Anti-TNF Thioester Glucocorticoid Antibody-Drug Conjugate Fully Inhibits Inflammation with Minimal Effect on Systemic Corticosterone Levels in a Mouse Arthritis Model

J Med Chem. 2024 Jun 13;67(11):9495-9515. doi: 10.1021/acs.jmedchem.4c00598. Epub 2024 May 23.

Abstract

We describe the discovery of a thioester-containing glucocorticoid receptor modulator (GRM) payload and the corresponding antibody-drug conjugate (ADC). Payload 6 was designed for rapid hepatic inactivation to minimize systemic exposure of nonconjugated GRM. Mouse PK indicated that 6 is cleared 10-fold more rapidly than a first-generation GRM payload, resulting in 10-fold lower exposure and 3-fold decrease in Cmax. The anti-mTNF conjugate ADC5 fully inhibited inflammation in mouse contact hypersensitivity with minimal effects on corticosterone, a biomarker for systemic GRM effects, at doses up to and including 100 mg/kg. Concomitant inhibition of P1NP suggests potential delivery to cells involved in the remodeling of bone, which may be a consequence of TNF-targeting or bystander payload effects. Furthermore, ADC5 fully suppressed inflammation in collagen-induced arthritis mouse model after one 10 mg/kg dose for 21 days. The properties of the anti-hTNF conjugate were suitable for liquid formulation and may enable subcutaneous dosing.

MeSH terms

  • Animals
  • Arthritis, Experimental* / drug therapy
  • Arthritis, Experimental* / metabolism
  • Corticosterone* / blood
  • Disease Models, Animal
  • Glucocorticoids / pharmacology
  • Humans
  • Immunoconjugates* / chemistry
  • Immunoconjugates* / pharmacokinetics
  • Immunoconjugates* / pharmacology
  • Immunoconjugates* / therapeutic use
  • Inflammation / drug therapy
  • Inflammation / metabolism
  • Male
  • Mice
  • Receptors, Glucocorticoid / antagonists & inhibitors
  • Receptors, Glucocorticoid / metabolism
  • Tumor Necrosis Factor-alpha* / antagonists & inhibitors
  • Tumor Necrosis Factor-alpha* / metabolism

Substances

  • Immunoconjugates
  • Corticosterone
  • Tumor Necrosis Factor-alpha
  • Receptors, Glucocorticoid
  • Glucocorticoids