Multi-arm polymer conjugates of TLR agonist compounds and related immunotherapeutic treatment methods

Inventors

Ren, ZhongxuAnand, Neel K.Cai, HaiyingDeng, Bo-LiangJoshi, Bhalchandra V.Zalevsky, JonathanMiyazaki, TakahiroKivimae, Saul

Assignees

Nektar Therapeutics

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Publication Number

US-11744898-B2

Patent

Publication Date

2023-09-05

Expiration Date


Abstract

Provided are multi-arm polymer conjugates of Toll-Like Receptor (“TLR”) agonists such as TLR 7/8 agonists, as well as related compositions, and methods of making and using such conjugates. Exemplary conjugates are encompassed by Formula I: (I) or a pharmaceutically acceptable salt form thereof, where R, taken together with each Q, is a residue of a polyol, polythiol, or polyamine bearing from 3 to about 50 hydroxyl, thiol, or amino groups; each Q is a linker selected from oxygen, sulfur and —NH; each POLY is independently a water-soluble, non-peptidic polymer; each Xr is independently a linkage-containing spacer moiety; q is a positive integer from 3 to about 50; and each TLR 7/8 AG is a Toll-like receptor 7/8 agonist. Also provided is a method of administering to a patient having cancer (a) an IL-2Rβ-activating amount of a long-acting, IL-2Rβ-selective agonist; and (b) a Toll-like receptor agonist such as a conjugate as described above, as well as related compositions, kits and methods. RQ-POLY-Xr-TLR7/8 AG)q  (I)

Core Innovation

The invention relates to a conjugate comprising a Toll-like receptor 7/8 (TLR 7/8) agonist covalently attached to a multi-arm, water-soluble, non-peptidic polymer through a linkage-containing spacer moiety. The polymer is defined by Formula III, with defined ranges for the parameters m and n, and defined substituent options R1 and R2. The conjugate includes pharmaceutically acceptable salts or stereoisomers thereof.

The linkage-containing spacer moiety L provides the covalent connection between the TLR 7/8 agonist and the polymer and is described as stable or releasable. Representative linkage types and spacer examples include amide, thioether, carbamate, ester, carbonate, urea, enzyme-cleavable peptidic linkages, and carboxymethyl amino acid spacer examples, with linkage types and functional attachment options including O/S/N attachment groups.

The invention also encompasses representative TLR7/8 agonists as conjugate components, including imidazoquinolines such as resiquimod (R-848) and imiquimod. Representative conjugate structures are provided, including embodiments corresponding to Formula III and multiple named compounds, including Compounds 1-16 and specific examples such as PEG5k with y≥113.

The disclosure also includes pharmaceutical composition aspects and cancer immunotherapy concepts involving administration of a TLR agonist conjugate, including local intratumoral administration and combination with a long-acting IL-2Rβ-biased agonist to promote synergy and systemic immune effects, including an abscopal effect.

Claims Coverage

The independent claims cover a conjugate architecture pairing a TLR7/8 agonist with a multi-arm, water-soluble, non-peptidic polymer via a linkage-containing spacer, and a selection of specific conjugates with a defined polymer parameter n range. The claim set emphasizes Formula III structure, spacer-linker L, and substituent definitions for R1 and R2.

TLR 7/8 agonist covalently attached via linkage-containing spacer to a multi-arm water-soluble non-peptidic polymer of Formula III

A conjugate comprising a Toll-like receptor 7/8 (TLR 7/8) agonist covalently attached, via a linkage-containing spacer moiety, to a multi-arm, water-soluble, non-peptidic polymer having a formula in accordance with Formula III, wherein each m is independently an integer from 1 to 5, inclusive, each n is independently an integer from 40 to 350, inclusive, R1 is hydrogen or a specified substituent, and R2 is hydrogen or hydroxyl.

Spacer moiety L limited to specified linker structures or a single bond

The conjugate wherein L is selected from defined repeating methylene segments and amide-containing and substituted fragments, or a single bond.

Conjugate selected from Compounds 1-10 and 12-15 with n constrained to 40-350

A conjugate selected from the group consisting of Compounds 1-10 and 12-15, or a pharmaceutically acceptable salt or stereoisomer thereof, wherein each n is independently an integer from 40 to 350.

Overall, the independent claims define conjugates where a TLR7/8 agonist is covalently attached to a multi-arm water-soluble non-peptidic polymer through a linkage-containing spacer moiety and where polymer parameters, notably n, fall within 40–350, with one independent claim also specifying the Formula III structure and substituent definitions.

Stated Advantages

Reduced systemic cytokines versus the parent R848.

Altered tumor retention/kinetics of the TLR7/8 PEGylated conjugate (Compound 6).

Enhanced tumor eradication/immune modulation in combination studies with an IL-2Rβ-biased agonist (RSLAIL-2).

Improved tumor exposure relative to IL-2.

Improved antitumor outcomes including survival and complete responses across multiple models.

Combination therapy increases CD8+ T cell to regulatory T cell ratios and preferential CD8+ T/NK expansion.

Enhance local antigen presentation and CD8 priming with reduced systemic toxicity.

Promote synergy and systemic immune effects, including an abscopal effect.

STAT5 phosphorylation and effects on CD8+ and Treg balance.

Documented Applications

Production of TLR7/8-dependent cytokines in mouse plasma/tumor using a TLR7/8 PEGylated conjugate (Compound 6), with assessment of cytokine profiles including IFN-γ and other listed cytokines.

Antitumor/immune modulation studies in mouse tumor models, including CT26 tumor and EMT6 tumor, with measurements related to tumor retention/kinetics and immune responses such as CD8 T cells and Tregs.

Combination immunology studies using the IL-2Rβ-biased agonist RSLAIL-2 with the TLR7/8 PEGylated conjugate.

Therapeutic antitumor immunotherapy using a long-acting IL-2Rβ-biased agonist in combination with a TLR 7/8 agonist, with TLR administration routes including intratumoral/local.

Cancer immunotherapy using local intratumoral administration to enhance local antigen presentation and CD8 priming with reduced systemic toxicity.

Cancer immunotherapy in combination with a long-acting IL-2Rβ-biased agonist to promote synergy and systemic immune effects, including an abscopal effect.

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