Merrimack Pharmaceuticals, Inc., One Broadway, 14(th) Floor, Cambridge, MA 02142, USA.
Merrimack Pharmaceuticals, Inc., One Broadway, 14(th) Floor, Cambridge, MA 02142, USA.
J Control Release. 2019 Sep 28;310:47-57. doi: 10.1016/j.jconrel.2019.08.006. Epub 2019 Aug 7.
Ephrin A2 targeted immunoliposomes incorporating pH-sensitive taxane prodrugs were developed for sustained delivery of active drug to solid tumors. Here we describe the systematic formulation development and characterization of these immunoliposomes. We synthesized both paclitaxel and docetaxel prodrugs to formulate as ephrin A2-targeted liposomes stabilized in the aqueous core with sucroseoctasulfate (SOS). The optimized lipid formulation was comprised of egg-sphingomyelin, cholesterol, and polyethylene glycol distearoyl glycerol (PEG-DSG). The formulations examined had a high efficiency of prodrug encapsulation (as high as 114 mol% taxane per mole phospholipid) and subsequent stability (>3 years at 2-8 °C). The taxane prodrug was stabilized with extraliposomal citric acid and subsequently loaded into liposomes containing a gradient of SOS, resulting in highly stable SOS-drug complexes being formed inside the liposome. The internal prodrug and SOS concentrations were optimized for their impact on in vivo drug release and drug degradation. Cryo-electron microscope images revealed dense prodrug-SOS complex in the aqueous core of the immunoliposomes. Ephrin A2-targeted taxane liposomes exhibited sub-nanomolar (0.69 nM) apparent equilibrium dissociation constant toward the extracellular domain of the ephrin A2 receptor, long circulation half-life (8-12 h) in mouse plasma, a release rate dependent on intraliposomal drug concentration and stable long-term storage. At an equitoxic dose of 50 mg taxane/kg, ephrin A2-targeted liposomal prodrug showed greater antitumor activity than 10 mg/kg of docetaxel in A549 non-small cell lung, as well as MDA-MB-436 and SUM149 triple negative breast cancer xenograft models. The lead molecule entered a Phase I clinical trial in patients with solid tumors (NCT03076372).
针对 Ephrin A2 的免疫脂质体结合了 pH 敏感型紫杉烷前药,用于向实体瘤持续递送活性药物。在这里,我们描述了这些免疫脂质体的系统制剂开发和特性。我们合成了紫杉醇和多西紫杉醇前药,以将其包封在带蔗糖八硫酸酯(SOS)的水性核心中的 Ephrin A2 靶向脂质体中。优化的脂质配方由蛋黄鞘磷脂、胆固醇和聚乙二醇二硬脂酰甘油(PEG-DSG)组成。所检查的制剂具有很高的前药包封效率(高达每摩尔磷脂 114 mol% 的紫杉烷)和随后的稳定性(在 2-8°C 下超过 3 年)。紫杉烷前药用额外的柠檬酸稳定,并随后装载到含有 SOS 梯度的脂质体中,导致在脂质体内形成高度稳定的 SOS-药物复合物。优化了内部药物和 SOS 浓度,以影响体内药物释放和药物降解。冷冻电子显微镜图像显示免疫脂质体水核中致密的前药-SOS 复合物。Ephrin A2 靶向紫杉烷脂质体对 Ephrin A2 受体的细胞外结构域表现出亚纳摩尔(0.69 nM)的表观平衡解离常数,在小鼠血浆中具有 8-12 小时的长循环半衰期,释放速率取决于脂质体内的药物浓度和稳定的长期储存。在等毒性剂量为 50 mg 紫杉烷/kg 时,Ephrin A2 靶向脂质体前药在 A549 非小细胞肺癌以及 MDA-MB-436 和 SUM149 三阴性乳腺癌异种移植模型中显示出比 docetaxel 10 mg/kg 更高的抗肿瘤活性。该先导分子已进入实体瘤患者的 I 期临床试验(NCT03076372)。
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