- Open Access
Antibody-drug conjugates: integrated bioanalytical and biodisposition assessments in lead optimization and selection
AAPS Open volume 4, Article number: 6 (2018)
Therapies based on monoclonal antibodies (mAbs) have delivered an impressive success in the clinics due to their exquisite specificity, potential for agonistic or antagonistic responses, tunable effector function, and optimal pharmacokinetic properties. Building on these inherent antibody properties, the design and development of antibody-drug conjugates (ADCs) with improved or gained therapeutic activity and safety has been successfully demonstrated in oncological applications. There is enormous potential for this new type of hybrid biologics but there are also significant engineering, manufacturing and bioanalytical challenges. In this manuscript, we highlight the range and diversity of assays that are critical to characterize the individual components of ADCs-linker, carrier, and payload. We discuss a series of in vitro and in vivo preclinical experimental approaches we implemented to characterize two anti-inflammatory steroid bearing ADCs, and an ADC bearing a modified glucagon-like peptide 1 receptor/glucagon receptor co-agonist peptide.
Antibodies and antibody-based molecules constitute one of the most efficacious classes of therapeutic products in the biotechnology industry. Due to their generally long half-life and specificity encoded in discrete complementary determining regions, it was originally believed that, in addition to an excellent therapeutic window, the pharmacokinetic properties of recombinant antibodies will be both similar and predictable. However, it is now well understood that many factors, depending on the specific antibody and intended target, may significantly affect the drug pharmacokinetic behavior (Tabrizi et al., 2006).
Antibody-drug conjugates represent a new kind of therapeutic agents which are gaining importance especially in the oncology field (Sievers and Senter, 2013). They are the product of covalently linking a monoclonal antibody with a small molecule or peptide drug (payload). Typically, the mAb will enable a targeted delivery of the payload to a defined cell population of choice. The increase in total mass of ADC compared to payload alone improves the payload exposure due to diminished renal uptake and clearance of ADC. In addition, ADCs are expected to retain binding to the neonatal Fc receptor (FcRn), which is responsible for salvaging both immunoglobulin G (IgG) and albumin from cellular catabolism in a pH-dependent recycling and transcytosis mechanism (Andersen and Sandlie, 2009; Roopenian and Akilesh, 2007).
For ADCs with a targeted intracellular payload, the challenge is to successfully design ADCs with a balanced chemical linker strong enough to be stable in blood while efficiently cleaved once inside the cell lysosomal compartment to release its active payload. These properties would reduce systemic pharmacological exposure and non-specific effects associated with the free drug. Alternatively, for extracellular targets the mAb portion can serve as a carrier to extend the half-life of the payload from minutes to days and systemic exposure by several folds compared to when dosed as a small molecule drug. In this scenario it is critical that the stability of the linker and payload in the circulation are engineered to match appropriately the expected increase in exposure and half-life of the immunoconjugate. This is of particular importance for peptide payloads as they are more likely to be targeted by enzymatic catabolism in the systemic circulation.
Generally, conjugation of the drug to the antibody has been achieved through lysine or existing cysteine residues resulting in heterogeneous conjugations (Casi and Neri, 2012). However, there is a tremendous interest and research to produce more homogeneous ADCs through site specific conjugations using either engineered cysteine residues (Junutula et al., 2010) or through the site-specific incorporation of non-natural amino acids with unique reactive groups while minimizing antibody scaffold modifications (Axup et al., 2012; Kern et al., 2016b; Tian et al., 2014; Zimmerman et al., 2014). Regardless of the methods used for generating ADCs, a thorough characterization of the effects that the conjugated products and procedures may have on the functional properties of the antibody moiety itself is critical for lead selection and development; including binding properties, affinity and specificity, Fc effector function, off-target disposition, aggregation and novel protein interactions. In addition, because of their multi-component nature (mAb, linker and payload), these hybrid entities are more complex than a “simple” mAb or separate payload. For any given combination of mAb, linker, payload, site, type of conjugation, and the achieved drug-antibody ratio (DAR), the resulting products will consist of a mixture of ADC variants with different physico-chemical properties. This in turn, depending on the resulting heterogeneity, may affect its stability, pharmacokinetics and disposition, adversely changing the overall ADC safety and efficacy profile. Therefore, each experimental conjugate requires the development of a combination of various analytical procedures for a thorough physico-chemical monitoring, from antibody and payload conjugation, immunoassay, and cell based procedures to standard and innovative fit-for-purpose LC-MS methods. There are excellent reviews that cover several aspects of this process(Perez et al., 2014). Descriptions of bioanalytical techniques have been recently published (Gorovits et al., 2013; Kaur et al., 2013; Wakankar et al., 2011). In this manuscript, we describe several specific experimental examples of different site-specific conjugated ADC case-studies in order to highlight the complexity and range of bioanalytical methods required to characterize their properties in vitro and their pharmacokinetic and disposition behavior in vivo (Outlined in Fig. 1). Two cases presented here are: 1) Anti-inflammatory steroid-ADCs directed to specific cell surface receptors (CD25 and CD74) for targeted internalization; 2) A modified Glucagon-like Peptide 1 receptor/Glucagon receptor (GLP1R/GCGR) co-agonist-bearing ADC (Pep-ADC) designed for improved systemic exposure and prolonged pharmacological activity via peptide cell surface receptor binding and activation.
All animal procedures described here were performed in accordance with the established guidelines and regulations by our Institutional Animal Care and Use Committee (IACUC). Animals were housed and maintained in facilities under a protocol approved by and in accordance with the guidelines of the American Association for Assessment and Accreditation of Laboratory Animal Care.
Monoclonal antibodies and ADC compounds
Monoclonal rat-mouse chimeric anti- mouse IL-2Rα (CD25) IgG1 was coupled to dexamethasone (Dex) with either a novel proprietary phosphate based linker (anti-CD25-Phos-Dex) (Kern et al., 2016a) or with a cathepsin based linker (anti-CD25-Cat-Dex) (Kern et al., 2016b), as described in the respective references. These ADCs were generated in partnership with Ambrx Inc. (La Jolla, CA). Humanized anti-human CD74 IgG1 either unconjugated (unconjugated anti-CD74) or conjugated to budesonide using phosphate linker (anti-CD74-Phos-Bud), humanized anti-human CD74 IgG4 (anti-CD74–011), human anti-viral IgG4 (mAb3), and mAb3 conjugated to modified Glucagon-like Peptide 1 receptor/Glucagon receptor (GLP1R/GCGR) co-agonist peptide (Pep-ADC), were all generated in partnership with Ambrx. Mouse anti-Dexamethasone IgG1 (MEB113.53F3.104A) and mouse anti-Dexamethasone IgG2a (MEB113.8D1.7F) were generated at Merck & Co., Inc. (MRL, Palo Alto, CA).
In vitro stability of anti-CD25-Phos-Dex and anti- CD25-Cat-Dex
Anti -CD25-Phos-Dex or anti-CD25-Cat-Dex (15 μg/150 μL plasma) was spiked in normal male DBA1 mouse plasma for up to 18 days at 37 °C. After incubation, samples at selected time points were analyzed by total antibody immunoassay (Total IA), measuring anti-CD25 antibody still capable of binding the target regardless of the presence or absence of payload, and ADC specific immunoassay (ADC IA) using Mesoscale Discovery (MSD) sandwich immunoassay (Meso Scale Discovery, Rockville, MD), and free dexamethasone was determined by LC-MS (Free Dex). For Total IA, the plasma samples spiked with each ADC were added to MSD MA6000 96-Small Spot plate coated with recombinant mouse IL-2 Rα (R&D System, Minneapolis, MN) as a capture molecule. After incubation and washes, wells were incubated in goat anti-rat IgG (Fc), F (ab’)2-Biotin (Sigma-Aldrich, St. Louis, MO). Finally for detection, SULTO-TAG labeled Streptavidin was added to the wells, signal was read on the MESO SECTOR S 600 reader after adding MSD read Buffer T. For Anti-CD25 conjugate ADC specific immunoassay, similar procedure was followed, however, mouse anti-dexamethasone IgG2a (MEB113.8D1.7F)–Biotin (Merck) was used to detect dexamethasone containing intact ADC in spiked plasma.
For LC-MS detection of Dexamethasone, plasma protein was precipitated by addition of 400 μL of internal standard solution, consisting of 20 ng/mL of Dexamethasone-d4 (TLC PharmaChem, Vaughan, ON) in acetonitrile to 40 μL of plasma. Samples were vortexed for 30 s and centrifuged at 14,000 rpm for 10 min at 4 °C. Supernatants were transferred to a clean tube and dried in Centrivap vacuum concentrator (Labconco, Kansas City, MO). Samples were reconstituted with 40 μL of 50% methanol /aqueous solution and 5 μL was injected into the ESI(−)LC-MS/MS (Acquity Waters, Milford, MA; TSQ Vantagem, ThermoScientific, Waltham MA). Analysis was performed on a Ascentis Express C18 (50 mm x3mm × 2.7 μm) (Sigma-Aldrich) column with a 3 min linear gradient from 50 to 95% Buffer B (Buffer A: 0.1% formic acid aqueous solution; Buffer B: 0.1% formic acid in acetonitrile) at 0.4 mL/min. Dexamethasone and dexamethasone-d4 were detected using the transitions 437.0 > 361.3, and 441.0 > 363.3, respectively. Method showed linearity from 0.1 ng/mL to 2000 ng/mL.
In vivo stability of anti-CD74-Phos-Bud in human CD74 transgenic mice
Human CD74 expressing transgenic (Tg) mice (B6.Cg-Tg(CD74)AR194Ayr/j) were generated and characterized previously (Honey et al., 2004). These Tg mice (n = 2/group) were dosed intravenously (IV) with either 3, 10 or 30 mg/kg of anti-CD74-Phos-Bud and plasma samples were collected at designated time points. Samples were subjected to MSD immunoassays. For total anti-CD74 immunoassay (Total IA), measuring anti-CD74 antibody still capable of binding the target regardless of the presence or absence of payload, recombinant human CD74 (R&D System) was plated on MSD MA6000 96-Small Spot plate as a target capture and mouse anti-human IgG-SULTO-TAG (SouthernBiotech, Birmingham, AL) was used as detection reagent. For anti-CD74–Phos-Bud ADC specific immunoassay (ADC IA), mouse anti-dexamethasone IgG1 (MEB113.53F3.104A)–Biotin (Merck) was coated on to MSD Streptavidin multi-array 96-well plate, and MEB113.53F3.104A-SULFO-TAG was used as the detection reagent.
Anti-CD74-Phos-Bud interacting protein in C57BL/6 J mouse plasma
Anti-CD74-Phos-Bud was immune-purified from spiked C57BL/6 J mouse plasma using NanoLink Streptavidin Magnetic beads (Solulink, San Diego, CA) immobilized with biotin-SP-conjugated AffiniPure F(ab’)2 fragment goat anti-human IgG (H + L) (Jackson ImmunoResearch) with 3 h incubation at 4 °C. After capture, beads were separated from plasma using a magnetic rack and washed five times with 0.1% RapiGest (Waters) in TBS 1× solution. Samples were eluted with 30 μL of 0.25% formic acid solution and neutralized by the addition of TRIS HCl (1 M). Samples were heated for 3 min at 80 °C for denaturation, reduced with DDT (final concentration of 5 mM) for 30 min at 60 °C, and alkylated with iodoacetamide (final concentration of 15 mM) for 30 min at room temperature in dark. Digestion was performed by addition of 2.5 μg of trypsin (Promega, Madison, WI) to each sample, and incubation for 4 h at 37 °C. Digestion was quenched by addition of HCl (final concentration of 200 mM) and samples were further incubated at 37 °C for 45 min for hydrolysis of remaining RapiGest. Samples were centrifuged at 14,000 rpm for 10 min at 4 °C, and 4 μL of digests were injected in a LC-MS/MS system NanoAcquity (Waters)/ LTQ-Orbritrap XL (ThermoScientific) with a 60 min linear gradient from 5 to 56% Buffer B (Buffer A: 0.1% formic acid aqueous solution; Buffer B: 0.1% formic acid in acetonitrile) at 0.4 μL/min. Search was performed using the Proteome Discoverer Software (ThermoScientific).
DyLight™ 650 labeling of antibodies
DyLight™ 650 labeling kits (ThermoScientific) were used to conjugate an N-hydroxysuccinimide ester fluorescence dye (excitation at 652 nm and emission at 672 nm) to anti-CD74, anti-CD74-Phos-Bud, and isotype matched control antibody (mAb-C), Pep-ADC, and mAb3, using the method described in previous publication from our group (Brunn et al., 2016).
In vitro stability assessment of DyLight 650 labeled anti-CD74, anti-CD74-Phos-Bud, and isotype control antibody (mAb-C) by SEC-HPLC
For assessing stability in mouse plasma in vitro, DyLight 650 labeled anti-CD74, anti-CD74-Phos-Bud and isotype matched control antibody (mAb-C) were incubated at 37 °C in C57BL/6 J mouse plasma (100 μL) at a final concentration of 80 μg/mL, samples were taken out and snap frozen at designated time points, and stored at − 80 °C until analysis. For SEC-HPLC analysis, 25 μL of plasma samples from time points were applied onto a BioSep-SEC-S3000 column (Phenomenex, Torrance, CA) at 1 mL/min elution rate with PBS as a mobile phase for 15 min, and analyzed using an Agilent 1200 HPLC system (Agilent Technologies, Santa Clara, CA). The effluent was monitored continuously at 280 nm and by the net fluorescence intensity at an excitation wavelength of 646 nm and emission of 674 nm, as described previously (Brunn et al., 2016).
Biodistribution of DyLight 650 labeled anti-CD74-Phos-Bud and unconjugated anti-CD74–011 mAb in mice
Transgenic human CD74 mice (B6.Cg-Tg(CD74)AR194Ayr/j) and normal wild type C57BL/6 J female littermates (WT) (n = 2/group/time point) were given 5 mg/kg IV bolus of DyLight 650 labeled-anti-CD74-Phos-Bud. A separate group of wild type littermates (n = 2/time point) were administered with 5 mg/kg of DyLight 650 labeled-anti-CD74–011. Animals were euthanized with carbon dioxide followed by terminal cardiac puncture. Blood, plasma, and selected tissues were harvested to measure drug concentration. Whole blood samples were collected into K2-EDTA CapiJect microcollection tubes (Terumo Medical Corporation, Somerset, NJ) and placed on ice. For drug analysis in whole blood, samples were aliquoted into polypropylene vials (Corning Glassworks, Corning, NY) and stored at − 80 °C. Plasma was separated from whole blood via centrifugation for 6 min at 6000×g at 4 °C, and stored at − 80 °C. For tissue lysates, organ samples were collected and immediately placed into 2-ml Precellys Lysing Tubes (Bertin Technologies, Rockville, MD), weighed, and frozen by placing on dry ice. To prepare lysates, upon partial thawing, a 1:5 dilution of Dulbecco’s PBS containing 1% Triton X-100 (MP Biomedicals, Solon, OH) and 1× Halt Protease Inhibitor single use cocktail (ThermoFisher Scientific) was added to the samples. Then, tissue slurries were prepared using a Precellys Evolution Homogenizer (Bertin Technologies). The slurry was centrifuged (10,000×g at 4 °C for 10 min) and the tissue lysate supernatants were collected and either processed immediately or stored at − 80 °C until analysis.
Determination of DyLight 650 labeled -anti-CD74-Phos-Bud and anti-CD74–011 mAb concentration in tissue samples by fluorescence emission–linked analysis (FELA)
For assessment of tissue drug concentration, the collected blood, plasma, and tissue lysate samples or a set of corressponding blank tissue samples were diluted 1:10 (final dilution) with tissue lysis buffer (1× DPBS with 1% Triton X-100). The diluted samples (150 μL) were transferred to 96-well polystyrene plates with low fluorescence background for analysis in the Glomax® Multi-Detection system microplate reader (Promega). The microplate reader was equipped with a fluorescence optical filter featuring excitation and emission wavelengths of 625 nm and 660 to 720 nm, respectively.
For each DyLight 650 labeled antibody, fluorescence intensity calibration curves were established by serially diluting spiked blood and liver lysate. A linear correlation function was fitted to the data using best-fit parameters on Microsoft Excel. The resulting blood calibration curve equation was used to fit unknown blood and spleen lysate samples, and the liver calibration curve equation was used to fit unknown liver lysate samples. Concentrations of DyLight-650 labeled antibodies were calculated as microgram equivalents per gram of wet tissue or as microgram equivalents per mL of blood. Subsequently, tissues to blood ratios were calculated by dividing concentration in respective tissue by concentration in blood at the designated time point.
Assessment of bioactive and total Pep-ADC in mice
In order to measure the bioactivity of Pep-ADC in plasma (Bioassay), plasma samples from C57BL/6 J male mice with diet induced obesity (DIO) dosed with 10 mg/kg IV bolus of Pep-ADC were incubated with GLP1R transfected Chinese hamster ovarian (CHO) cells for 1 h. The reactions were stopped by adding cell-lysis buffer from cAMP CISBIO kit (Cisbio, Bedford, MA). A calibration curve was established using different amount of Pep-ADC spiked into plasma to stimulate GLP1R-CHO cells and quantify cAMP release in a 96-well corning white plate using cAMP CISBIO kit. Bioactivity of Pep-ADC was back-calculated and reported as μg/mL.
To determine the total antibody level (Total mAb3 assay), MSD immunoassay was used. Plasma samples from Pep-ADC dosed animals were applied to Streptavidin Gold Multi-Array 96-well Plate (MSD) coated with mouse anti-Human IgG4-Biotin (SouthernBiotech) as a capture reagent, and SULFO-TAG-mouse anti-Human IgG (Southern Biotech) was used for detection.
Pep-ADC intact mass analysis by AP-LC-MS
Mouse study: C57BL/6 J male mice (n = 3) with diet induced obesity were dosed with 3 mg/kg IV bolus of Pep-ADC. Plasma samples collected at day 1, 3, 7, and 10 were processed for intact mass analysis.
Non-human primates study: Treatment naïve male rhesus monkeys (n = 3) weighing 6–7.1 kg were fasted overnight and dosed with 3 mg/kg IV bolus of Pep-ADC. Plasma samples collected at 5 min, day 1, day 3, day 7, day 10, and day 14 were processed for intact mass analysis.
Pep-ADC was retrieved from plasma samples from both studies by affinity purification for LC-MS as follows. Nanolink Streptavidin Magnetic beads (Solulink) were preloaded with biotinylated polyclonal goat anti human IgG (SouthernBiotech). Preloaded magnetic beads (20 μl) at 2.5 mg/ml in TBS pH 7.4, 0.02% Rapigest SF Surfactant (Waters) was added to 30 μl of K2-EDTA plasma sample. Captured Pep-ADC was eluted in 30 μl of 0.25% formic acid (FA), reduced with 5 mM TCEP for 30 min at 60 °C, and 10 μl was injected into Waters Acquity UPLC I class on line with Waters Synapt G2S QTOF mass-spectrometer. Reverse phase chromatography was used on the Poros R2/10 column (2.1 × 30 mm) (Applied Biosystems, Waltham, MA) with flow rate 0.1 ml/min, 7 min gradient 30% to 58% B, 65 °C. Buffer A was water, 0.1% FA, buffer B was 90% Acetonitrile, 0.1% FA. Mass Spectrometry conditions were: capillary voltage of 3.2 kV, cone voltage of 80 V, desolvation temperature 450 °C. Mass data was acquired in m/z mass range of 500–4000. The mass spectrum was deconvoluted and integrated using MassLynx software (Waters).
Pep-ADC quantitative mass spectrometry based assay (LC-MRM)
50 μL of solulink magnetic beads were coated by rotation with 250 μL of goat anti-human IgG (monkey absorbed)-Biotin (SouthernBiotech) for 30 min at room temperature. The beads were washed 3 times with TBS/0.02% RapiGest and resuspended in 50 μL of TBS/0.02% RapiGest. For affinity enrichment, 5 μL of bead was incubated with 30 μL of plasma and TBS/0.02% RapiGest up to 50 μl for 30 min on a rotator. The beads were washed 3 times with TBS/0.02% RapiGest and once with TBS (pH 7.4), eluted with 30 μL of 0.1% formic acid, and neutralized with 2.5 μL of 1 M ammonium bicarbonate.
50 mM TCEP was added for reduction and the mixture incubated for 30 min at 60 °C. Digestion was done with 0.25 μg of trypsin for 5 h at 37 °C. 1 pmol of labeled peptides spanning residue 1 to 12 (representing intact molecule) and residue 24 to 30 (representing M1) was added as internal standard. 5 μL was injected into an Acquity TSQ Vantage for multiple reactions monitoring of R1-R12 and R24–30 peptides.
Biodisposition of Pep-ADC in mice
Normal C57BL/6 J mice (n = 2/group/time point) were administered a single 3 mg/kg IV dose of either DyLight 650 labeled Pep-ADC or unconjugated mAb3. Plasma and tissue samples were collected at 1 h, day 1, 2, 3, 5, 7, 9, and day 14 post dose.
To generate plasma concentration vs time profiles, DyLight 650 labeled drug concentration in plasma was determined by FELA as described previously for anti-CD74 studies.
To determine in vivo stability of DyLight 650 labeled Pep-ADC and unconjugated mAb3 by SEC-HPLC, undiluted plasma samples collected at 1 h, day 2, 5, 9 and day 14 from each group were applied onto a BioSep-SEC-S3000 column (Phenomenex) at 1 mL/min elution rate with PBS as a mobile phase for 15 min, and analyzed using an Agilent 1200 HPLC system (Agilent Technologies). The effluent was monitored continuously at 280 nm and by the net fluorescence intensity at an excitation wavelength of 646 nm and emission of 674 nm, as described previously (Brunn et al., 2016).
To determine cellular disposition of the labeled antibodies, 1 h and day 1 post dose pancreas sections cut from formalin fixed paraffin embedded (FFPE) tissue blocks were deparaffinized and rehydrated with serial passage through changes of xylene and graded ethanols for DyLight 650 immunohistochemistry (IHC). All slides were subjected to heat induced epitope retrieval in TRS solution (pH 6.1) (Dako, Carpineteria, CA). Endogenous peroxidase in tissues was blocked by incubation of slides in 3% hydrogen peroxide solution prior to incubation with primary antibody, FITC-conjugated anti-DyLight 650 clone 12A3 (Merck) for 60 min. Antigen-antibody binding was visualized via application of rabbit anti-FITC antibody (Invitrogen, Carlsbad, CA) then Envision Rabbit HRP (Dako) and application of 3, 3′ diaminobenzidine (DAB) chromogen (Dako). Stained slides were counterstained with hematoxylin and coverslipped for review.
All pharmacokinetic parameters were estimated or calculated by non-compartmental analysis (NCA) using Phoenix® WinNonlin® software (Certara, Princeton, NJ). Model 201 (IV input bolus) was used for the NCA.
Case-study 1: Anti-inflammatory steroid-ADCs
Systemic anti-inflammatory drugs are often used in the treatment of chronic conditions such as inflammatory bowel disease (Baumgart and Sandborn, 2007) and asthma (Lipworth, 1999). As a class, steroids are largely not cell or tissue specific and their systemic use is dose-limited due to harmful side effects (Brunton, 2011). Developing a targeted delivery of the most potent immune system repressors through an antibody-drug conjugate could provide a more effective dose and dosing rational for enhanced efficacy without triggering nonspecific detrimental side effects (Kern et al., 2016a).
Through site specific conjugation in the CH1 domain (Axup et al., 2012), we coupled potent anti-inflammatory molecules, dexamethasone and budesonide, to different monoclonal antibodies aimed at surface receptors broadly expressed on immune cells involved in inflammation. In this modality, the ADC should remain intact in the systemic circulation, bind to its intended target on the surface of immune cells followed by target-mediated internalization and drug release in the lysosomal compartment. The active drug is then released to engage glucocorticoid receptors inside the cell. In addition to their affinity and specificity, it is expected that these antibody conjugates should retain ideal pharmacokinetic properties mainly affected by target-mediated clearance and display a pattern of organ disposition similar to normal endogenous IgGs.
Anti-CD25 mAb conjugated to dexamethasone with cathepsin or phosphate linker: Importance of linker stability
A monoclonal antibody against CD25 or Interleukin − 2 receptor alpha chain (IL-2Rα), expressed in a subset of immune cells (Triplett et al., 2012), was coupled to dexamethasone (Dex) using either a novel proprietary phosphate based linker (anti-CD25-Phos-Dex) (Kern et al., 2016a) or a cathepsin based linker (anti-CD25-Cat-Dex) (Kern et al., 2016b). In order to fully characterize the ADC stability in mouse plasma, several assays were developed. Initially these included: A total antibody immunoassay measuring anti-CD25 antibody still capable of binding the target regardless of presence or absence of payload (target-capture and anti-Fc detection); A conjugate specific ADC immunoassay (target capture and anti-Dex detection); And a LC-MS assay to measure free Dex.
Mouse neat plasma spiked with anti-CD25-Phos-Dex was incubated over the course of 18 days at 37 °C. The total antibody and ADC specific immunoassays showed a constant concentration across all time points (Fig. 2a). Likewise, the LC-MS assay for free Dex showed no appearance of unconjugated payload at any time-point consistent with the intactness of this construct in plasma.
In contrast, the same ADC but with the cathepsin linker (anti-CD25-Cat-Dex conjugate) showed a very different stability-time profile. Total antibody levels were unchanged and no free Dex was detected (Fig. 2b). However, the ADC proved to be highly unstable as illustrated by a dramatic decrease in concentration over time measured by the ADC-specific immunoassay (Fig. 2b). To investigate the unexpected lack of stability of anti-CD25-Cat-Dex in plasma, we developed a method based on affinity purification followed by intact mass measurement by LC-MS (AP-LC-MS). Anti-CD25-Cat-Dex spiked in plasma was retrieved using antigen-bound beads and its mass was measured on a Q-TOF mass spectrometer Synapt G2S. The analysis was consistent with a clipping site in the linker moiety at a C-O bond, between the linker and the drug moieties, which was not the part of the predicted cathepsin cleavage site (Fig. 2c). Linker cleavage at this novel site explains the decrease in intact ADC in the immunoassay and the absence of free drug by LC-MS as the drug remains attached to a part of the broken linker. The same clipping was also observed when anti-CD25-Cat-Dex was incubated in phosphate buffered saline (PBS). Regardless of other approaches, the implementation of an AP-LC-MS intact mass method should become an essential tool to monitor the integrity of the ADCs.
Contrary to the cathepsin sensitive linker ADC (anti-CD25-Cat-Dex) instability, the AP-LC-MS intact mass analysis of anti-CD25-Phos-Dex showed no evidence of drug release or linker instability resulting in a constant drug to antibody ratio with molecular weights comparable to the stock solution at all-time points (unpublished observations). This result was consistent with ADC-specific immunoassay results (Fig. 2a).
The potential relevance of in vitro ADC analysis depends largely on their translatability to appropriate preclinical models for safety and efficacy. These in turn should be selected based on their relevance to the human physiology and expected mechanism of action (MoA) of the ADC and free drug. Therefore, the stability of anti-CD25-Phos-Dex was further tested in a preclinical PK study. Mice were administered a single intravenous injection of 4 mg/kg of anti-CD25-Phos-Dex. Both immunoassays (total and ADC) showed overlapping concentrations with a typical IgG PK profile (unpublished observations). Likewise, the total mass spectrum for the ADC showed an identical profile to the stock solution and unchanged drug to antibody ratio of 2 at all time points. These results are consistent with the overall good stability of the anti-CD25-Phos-Dex including the drug, linker, and antibody components both in vitro and in vivo.
Anti-CD74 mAb conjugated to budesonide with phosphate linker: Importance of the targeting antibody properties
In a different ADC construct with a monoclonal antibody targeting CD74, a cell surface receptor which is known to associate with MHC class II molecule (Borghese and Clanchy, 2011), a more potent anti-inflammatory steroid, budesonide (Bud), was conjugated using an identical phosphate linker at the same amino acid residue position in the CH1 domain. The systemic stability of the resulting ADC (anti-CD74-Phos-Bud) was characterized following IV dosing in mice at 3, 10, and 30 mg/kg. The plasma levels of total mAb versus conjugate-specific immunoassay results showed an apparent linker and/or payload instability (Fig. 3), contrary to the first example of anti-CD25-Phos-Dex. However, the AP-LC-MS analysis indicated a constant peak, identical to the original dosing material demonstrating the intactness of the ADC construct up to 6 h, after which strong peak broadening was observed and the total ion chromatograms could not be deconvoluted, suggesting heterogeneity. This could be due to severe conjugate modifications, aggregation, or protein interactions. In addition, no free Bud could be detected by LC-MS at any time point. Therefore, additional studies were implemented to better understand these discrepancies. Anti-CD74-Phos-Bud was incubated in mouse plasma for 14 days at 37 °C and retrieved by pull-down for tryptic digestion and analysis by LC-MS for identification of ADC associated plasma proteins. Analysis of these samples and a control sample with no ADC spiked in the original mouse plasma revealed the presence of several unexpected, off-target ADC-associated proteins (Fig. 4). These included: alpha-2 macroglobulin, ceruloplasmin, complement C3, albumin, fibrinogen beta, and murinoglobulin 1. Using a different approach, anti-CD74-Phos-Bud and unconjugated (naked) anti-CD74 were labeled using a DyLight-650 fluorescent dye to follow their size exclusion chromatography (SEC) profile over time upon incubation in mouse plasma at 37 °C. Samples were analyzed on an Agilent 1100 high pressure liquid chromatography (HPLC) system equipped with an in-line fluorescent detector. The resulting chromatographic profiles (Fig. 5a and b) indicated antibody instability as shown by the formation of high molecular weight (HMW) complexes for both constructs. By day 14 of incubation, only 53% of anti-CD74-Phos-Bud and 60% of drug unconjugated anti-CD74 antibody remained as a single intact monomeric IgG peak. A control antibody (Fig. 5c) remained at 96% in the same conditions. The immunoassay discrepancies between total anti-CD74 versus intact ADC values may be attributed to assay interferences due to antibody aggregation or off-target association with plasma proteins preventing payload detection. The identification of anti-CD74-Phos-Bud HMW complex formation in plasma was consistent with the off-target interactions identified by LC-MS, and pointed to a potential flaw in the properties of the anti-CD74 mAb moiety but not in the linker or the payload or the conjugation process.
Unconjugated anti-CD74 mAb shows off-target clearance mechanism in mice without CD74 target
Clearance of free IgGs and small, non-precipitating IgG complexes happen primarily by interactions with Fc receptors (FcRs) and non-specific protein clearance via fluid-phase endocytosis (Nash et al., 2001; Rojas et al., 2005; Takai, 2002). These pathways are expected to drive the elimination of anti-CD74 in species without the target expression or binding. To determine the PK properties of this anti-CD74 antibody, wild C57BL/6 J mice were administered a single intravenous dose of unconjugated anti-CD74. As show in Table 1, non-linear PK properties were observed for this antibody (Table 1).
AUC0-INF: Area under the curve from zero to infinity; CL: Clearance; Cmax: Observed maximum concentration; t1/2: Terminal half-life; Vss: Volume of distribution at steady state
Frequently, non-linear PK of mAbs may be explained by target mediated disposition (TMD). TMD is a saturable process and it is characterized by decreasing clearance with increasing doses. On the contrary, clearance of unconjugated anti-CD74 appeared to be higher when higher doses were administered. In addition, since this anti-CD74 antibody does not recognize the murine target receptor, its PK was not expected to reflect TMD. Here, observed increases in clearance at higher doses are consistent with the presence of a low affinity, high capacity off-target antibody sink (i.e., a non-specific clearance mechanism). This is, in general, an undesirable property for a targeting antibody that is characterized for its specificity and extended systemic half-life.
Anti-CD74-Phos-Bud tissue disposition pattern in mice with and without human CD74 target confirms off target effect with anti-CD74 mAb
To gain a better understanding of the DMPK properties of Anti-CD74-Phos-Bud, and the relevance of target versus off-target interactions in the fate of anti-CD74-Phos-Bud in vivo, we utilized a transgenic (Tg) mouse strain that expresses the human CD74 receptor (Honey et al., 2004). The expression of this human receptor is driven by the endogenous analog murine promoter; therefore, these transgenic mice display abundant receptor expression in spleen and to a lesser degree in hepatic tissues. Since anti-CD74-Phos-Bud does not recognize murine CD74, wild type (WT) littermates were used to evaluate the effect of target versus off-target interactions in the distribution and elimination of this antibody-drug-conjugate. In addition, a different, unconjugated anti-CD74 monoclonal antibody (referred to as anti-CD74–011 mAb hereafter) was used as a control for background tissue uptake characteristic of a non-specific IgG clearance mechanism, with known negative organ accumulation and tissue to blood ratios below 1. Mice were given an IV dose of 5 mg/kg of DyLight-650-labeled anti-CD74-Phos-Bud and anti-CD74–011 mAb. Figure 6 shows the μg-equivalents/gram (μg/g) of wet tissue or μg/ml of blood in Tg and WT mice. In concordance with the organ receptor expression levels, anti-CD74-Phos-Bud distributed extensively to the spleen and liver in the Tg mice with peak concentrations of 87 μg/g at 2 h in spleen and 43.5 μg/g at 6 h in liver. However, disposition to spleen and liver in the wild type littermates was also unusually high (34.1 and 33.7 μg/g) six hours post IV dosing. In contrast, the spleen and liver drug levels in the anti-CD74–011 mAb clone group using wild type littermates were below 11 μg/g at all time points in both organs. Accordingly, anti-CD74-Phos-Bud tissue to blood ratios were as high as 99 for the spleen at day 1 and 66.9 for liver at day 2 in Tg mice (Fig. 7a). However, tissue to blood ratios higher than 1 were also found in spleen and liver from wild type littermates consistent with off-target interactions. Overall these results demonstrated the presence of an antibody driven, off-target mechanism of tissue uptake and disposition, and were consistent with the identification of non-specific protein interactions in the circulation and undesirable PK for this construct. Based on these results, this anti-CD74 mAb was therefore not further considered as a lead therapeutic candidate. In this case, the intrinsic unfavorable properties of the antibody alone determined the overall poor fate of this ADC in vivo. This conclusion was further supported by observations with the anti-CD74–011 mAb, which demonstrated excellent stability in biomatrices. In a follow up disposition study, anti-CD74–011 mAb exhibited higher tissue to blood ratios in spleen compared to liver in human CD74 expressing transgenic mice at any evaluated time points, with ratio in spleen reaching as high as 224 at day 2 compared to 48.7 in liver (Fig. 7b). Furthermore, tissue-to-blood ratios in wild type mice for both tissues were lower than 0.5 at any evaluated time point (Fig. 7b). These observations were consistent with anti-CD74–011 mAb target-mediated uptake following administration to the transgenic mouse strain that expresses the human form of CD74 (Fig. 7b).
Case-study 2: GLP1R/GCGR peptide-ADC (Pep-ADC): Importance of payload stability
Due to their precise specificity, peptide drugs are gaining importance as therapeutic agents. However, their small size, rapid clearance rates, and systemic catabolism have limited their clinical potential and applications (McGregor, 2008; Sato et al., 2006). The use of balanced Glucagon -like peptide 1 receptor/Glucagon receptor (GLP1R/GCGR) co-agonist has shown enhanced efficacy and safety relative to pure GLP1R agonists in the treatment of rodent obesity, with simultaneous improvement in glycemic control (Day et al., 2012; Day et al., 2009; Pocai et al., 2009).
Using site specific conjugation, we coupled a modified-for-stability GLP1R/GCGR co-agonist peptide (payload) to a residue in the CDR H1 of a non-targeting human mAb (mAb3) via a non-cleavable linker. The linked peptide-mAb3 immunoconjugate is referred to as Pep-ADC hereafter. In this modality, it is expected that the antibody moiety will provide a stable carrier for prolonged exposure in the circulation of the linked peptide due to reduced renal clearance and engagement of the FcRn recycle mechanism. In turn, this should result in a substantial improvement in the biological outcome compared to the co-agonist peptide dosed alone (Kompella and Lee, 1991). In order for this to occur, it is essential that both the linker and the bioactive peptide are designed with the required stability to match the enhanced pharmacokinetic properties conferred by the antibody conjugation. For measurements of total versus intact ADC concentrations, an immunoassay (Fc capture and Fc detection) and a cell based bioactivity (peptide-induced receptor activation) procedures were implemented.
Immunoassay, cell based bioactivity, and mass spectrometric characterization helped to determine the pep-ADC stability issue in mice
To characterize the metabolic fate of Pep-ADC in vivo, Pep-ADC was administered to mice at 1 and 10 mg/kg as a single intravenous injection. Plasma was collected over time and analyzed for both total ADC (mAb3 levels) and cell-based bioactivity (assessment of free and/or conjugated active peptide). Previous in vitro work with the free peptide (Pep) had demonstrated that only the intact moiety retained receptor binding and signaling in this cell-based assay. Pharmacokinetic results (Table 2 and Fig. 8) demonstrated more than 2-fold differences in exposure and clearance between total mAb3 and bioactive measurements in a cell based assay. Therefore, the smaller exposure and increased clearance for the bioactive ADC compared to the total ADC -suggested a potential linker instability and/or peptide catabolism.
To further understand the molecular nature of Pep-ADC potency loss, we conducted an AP-LC-MS analysis. In agreement with the bioactivity assay data, the results showed that while the intact conjugated Pep-ADC decreased with time and eventually became undetectable by day 5, several clipped variants (M1, M2, M3 and M4) representing degradation of the conjugated peptide at various positions became the predominant ADC species (Fig. 9a and b). A control group of mice dosed with the mAb3 only, without the conjugated linker-peptide, showed a constant peak (intact mAb) at the same molecular weight at all tested time points (unpublished observations) indicating no catabolism of the antibody moiety itself. Mass difference calculations identified that the conjugated peptide clipping between residues 2/3 (M4), 25/26 (M1), 27/28 (M2) and 30/31 (M3) of the peptide sequence (Fig. 9c). All clipped M-variants are inactive in bioassay, as it is known that the removal of the first two amino acids of Glucagon-like peptide-1 (GLP-1) by dipeptidyl peptidase 4 (DPP4) kills the activity of GLP-1 through GLP-1 receptor (GLP1R) (Knudsen and Pridal, 1996). This is also true for Pep-ADC, which is a modified Glucagon-like Peptide 1 receptor/Glucagon receptor (GLP1R/GCGR) co-agonist-bearing ADC. Finally, a mass spec-based quantitative assay was developed to measure the disappearance of the intact form and appearance of the main peptide catabolite (Fig. 10a). It confirmed that intact Pep-ADC disappeared fast and by day 2, only about 10% of intact Pep-ADC remained (Fig. 10b). Conversely, M1 increased for the first two days and then declined over the remaining 5 days as it was cleared and/or transformed into M2 and M3 (Fig. 10b). Overall, these data were consistent with the bioactivity assay and intact mAb measurements, and confirmed M1 as one of the most abundant metabolites in the circulation. These results indicated a path forward in the rational design of improved ADC versions focused on strengthening the stability of the peptide moiety. It is important to note that although bioactive drug exposure can be further increased with potentially more stable peptide properties in the circulation, the current exposure to active drug in this ADC was considerably better than those of similar peptides when dosed alone with half-lives ranging in the order of minutes and elimination rates closer to glomerular filtration rates (Galaske et al., 1979). For free peptides in the circulation at pharmacological doses, two powerful mechanisms drive the fast elimination of these molecules mainly by renal clearance followed by systemic enzymatic degradation (Rabkin and Dahl, 1993). Peptide clearance by target mediated uptake and cellular internalization plays a more modest role (McMartin, 1992).
Pep-ADC stability issue was also observed in non-human primates
To determine whether the Pep-ADC metabolic profile observed in mice was translatable to higher order species, rhesus monkeys were administered intravenously with a single dose of Pep-ADC at 3 mg/kg. Plasma was collected at 5 min, day 1, day 3, day 7, day 10, and day 14. Intact mass analysis by AP-LC-MS showed that the intact Pep-ADC was undetectable by day 7 (Fig. 11), similar to what had been observed in mice by day 2. Furthermore, M1 and M2 were the most abundant metabolites as early as day 3 with M1 almost completely converted to M2 by day 7. All three individual animals exhibited similar degradation profile of the Pep-ADC.
Pep-ADC exhibited normal biodisposition pattern in mice
To complete the characterization of Pep-ADC in vivo and the potential role of the conjugation and the target in the tissue distribution and catabolism of this ADC, fluorophore labeled Pep-ADC and unconjugated mAb3 were intravenously administered to normal C57BL/6 J mice at 3 mg/kg. Selected organs including plasma and whole blood were collected for up to 14 days after IV administration. The concentration versus time values (based on measurements of fluorescent tag on the antibody moiety) for the Pep-ADC and unconjugated mAb3 were similar, suggesting minimal effects of both the conjugation and the presence of the target in vivo at this dose (Fig. 12). The lack of noticeable gross organ uptake of both compounds was supported by the results of the tissue to blood ratios analysis, with values below 0.6 for all the organs tested over the course of the study (unpublished observations). Selected plasma samples were further characterized by SEC-HPLC. As expected, the total amount of the main monomeric peak representing intact IgG decreased with time due to antibody clearance (Fig. 13). However, SEC-HPLC profile showed that both conjugated and unconjugated constructs were stable in the circulation during this time with no evidence of formation of HMW complexes, aggregates, or major catabolic species. More than 90% of the labeled test materials remained as a single intact IgG peak by day 14 (Fig. 13). Importantly, immunohistochemical analysis clearly demonstrated that Pep-ADC but not unconjugated mAb3 efficiently localized to pancreatic Islets of Langerhans consistent with receptor mediated Pep-ADC uptake via specific peptide/receptor binding interactions (Fig. 14).
ADCs or armed antibodies represent one of the next logical steps in the implementation of smarter, more efficient targeted drugs. Specific delivery of highly bioactive compounds to intracellular targets via antibody-receptor binding and internalization holds promise for the arrival of novel hybrid biologics with improved therapeutic windows. There are currently 2 ADCs approved in the USA (Garnock-Jones, 2013; Lambert and Chari, 2014) for oncological applications and more than 40 ADCs currently in various stages of clinical trials (Polakis, 2016; Sievers and Senter, 2013). It is recognized that there are additional challenges and complexities associated with the design and manufacturing of bio-conjugates versus standard antibodies or small molecules production. The CMC development that made possible the production of heterogeneous ADCs for successful clinical applications marks a cornerstone in biotechnology applications (Beck and Reichert, 2014). Furthermore, as improvements in the technology or novel approaches become available, we can expect additional ADCs with better overall pharmacological properties and safer profiles. The right balance needs to be engineered in the ADC so that the linker and drug are stable in blood but are promptly sorted via antibody binding and internalization to the lysosomal compartment for efficient drug release directed towards intracellular targets.
In a different modality, ADCs can also be used to exploit the excellent pharmacokinetic properties of antibodies to extend the exposure and half-life of conjugated bioactive compounds (small molecules, ligands, or peptides). It has been our experience that in general, ADME information collected from one ADC is not directly translatable to another immunoconjugate even when using the same drug-linker combination in a different antibody and against the same target. It has also been shown that even in the same ADC construct, change in drug to antibody ratios or drug load is sufficient to dramatically change the pharmacokinetic properties of the resulting conjugates (Kamath and Iyer, 2015,; Lyon et al., 2015). This is more evident when the new ADC is directed to a different target. In non-oncological applications, the need for early ADME characterization of each lead ADC-candidate is a critical step in molecule selection and rational drug design. For this purpose, the following issues need to be addressed properly: 1) Is the linker stable? 2) Is the drug stable? 3) And is the entire ADC stable? The several approaches to address these questions are also discussed in an industry white paper (Kraynov et al., 2016).
In this paper, we have shown several experimental examples of two different ADC modalities (targeted internalization vs. half-life extension) and the corresponding complexities of the bioanalytical and preclinical ADME work necessary to properly characterize these entities both in vitro and in vivo. An early understanding of the critical physico-chemical components responsible for non-favorable or unexpected PK and ADME properties of experimental conjugates provides critical experimental feedback for a rational design, optimization, and selection of successful lead candidates.
(Dulbecco’s) Phosphate buffered saline
- ADC (s):
Antibody-drug conjugate (s)
Affinity purified LC-MS
- AUC0–14 :
Area under the curve from zero to 14 days
- AUC0-INF :
Area under the curve from zero to infinity
Cyclic adenosine monophosphate
Cathepsin based linker
Heavy chain constant domain 1
Chinese hamster ovary
- Cmax :
Observed maximum concentration
Drug to antibody ratio
Diet induced obesity
Neonatal Fc receptor
Fluorescence emission-linked analysis
Formalin fixed paraffin embedded
Glucagon-like peptide 1 receptor
High molecular weight
Institutional animal care and use committee
Interleukin-2 receptor alpha
Liquid chromatography-mass spectrometry
- mAb (s):
Monoclonal antibody (−ies)
Major histocompatibility complex
GLP1R/GCGR co-agonist bearing antibody drug conjugate
Phosphate based linker
Size exclusion-high pressure liquid chromatography
- t1/2 :
Terminal half life
Tris buffered saline
Target mediated disposition
Volume of distribution at steady state
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The authors acknowledge the contributions of Dr. Laurence Fayadat-Dilman at the Department of Protein Sciences; Dr. Wolfgang Seghezzi at the Department of Bioanalytics; Phillip E. Brandish and Paul E. Carrington at the Biology-Discovery Department; Robert M. Garbaccio at the Chemistry-Discovery Department; And Ambrx, Inc.
This work was supported by Merck Research Laboratories (MRL), Merck & Co. Inc.
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Beaumont, M., Tomazela, D., Hodges, D. et al. Antibody-drug conjugates: integrated bioanalytical and biodisposition assessments in lead optimization and selection. AAPS Open 4, 6 (2018). https://doi.org/10.1186/s41120-018-0026-0
- Antibody-drug conjugates