): 'H NMR
(d6-DMSO) 400 MHz δ 0.93 (t, J= 7 Hz, 3 H), 1.75-1.85 (m, 2 H), 2.10-2.20
(m, 2 H), 2.70 (t, J= 7 Hz, 2 H), 2.80-2.90 (br m, 2 H), 5.26-5.38 (m, 2 H),
5.46-5.56 (m, 2 H), 7.07 (s, 1 H), 7.68-7.82 (m, 3 H), 7.88 (ddd, Jx= 8 Hz, J2=
7 Hz, J3= 2 Hz, 1 H), 8.15 (d, J= 8 Hz, 1 H), 8.17 (d, J= 8 Hz, 1 H) 8.72 (s, 1
H);13C NMR (CD2C12) 100 MHz δ 7.6, 22.3, 30.1, 30.2, 37.9, 50.3, 66.3, 76.0,
94.7, 118.8, 127.8, 128.1, 128.6, 128.9, 129.9, 130.5, 131.7, 145.3, 146.1,
147.9, 152.3, 156.6, 167.4, 171.5; HRMS (MALDI) mlz Calcd for
C24H24N305Na(M+Na) 456.1530, found 456.1552.
Example 10
A HPLC chromatogram depicting the separation of camptothecin
(retention time of 6.25 min) from camptothecin carboxylate (retention time of
2.2 min) is shown in Figure 7. Camptothecin samples in PBS buffer were
prepared by adding 1 μM camptothecin from a DMSO stock solution. Note at
a very brief incubation time of 1 min. camptothecin in its lactone form
predominates, but at longer incubation times on the order of several hours the
drug has hydrolyzed extensively and its inactive, ring-opened carboxylate
form predominates (right panel). Separation of the lactone and carboxylate
forms of camptothecin was achieved using an isocratic mobile phase
consisting of a mixture of 41% acetonitrile and 59% of the triethylamine
acetate buffer. Both camptothecin forms were detected at an excitation
wavelength of 380 nm and an emission wavelength of 440 nm. A flow rate of
1 mL/min was employed.
A HPLC chromatogram depicting the markedly improved solution
stability of camptothecin-20-acetate (retention time of 7.1 min) relative to
camptothecin (Figure 7) is shown in Figure 8. Note how the camptothecin-20-
acetate sample is stable relative to camptothecin; unlike the parent agent, the
camptothecin-20-acetate analog does not readily convert to a rapidly eluting
carboxylate species upon standing at 37 °C for 3 hr (right panel). Separation
of camptothecin-20-acetate was achieved using an isocratic mobile phase
consisting of a mixture of 41%> acetonitrile to 59% of the triethylamine
acetate buffer. Camptothecin-20-acetate was detected at an excitation
wavelength of 380 nm and an emission wavelength of 440 nm. A flow rate
of 1 mL/min were employed.
Example 11
The improved human blood stability of camptothecin-20-acetate
relative to camptothecin in phosphate buffered saline and in human blood
(left panel, 1 μM drug concentration) is shown in Figure 9. While
camptothecin-20-acetate was very stable in PBS and blood with only slight
instability of the agent in the latter matrix being noted at the longer
incubation times, the parent camptothecin agent hydrolyzed rapidly in both
PBS and in human blood. Markedly enhanced human blood stability relative
to camptothecin was also noted for another ester, camptothecin-20-
octanoate (right panel, 1 μM drug concentration). Stability profiles were
determined using HPLC methods. All experiments were conducted at pH
7.4 and 37 °C.
Example 12
HPLC cliromatograms depicting the high purity and high stability in
non-aqueous DMSO solution of a hydrochloride salt preparation (left panel)
and a trifluoroacetate salt preparation (right panel) of camptothecin-20-
glycinate ester are shown in Figure 10. Upon standing in DMSO for hours the
two camptothecin-20-glycinate ester salt forms did not show significant
evidence of hydrolysis or other forms of chemical reactivity. Separation of
camptothecin-20-glycinate ester was achieved using an isocratic mobile
phase consisting of a mixture of 41% acetonitrile to 59% of the
triethylamine acetate buffer. Camptothecin-20-glycinate ester was detected
at an excitation wavelength of 380 nm and an emission wavelength of 440
nm. A flow rate of 1 mL/min was employed.
Example 13
HPLC chromatograms depicting the pronounced and instantaneous
reactivity of camptothecin-20-glycinate ester hydrochloride upon addition to
PBS buffer under near physiological conditions of ionic strength and
temperature are shown in Figure 11. The parent camptothecin-20-glycinate
ester peak appears at a retention time of 2.7 min. Immediately following the
addition of camptothecin-20-glycinate ester hydrochloride to PBS buffer at a
concentration of 1 μM, a new peak is observed (retention time of 5.2 min).
Upon further standing, sampling of the drug solution in PBS shows further
decomposition with a total of at least three other chemical entities being
observed in the solution. Separation of starting material (camptothecin-20-
glycinate ester) from the hydrolysis products (camptothecin-20-lactam
intermediate (Retention time of 5.2 min), camptothecin (retention time of
6.3 min) and camptothecin carboxylate (retention time of 2.1 min) was
achieved using an isocratic mobile phase consisting of a mixture of 41%
acetonitrile to 59% of the triethylamine acetate buffer. Camptothecin-20-
glycinate ester and its decomposition products were detected at an
excitation wavelength of 380 nm and an emission wavelength of 440 nm. A
flow rate of 1 mL/min was employed.
Example 14
HPLC chromatograms depicting the pronounced and instantaneous
reactivity of camptothecin-20-glycinate ester hydrochloride upon addition to
human blood are provided in Figure 12. Data are presented for samples
analyzed almost immediately following the addition of 1 μM camptothecin-
20-glycinate ester to human blood (1 minute of incubation, left panel) and at a
longer time of incubation of 3 hr (right panel). The parent camptothecin-20-
glycinate ester peak appears at a retention time of 3.1 min. Immediately
following the addition of camptothecin-20-glycinate ester hydrochloride to
blood at a concentration of 1 μM a new peak was observed (retention time of
6.1 min). Upon further standing to a total incubation time of 3 hours in blood,
HPLC analysis of the sample showed evidence of essentially complete
decomposition. A total of at least three new chemical entities were observed
in the blood suspension to which essentially pure camptothecin-20-glycinate
ester was added. Separation of starting material (camptothecin-20-glycinate
ester) from the reactants [camptothecin-20-lactam intermediate (retention
time of 6.1 min); camptothecin (lactone form, retention time of 7.9 min);
and camptothecin carboxylate (retention time of 3.0 min)] was achieved
using an isocratic mobile phase consisting of a mixture of 41% acetonitrile
to 59%o of the triethylamine acetate buffer. Camptothecin-20-glycinate ester
and its decomposition products were detected at an excitation wavelength
of 380 nm and an emission wavelength of 440 nm. A flow rate of 1 mL/min
was employed in the analysis.
Example 15
The pronounced reactivity of camptothecin-20-glycinate ester in
human plasma (left panel) and human blood (right panel) at an initial pro-
drug concentration of 1 μM is shown in Figure 13. Comparison of the
stability of camptothecin-20-glycinate ester in human plasma versus human
blood samples reveals that the agent is initially more reactive in the human
blood sample. In both samples the levels of reaction intermediate
camptothecin-20-lactam were the greatest for the first 30 minutes, and then
during the next 90 minute interval of incubation the carboxylate species
became predominant. Stability profiles were determined using HPLC
methods. All experiments were conducted at 37 °C and sample pH values
were adjusted to 7.4 prior to the initiation of an experiment.
Example 16
Depiction of the impact of pH on the chemical decomposition of
camptothecin-20-glycinate ester in PBS buffer at 37 °C at a pro-drug
concentration of 1 μM are shown in Figure 14. Camptothecin-20-glycinate
ester levels were measured using HPLC analysis. While camptothecin-20-
glycinate ester was relatively stable at a pH value of 3 (with only slight
reactivity observed and 95% of the agent remaining in its original form at an
incubation time of 3 hr.), significant decomposition of the agent occurred at
higher pH values. As observed in Figure 11, pronounced and instantaneous
reactivity of camptothecin-20-glycinate ester hydrochloride occurred upon
addition to PBS buffer at pH 7.4 (solid circles).
Example 17
The effect of pH on the reversibility of the formation of the chemical
degradation products of camptothecin-20-glycinate ester in PBS buffer at 37
°C at a pro-drug concentration of 1 μM is shown in Figure 15.
Camptothecin-20-glycinate ester levels and decomposition product levels
were measured using HPLC analysis. As shown in Figure 11, pronounced
and instantaneous reactivity of camptothecin-20-glycinate ester hydrochloride
upon addition to PBS buffer at pH 7.4. Solid triangles represent the levels of
camptothecin-20-lactam intermediate that had formed while open circles
represent the levels of the parent camptothecin-20-glycinate ester pro-drug.
Upon reduction of solution pH to a low value of 2, the data shows that
camptothecin-20-lactam intermediate levels decrease while camptothecin-20-
glycinate ester pro-drug levels become elevated. This data shows that the
lactam intermediate can reform camρtothecin-20-glycinate ester and hence the
reaction is reversible. The formation of the camptothecin-20-glycinate ester
upon pH reduction is consistent with the data contained in Figure 14 indicating
that the parent camptothecin-20-glycinate ester pro-drug predominates at
reduced pH values (i.e. at low pH the agent is much more stable to reacting
and forming the lactam intermediate).
Example 18
Reaction mechanisms which camptothecin-20-glycinate ester
hydrochloride undergoes in aqueous solution at 37 °C at a pro-drug
concentration of 1 μM are illustrated in Figure 16. We are the first to
postulate that camptothecin-20-lactam is formed during glycinate ester
degradation. Our novel finding concerning the formation of camptothecin-
20-lactam correlates with the rapid formation of camptothecin lactone and
carboxylate species (versus the much slower formation of lactone and
carboxylate forms released following the hydrolysis of an alkyl ester analog
of camptothecin such as camptothecin-20-acetate or camptothecin-20-
octanoate).
Stability profiles (pH 7.4, 37°C) of several different camptothecin
pro-drug structures in PBS buffer are shown in Figure 17, and demonstrate
the improved stability of the pro-drug structures. Similarly, Figure 18
shows the improved stability of camptothecin pro-drug structures in whole
blood. Data sets are shown for both free drugs in whole blood as well as
core-loaded pro-drugs.
Example 19
The normalized fluorescence emission spectra of 1 μM of
camptothecin-20-glycinate ester hydrochloride in PBS buffer at different pH
values is shown in Figure 19. Note the strong shifting of the emission
spectra to the red region upon increasing solution pH. Experiments were
conducted at 37 °C using exciting light of 370 nm.
Example 20
Figure 20 shows the fluorescence excitation and emission spectra of
1 μM of camptothecin-20-glycinate ester hydrochloride in PBS buffer in the
presence and absence of 0.1 M dimyristoylphosphatidylcholine (DMPC) or
0.1 M dimyristoylphosphatidlyglycerol (DMPG) small unilamellar
liposomes. Experiments were conducted at pH 7.4 and 37°C. Note the
strong shifting of the emission spectra to the blue region or shorter
wavelengths in the presence of liposomes. This spectral shifting is
indicative of drug interaction with the membranes. Experiments were
conducted using exciting light of 370 nm. Spectral parameters of the
various camptothecins and glycinate ester analogs are summarized in Table
13.
Table 1. Fluorescence spectral parameters for Camptothecin
analogues in PBS at pH 7.4
Example 21
Fluorescence anisotropy titration was used to study the associations
of camptothecin-20-glycinate ester to small unilamellar vesicles composed
of electroneutral DMPC (Panel A) and DMPG (Panel B) suspended in
phosphate buffered saline. Results are shown in Figure 21. Experiments
were conducted at pro-drug concentrations of 1 μM at 37 °C using exciting
light of 370 nm. Note that in the presence of increasing amounts of
liposomes the drag anisotropy values increase until the majority of drag is
liposome-bound. Data is also presented in the two panels for camptothecin
for comparative purposes. Analysis of the data reveals that, in the case of
DMPC bilayers, camptothecin-20-glycinate has reduced membrane binding
associations relative to camptothecin both at pH 7.4 and at pH 3.0 (Panel A,
inset). For DMPG bilayers, camptothecin-20-glycinate ester displays
markedly higher affinities due to the electrostatic attractive forces between
the positively charged drag and negatively charged membrane. Membrane
association constants for various camptothecins and their glycinate esters
are summarized in Table 2.
Table 2. Association constants for Camptothecin analogues
interacting with unilamellar vesicles of electroneutral DMPC, negatively
charged DMPG in PBS at pH 7.4 and 37°C.
Reactivity of camptothecin-20-glycinate ester in the presence of
varying concentrations of DMPC SUVs in PBS buffer at 37 °C at pH 7.4 at
an initial pro-drag concentration of 1 μM is shown in Figure 22.
Comparison of the stability of camptothecin-20-glycinate ester in the
presence of DMPC versus the absence of DMPC reveals that the presence
of membrane initially helps conserve the camptothecin-20 glycinate. Our
novel findings indicate that following several minutes of incubation, the
presence of membrane has the net effect of markedly promoting the
conversion of camptothecin-20-glycinate to camptothecin-20-lactam. The
effect of the membranes on promoting levels of camptothecin-20-lactam is
dependent upon the concentration of membrane. Stability profiles were
determined using HPLC methods.
Example 23
Reactivity of camptothecin-20-glycinate ester in the presence of
varying concentrations of DMPC SUVs in PBS buffer at 37 °C at pH 10
(top panel) and pH 3.0 at an initial pro-drag concentration of 1 μM is shown
in Figure 23. Comparison of the stability of camptothecin-20-glycinate
ester in the presence of DMPC versus the absence of DMPC reveals the
presence of membrane initially helps conserve the camptothecin-20
glycinate. Several minutes later the presence of membrane has the net
effect of markedly promoting the conversion of camptothecin-20-glycinate
to camptothecin-20-lactam. The effect of the membranes on promoting
levels of camptothecin-20-lactam is dependent upon the concentration of
membrane. Stability profiles were determined using HPLC methods.
Example 24
Stabilization in PBS (left panel) and whole human blood (right
panel) by core loading of camptothecin-20-glycinate ester hydrochloride
into DSPC liposomes has on pro-drag stability at 37 °C at pH 7.4 is shown
in Figure 24. Comparison of the stability profiles for camptothecin-20-
glycinate ester in this figure with data shown in Figure 22 clearly
demonstrate that core loading is much more effective at preventing the
decomposition of camptothecin-20-glycinate ester relative to bilayer
loading. Stability profiles were determined using HPLC methods.
Example 25
Stabilization in PBS (left panel) and whole human blood (right
panel) by core loading of camptothecin-20-glycinate ester trifluoroacetate
into DSPC liposomes has on pro-drag stability at 37 °C at pH 7.4 is shown
in Figure 25. Comparison of the stability profiles for camptothecin-20-
glycinate ester with other data again indicate core loading is much more
effective at preventing the decomposition of camptothecin-20-glycinate
ester relative to bilayer loading. Stability profiles were determined using
HPLC methods.
Example 26
Model membrane associations of several A-ring and A,B-ring
modified camptothecin glycinate ester compounds to small unilamellar
vesicles (SUVs) composed of electroneutral dimyristoylphosphatidylcholine
(DMPC) and negatively-charged dimyristoylphosphatidylglycerol (DMPG) in
PBS are shown in Figure 26. Data are also shown for camptothecin-20-
glycinate ester, 7-chloromethyl-10,l l-methylenedioxy-camptothecin-20-
glycinate ester, 9-chloro-10,l l-methylenedioxycampto-thecin-20-glycinate
ester, and 7-ethyl-10,l l-methylenedioxycamptothecin-20-glycinate ester
binding to DMPC and DMPG bilayers. The method of fluorescence anisotropy
titration was used to construct the adsorption isotherms. Experiments were
conducted at drag concentrations of 1 μM in PBS buffer (37 °C). Note how
the anisotropy values vary at a given lipid concentration base upon drag
structure, with certain A-ring and A,B-ring modifications resulting in
significantly more lipophilic agents. Because of the potential for chemical
reactivity of the agents of interest in PBS at pH 7.4, anisotropy values at each
lipid concentration were determined immediately (approx. 30 sec. to 1 min.)
following the addition of the glycinate ester form of each agent to the liposome
so as to minimize loss of the parent glycinate ester prior to sample
measurement. Table 2 summarizes the K values for DMPC as well as DMPG
bilayers.
Example 27
Equilibrium binding of several E-ring modified camptothecin-20-OR
esters (where R=CO[CH2]n NH2HC1 where n= 1-3) to small unilamellar
vesicles (SUVs) composed of electroneutral dimyristoylphosphatidylcholine
(DMPC) and negatively-charged dimyristoylphosphatidylglycerol (DMPG) in
PBS is shown in Figure 27. Data are also shown for camptothecin-20-
glycinate ester, camptothecin-20-propanate ester, and camptothecin-20-
butanate ester. Data for camptothecin is included for comparative purposes.
The method of fluorescence anisotropy titration was used to construct the
adsorption isotherms. Experiments were conducted at drug concentrations of 1
μM in PBS buffer (37 °C). Because of the potential for chemical reactivity of
the agents of interest in PBS at pH 7.4, anisotropy values at each lipid
concentration were determined immediately (approx. 30 sec.) following the
addition of the glycinate ester form of each agent to the liposome so as to
minimize loss of the parent ester prior to sample measurement. Table 2
summarizes the K values for DMPC as well as DMPG bilayers.
Example 28
Reactivity of highly lipophilic 7-t-Butyldimethylsilyl-10-
hydroxycamptothecin glycinate ester (DB-67 glycinate) in PBS buffer (left
panel) and human blood (right panel) at an initial pro-drug concentration of
1 μM is shown in Figure 28. In both samples the levels of reaction
intermediate camptothecin-20-lactam were the greatest for the first 30
minutes, and the following 90 minutes of incubation the carboxylate species
became predominant. Stability profiles were determined using HPLC
methods. All experiments were conducted at 37 °C and sample pH values
were adjusted to 7.4 prior to the initiation of an experiment.
Example 29
Reactivities of several E-ring modified camptothecin-20-OR esters
(having the formula R=CO[CH2]nNH2HCl where n= 1-3) in PBS buffer (left
panel) and human blood (right panel) at an initial pro-drug concentration of
1 μM are shown in Figure 29. Note the novel finding depicting how the
stabilities of the compounds increase with increasing n value. The
following order of chemical stability was observed for the agents of interest
in both PBS and whole human blood: camptothecin-20-glycinate ester »
camptothecin-20-propanate ester » camptothecin-20-butanate ester. In the
case of the propanate and butanate ester samples no lactam peak was observed
by HPLC chromatographic analysis indicating the 7-membered and 8-
membered lactam species are far less stable in either PBS solution or blood
suspension relative to the camptothecin-20-lactam (which can be readily
separated), during HPLC chromatographic analysis. Stability profiles were
determined using HPLC methods. All experiments were conducted at 37 °C
and sample pH values were adjusted to 7.4 prior to the initiation of an
experiment.
Example 30
Reactivity of camptothecin-20-propanate ester hydrochloride in the
presence of varying concentrations of DMPC SUVs in PBS buffer at 37 °C
at pH 7.4 at an initial pro-drug concentration of 1 μM is shown in Figure 30.
In dramatic contrast to situation observed for camptothecin-20-glycinate
where the presence of lipid bilayer can promote the decomposition of the
the agent, the presence of DMPC clearly aids in stabilizing the
camρtothecin-20-OR ester (where R=CO[CH2]nNH2HCl where n=l for
glycinate and n=2 for propanate). The stabilization effect by DMPC on the
camptothecin-20-propanate is dependent upon the concentration of the lipid
where greater hydrolysis is observed at the lower lipid concentrations.
Stability profiles were determined using HPLC methods.
Example 31
Reactivity of camptothecin-20-butanate ester hydrochloride in the
presence of varying concentrations of DMPC SUVs in PBS buffer at 37 °C
at pH 7.4 at an initial pro-drug concentration of 1 μM is shown in Figure 31.
As observed in the case of camptothecin-20-propanate and in dramatic
contrast to the situation observed for camptothecin-20-glycinate (where
lipid bilayer interactions can promote the decomposition of the agent), the
presence of DMPC aids in stabilizing the camptothecin-20-OR ester (where
R=CO[CH2]nNH2HCl and n=l for glycinate and n=3 for butanate). The
stabilization effect by DMPC on the camptothecin-20-butanate, as observed
in the case of camptothecin-20-propanate, is dependent upon the
concentration of the lipid where greater hydrolysis is observed at the lower
lipid concentrations. Stability profiles were determined using HPLC
methods.
Example 32
Improved stability of core-loaded liposomal camptothecin-20-
propanate in PBS buffer relative to the corresponding data set for
camptothecin-20-glycinate is shown in Figure 32. Note at times as long as
3 hrs that liposomal camptothecin-20-propanate remains greater than 98%
intact and unreacted (Panel A), while at times out to 48 hrs greater than 35%
of the liposomal formulation remains as it original pro-drug form (Panel B).
Stability profiles were determined using HPLC methods. All experiments
were conducted at an original pro-drag concentration of 1 μM. Similarly,
improved stability of liposomal core-loaded camptothecin-20-propanate
ester in PBS versus bilayer-loaded is shown in Figure 33.
Example 33
Improved stability of core-loaded liposomal camptothecin-20-
butanate pro-drug dispersed in human blood versus drug in its free
unencapsulated form is shown in Figure 34. Note at times as long as 3 hrs
that liposomal camptothecin-20-butanate remains greater than 98% intact
and unreacted (Panel A). Similarly, Figures 35-38 show improved stability
of core-loaded liposomal DB-67 glycinate (Fig. 35), free DB-67 butanate
(Fig. 36), core-loaded liposomal camρtothecin-20-glycinate ester (Fig. 37)
and liposomal DB-67 butanate ester (Fig. 38) in blood and PBS.
The foregoing description of preferred embodiments of the invention
has been presented for purposes of illustration and description. It is not
intended to be exhaustive or to limit the invention to the precise form
disclosed. Obvious modifications or variations are possible in light of the
above teachings. The embodiments were chosen and described to provide
the best illustration of the principles of the invention and its practical
application to thereby enable one of ordinary skill in the art to utilize the
invention in various embodiments and with various modifications as are
suited to the particular use contemplated. All such modifications and
variations are within the scope of the mvention as determined by the
appended claims when interpreted in accordance with the breadth to which
they are fairly, legally and equitably entitled.