Title of Invention

PSMA ANTIBODY-DRUG CONJUGATES

Abstract This invention relates generally to antibody-drag conjugates (ADCs). In particular the invention relates to ADCs which comprise an antibody or antigen-binding fragmentthereof which binds to prostate-specific membrane antigen (PSMA) and is conjugated tomonomethylauristatin norephedrine or monomethylauristatin phenylalanine. The antibody- drug conjugate has a PC-3™ cell to C4-2 or LNCaP™ cell selectivity of at least 250. Theinvention also relates, in part, to compositions of and methods of using the ADCs. Themethods provided include, for example, methods for treating a PSMA-mediated disease.
Full Text WO 2007/002222 PCT/US2006/024182
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PSMA ANTIBODY-DRUG CONJUGATES
Related Applications
This application claims the benefit under 35 U.S.C. § 119 of United States provisional
application 60/692,399, filed June 20,2005 and United States provisional application
60/792,360, filed April 14,2006, the contents of each of which are incorporated herein by
reference in their entirety.
Government Support
Aspects of the invention may have been made using funding from National Institutes
of Health Grants CA107653 (DM) and CA96075 (GPD). Accordingly, the government may
have rights to the invention.
Field of the Invention
This invention relates generally to antibody-drug conjugates (ADCs). In particular,
the invention relates to ADCs which comprise an antibody or antigen-binding fragment
thereof which binds to prostate-specific membrane antigen (PSMA) and is conjugated to
monomethylauristatin norephedrine (MMAE) or monomethylauristatin phenylalanine
(MMAF). The antibody-drug conjugate has a PC-3™ cell to C4-2 or LNCaP™ cell
selectivity of at least 250. The invention also relates, in part, to compositions of and methods
of using the ADCs. The methods provided include, for example, methods for treating a
PSMA-mediated disease.
Background of the Invention
Prostate cancer is the most common malignancy and the second leading cause of
cancer death in men in the United States (Jemal A, et al., CA Cancer J Clin 2005;55:10-30).
Localized prostate cancer typically is treated with surgery or radiation, and recurrent disease
can be controlled temporarily with androgen ablation. (Klein EA, et al., Urol Clin North Am
2003 ;30:315-30). However, almost all prostate carcinomas eventually become hormone
refractory and then rapidly progress (Denmeade SR, et al., Nat Rev Cancer 2002;2:389-96).
Hormone-refractory or androgen-independent prostate cancer has proven to be largely
resistant to conventional chemotherapy. With the exception of palliative care, the only

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approved chemotherapy is docetaxel in combination with prednisone, which offers a modest
(2.4 month) survival benefit (Gulley J, et al., Am J Ther. 2004;351:1513-20; Petrylak DP, et
al., New Engl J Med 2004;351:1513-20). New molecularly targeted therapies are needed.
Summary of the Invention
The invention provided herein relates to ADCs that exhibit particularly high
selectivity. In one aspect of the invention an antibody-drug conjugate is provided that
comprises an antibody or antigen-binding fragment thereof which binds to PSMA and is
conjugated to monomethylauristatin norephedrine or monomethylauristatin phenylalanine,
wherein the antibody-drug conjugate has a PC-3™ cell to C4-2 or LNCaP™ cell selectivity
of at least 250. In one embodiment, the selectivity is at least 500,1000, 2500, 6000 or
13,000. In another embodiment, the selectivity is 1567, 6286 or 13,636. In some
embodiments, the antibody or antigen-binding fragment thereof is conjugated to at least 3, 4
or 5 monomethylauristatin norephedrine or monomethylauristatin phenylalanine molecules.
Examples of antibodies that can be used in the compositions and methods of the
invention, in some embodiments, are provided herein. In another embodiment, the antibody
or antigen-binding fragment thereof is a monoclonal antibody or antigen-binding fragment
thereof that specifically binds PSMA. In yet another embodiment, the antibody or antigen-
binding fragment thereof is a monoclonal antibody or antigen-binding fragment thereof that
specifically binds an extracellular domain of PSMA. In a further embodiment, the antibody
or antigen-binding fragment thereof is a monoclonal antibody or antigen-binding fragment
thereof that specifically binds to a conformational epitope of PSMA.
In some embodiments, the antibody or antigen-binding fragment thereof (i)
competitively inhibits the specific binding of a second antibody to its target epitope on
PSMA, or (ii) binds to an epitope on PSMA defined by an antibody selected from the group
consisting of PSMA 3.7, PSMA 3.8, PSMA 3.9, PSMA 3.11, PSMA 5.4, PSMA 7.1, PSMA
7.3, PSMA 10.3, PSMA 1.8.3, PSMA A3.1.3, PSMA A3.3.1, Abgenix 4.248.2, Abgenix
4.360.3, Abgenix 4.7.1, Abgenix 4.4.1, Abgenix 4.177.3, Abgenix 4.16.1, Abgenix 4.22.3,
Abgenix 4.28.3, Abgenix 4.40.2, Abgenix 4.48.3, Abgenix 4.49.1, Abgenix 4.209.3, Abgenix
4.219.3, Abgenix 4.288.1, Abgenix 4.333.1, Abgenix 4.54.1, Abgenix 4.153.1, Abgenix
4.232.3, Abgenix 4.292.3, Abgenix 4.304.1, Abgenix 4.78.1 and Abgenix 4.152.1. In other
embodiments, the antibody or antigen-binding fragment thereof binds to an epitope on PSMA

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defined by an antibody selected from the group consisting of antibodies comprising (a) a
heavy chain encoded by a nucleic acid molecule comprising a coding region or regions of a
nucleotide sequence selected from the group consisting of nucleotide sequences set forth as
SEQ ID NOs: 2-7, and (b) a light chain encoded by a nucleic acid molecule comprising a
coding region or regions of a nucleotide sequence selected from the group consisting of
nucleotide sequences set forth as SEQ ID NOs: 8-13.
In some embodiments, the second antibody is selected from the group consisting of
PSMA 3.7, PSMA 3.8, PSMA 3.9, PSMA 3.11, PSMA 5.4, PSMA 7.1, PSMA 7.3, PSMA
10.3, PSMA 1.8.3, PSMA A3.1.3, PSMA A3.3.1, Abgenix 4.248.2, Abgenix 4.360.3,
Abgenix 4.7.1, Abgenix 4.4.1, Abgenix 4.177.3, Abgenix 4.16.1, Abgenix 4.22.3, Abgenix
4.28.3, Abgenix 4.40.2, Abgenix 4.48.3, Abgenix 4.49.1, Abgenix 4.209.3, Abgenix 4.219.3,
Abgenix 4.288.1, Abgenix 4.333.1, Abgenix 4.54.1, Abgenix 4.153.1, Abgenix 4.232.3,
Abgenix 4.292.3, Abgenix 4.304.1, Abgenix 4.78.1, Abgenix 4.152.1 and antibodies
comprising (a) a heavy chain encoded by a nucleic acid molecule comprising a coding region
or regions of a nucleotide sequence selected from the group consisting of nucleotide
sequences set forth as SEQ ID NOs: 2-7, and (b) a light chain encoded by a nucleic acid
molecule comprising a coding region or regions of a nucleotide sequence selected from the
group consisting of nucleotide sequences set forth as SEQ ID NOs: 8-13.
In other embodiments, the second antibody is selected from the group consisting of
AB-PG1-XG1-006, AB-PG1-XG1-026 and antibodies comprising (a) a heavy chain encoded
by a nucleic acid molecule comprising a coding region or regions of a nucleotide sequence
selected from the group consisting of nucleotide sequences set forth as SEQ ID NOs: 2 and 3,
and (b) a light chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ID NOs: 8 and 9. In one embodiment, the second antibody comprises (a) a
heavy chain encoded by a nucleic acid molecule comprising a coding region or regions of a
nucleotide sequence set forth as SEQ ID NO: 2, and (b) a light chain encoded by a nucleic
acid molecule comprising a coding region or regions of a nucleotide sequence set forth as
SEQ ID NO: 8. In a further embodiment, the second antibody comprises (a) a heavy chain
encoded by a nucleic acid molecule comprising a coding region or regions of a nucleotide
sequence set forth as SEQ ID NO: 3, and (b) a light chain encoded by a nucleic acid molecule
comprising a coding region or regions of a nucleotide sequence set forth as SEQ ID NO: 9.

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In some embodiments, the antibody of the antibody-drug conjugate is an antibody
encoded by a nucleic acid molecule comprising a nucleotide sequence that is at least 90%
identical to a nucleotide sequence encoding an antibody selected from the group consisting of
AB-PG1-XG1-006, AB-PG1-XG1-026 and antibodies comprising (a) a heavy chain encoded
by a nucleic acid molecule comprising a coding region or regions of a nucleotide sequence
selected from the group consisting of nucleotide sequences set forth as SEQ ID NOs: 2 and 3,
and (b) a light chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ID NOs: 8 and 9. In one embodiment, the antibody is encoded by a nucleic
acid molecule comprising a nucleotide sequence that is at least 95% identical. In another
embodiment, the antibody is encoded by a nucleic acid molecule comprising a nucleotide
sequence that is at least 97% identical. In yet another embodiment, the antibody is encoded
by a nucleic acid molecule comprising a nucleotide sequence that is at least 98% identical. In
a further embodiment, the antibody is encoded by a nucleic acid molecule comprising a
nucleotide sequence that is at least 99% identical.
In other embodiments, the antibody or antigen-binding fragment thereof of the
antibody-drug conjugates provided herein is AB-PG1-XG1-006, AB-PG1-XG1-026 or an
antigen-binding fragment thereof. In still other embodiments, the antibody or antigen-
binding fragment thereof is selected from the group consisting of antibodies comprising (a) a
heavy chain encoded by a nucleic acid molecule comprising a coding region or regions of a
nucleotide sequence selected from the group consisting of nucleotide sequences set forth as
SEQ ID NOs: 2 and 3, and (b) a light chain encoded by a nucleic acid molecule comprising a
coding region or regions of a nucleotide sequence selected from the group consisting of
nucleotide sequences set forth as SEQ ID NOs: 8 and 9, and antigen-binding fragments
thereof. In one embodiment, the antibody or antigen-binding fragment thereof comprises (a)
a heavy chain encoded by a nucleic acid molecule comprising a coding region or regions of a
nucleotide sequence set forth as SEQ ID NO: 2, and (b) a light chain encoded by a nucleic
acid molecule comprising a coding region or regions of a nucleotide sequence set forth as
SEQ ID NO: 8, and antigen-binding fragments thereof. In another embodiment, the antibody
or antigen-binding fragment thereof comprises (a) a heavy chain encoded by a nucleic acid
molecule comprising a coding region or regions of a nucleotide sequence set forth as SEQ ID
NO: 3, and (b) a light chain encoded by a nucleic acid molecule comprising a coding region

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or regions of a nucleotide sequence set forth as SEQ ID NO: 9, and antigen-binding
fragments thereof.
In some embodiments, the antibody or antigen-binding fragment thereof is IgGl,
IgG2, IgG3, IgG4, IgM, IgAl, IgA2, IgAsec, IgD, IgE or has immunoglobulin constant
and/or variable domain of IgGl, IgG2, IgG3, IgG4, IgM, IgAl, IgA2, IgAsec, IgD or IgE.
In further embodiments, the antibody is a monoclonal antibody. In still other
embodiments, the antibody is a humanized antibody. In yet other embodiments, the antibody
is a human antibody. In still other embodiments, the antibody is a recombinant antibody. In
further embodiments, the antibody is a chimeric antibody. In still further embodiments, the
antibody is a bispecific or multispecific antibody. In yet other embodiments, the antibody is
a single chain antibody.
In other embodiments, the antigen-binding fragment is a Fab fragment, a F(ab')2
fragment or a Fv fragment. In yet other embodiments, the antigen-binding fragment is a
CDR3-containing fragment.
In some embodiments, the monomethylauristatin norephedrine (MMAE) or
monomethylauristatin phenylalanine (MMAF) is conjugated to the antibody or antigen-
binding fragment thereof with a compound of the formula (Formula 1) -An-Ym-Zm-Xn-Wn-,
wherein A is a carboxylic acyl unit; Y is an amino acid; Z is an amino acid; X and W are
each a self-immolative spacer; n is an integer of 0 or 1; and m is an integer of 0 or 1, 2, 3, 4, 5
or 6. hi some embodiments, the conjugate of the present invention is represented by the
formula (Formula 2): L-{An-Ym-Zm-Xn-Wn-D}p wherein L is an antibody or antigen-binding
fragment thereof that binds PSMA, D is MMAE or MMAF and p is an integer of 1,2,3,4, 5,
6, 7 or 8. The rest of the components of the conjugate are as defined immediately above.
In one embodiment, the carboxylic unit "An" is linked to the antibody or antigen-
binding fragment thereof via a sulfur atom derived from the antibody or antigen-binding
fragment thereof:

In one embodiment, A is

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in which q is 1-10. Therefore, in one embodiment, the conjugate of Formula 2 is:

wherein L, Y, Z, X, W, D, n, m, q and p are as previously defined.
In another embodiment, A is 4-(N-succinimidomethyl)cyclohexane-1-carbonyl, m-
succinimidobenzoyl, 4-(p-succinitnidophenyl) -butyryl, 4-(2-acetamido)benzoyl, 3-
thiopropionyl, 4-(1-thioethyl)-benzoyl, 6-(3-thiopropionylamido)-hexanoyl or maleimide
caproyl. In a further embodiment, A is maleimide caproyl.
In another embodiment, Y is alanine, valine, leucine, isoleucine, methionine,
phenylalanine, tryptophan or proline. In yet another embodiment, Y is valine. In a further
embodiment, Z is lysine, lysine protected with acetyl or formyl, arginine, arginine protected
with tosyl or nitro groups, histidine, ornithine, ornithine protected with acetyl or formyl, or
citrulline. In still a further embodiment, Z is citrulline. In one embodiment Ym-Zm is valine-
citrulline. In another embodiment, Ym-Zm is a protein sequence which is selectively
cleavable by a protease.
In a further embodiment, X is a compound having the formula

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in which T is O, N, or S. In another embodiment, X is a compound having the formula
-HN-R1 -COT in which R1 is C1 -C5 alkyl, T is O, N or S. In a further embodiment, X is a
compound having the formula
in which T is O, N, or S, R2 is H or C1 -C5 alkyl. In one embodiment, X is p-
aminobenzylcarbamoyloxy. In another embodiment, X is p-aminobenzylalcohol. In a further
embodiment, X is p-aminobenzylcarbamate. In yet a further embodiment, X is p-
aminobenzyloxycarbonyl. In another embodiment, X is y-aminobutyric acid; α,α-dimethyl y-
aminobutyric acid or β,β-dimethyl γ-aminobutyric acid.
In some embodiments, W is

in which T is O, S or N.
In other embodiments, m and n are 0.
In one embodiment, the antibody-drug conjugate is AB-PG1-XG1-006-maleimide
caproyl-valine-citrulline-p-aminobenzyloxycarbonyl-monomethylauristatin norephedrine. In
another embodiment, the antibody-drug conjugate is AB-PG1-XG1-006-maleimide caproyl-

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valine-citralline-p-aminobenzyloxycarbonyl-monomethylauristatin phenylalanine. In a
further embodiment, the antibody-drug conjugate is AB-PG1-XG1-006-maleimide caproyl-
monomethylauristatin phenylalanine. In another embodiment, the antibody-drug conjugate is
AB-PG1-XG1 -026-maleimide caproyl-valine-citralline-p-aminobenzyloxycarbonyl-
monomethylauristatin norephedrine. In yet another embodiment, the antibody-drug
conjugate is AB-PG1-XG1 -026-maleimide caproyl-valine-citrulline-p-
aminobenzyloxycarbonyl-monomethylauristatin phenylalanine. In a further embodiment, the
antibody-drug conjugate is AB-PG1-XG1-026-maleimide caproyl-monomethylauristatin
phenylalanine. In another embodiment, the antibody-drug conjugate is a PSMA-binding
antibody or antigen-binding fragment thereof conjugated to the compound as shown in Fig.
6A, Fig. 6B or Fig. 6C.
In some embodiments, the antibody-drug conjugate binds live cells. In one
embodiment, the cell is a tumor cell. In another embodiment, the tumor cell is a prostate
tumor cell. In a further embodiment, the tumor cell is a cell of the neovasculature of a non-
prostate tumor. In other embodiments, the antibody-drug conjugate does not require cell lysis
to bind PSMA. In still other embodiments, the antibody-drug conjugate leads to cell-cycle
arrest. In yet further embodiments, the antibody-drug conjugate inhibits the growth of
PSMA-expressing cells. In one embodiment, the antibody-drug conjugate mediates specific
cell killing of PSMA-expressing cells with an IC50 of less than 1X10-10M. In another
embodiment, the IC50 is less than 1X10-11 M. In yet another embodiment,the IC50 is less than
1X10-12M. In a further embodiment, the antibody-drug conjugate mediates specific cell
killing of PSMA-expressing cells with an IC50 of 11 to 208 X10-12M. In still a further
embodiment, the antibody-drug conjugate mediates specific cell killing of PSMA-expressing
cells with an IC50 of 42 to 208 X10-12M. In yet a further embodiment, the antibody-drug
conjugate mediates specific cell killing of PSMA-expressing cells with an IC50 of 60 to 208
X10-12M. In another embodiment, the antibody-drug conjugate mediates specific cell killing
of PSMA-expressing cells with an IC50 of 65 to 208 X10-12M. In one embodiment, the
antibody-drug conjugate mediates specific cell killing of PSMA-expressing cells with an IC50
of 11X10-12 . In another embodiment, the antibody-drug conjugate mediates specific cell
killing of PSMA-expressing cells with an IC50 of 42 X10-12M. In still another embodiment,
the antibody-drug conjugate mediates specific cell killing of PSMA-expressing cells with an

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IC50 of 60 X10-12M. In a further embodiment, the antibody-drug conjugate mediates specific
cell killing of PSMA-expressing cells with an IC50 of 83 X10-12M.
In another embodiment, the antibody-drug conjugate, when administered to mice with
a regimen of q4d x 6 at a dose of 6 mg/kg effects a cure rate of at least 20%, 30%, 40% or
50%. In one embodiment, the cure rate is 20%, 30%, 40%, 50%, 60%, 70%, 80% or more.
In one embodiment, the mice are those that are a model of androgen-independent human
prostate cancer. In another embodiment, the mice are nude mice engrafted with C4-2 cells
intramuscularly in the left hind-leg. In a further embodiment, the mice are those as provided
in the Examples.
In some embodiments, the antibody-drug conjugate is bound to a label. In other
embodiments, the label is a fluorescent label, an enzyme label, a radioactive label, a nuclear
magnetic resonance active label, a luminescent label or a chromophore label.
In some embodiments, the antibody-drug conjugate is packaged in lyophilized form.
In other embodiments, the antibody-drug conjugate is packaged in an aqueous medium. In
further embodiments, the antibody-drug conjugate is in a sterile form.
Also provided herein are compositions comprising one or more antibody-drug
conjugates. In some embodiments, the composition comprises two or more different
antibody-drug conjugates. In other embodiments, a composition comprising one or more
antibody-drug conjugates and one or more unconjugated anti-PSMA antibodies is provided.
In some embodiments, the composition further comprises a pharmaceutically
acceptable carrier, excipient or stabilizer. In other embodiments, the composition further
comprises an antitumor agent, an immunostimulatory agent, an immunomodulator, a
corticosteroid or a combination thereof. In one embodiment, the antitumor agent is a
cytotoxic agent, an agent that acts on tumor neovasculature or a combination thereof. In
another embodiment, the antifumor agent is docetaxel. In still another embodiment, the
immunomodulator is a cytokine, chemokine, adjuvant or a combination thereof. In yet
another embodiment, the immunostimulatory agent is interleukin-2, α-interferon,
γ-interferon, tumor necrosis factor-a, immunostimulatory oligonucleotides or a combination
thereof. In a further embodiment, the corticosteroid is prednisone or hydrocortisone. In still
a further embodiment, the composition comprises prednisone and docetaxel.
A variety of methods for using the antibody-drug conjugates and compositions of the
invention are provided. In one embodiment, a method for inhibiting the growth of a PSMA-

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expressing cell comprising contacting the PSMA-expressing cell with an amount of an
antibody-drug conjugate effective to inhibit the growth of the PSMA-expressing cell is
provided. In another embodiment, a method for effecting cell-cycle arrest in a PSMA-
expressing cell comprising contacting the PSMA-expressing cell with an amount of an
antibody-drug conjugate effective to lead to cell-cycle arrest in the PSMA-expressing cell is
provided. In still another embodiment, a method for treating a PSMA-mediated disease
comprising administering to a subject having a PSMA-mediated disease an amount of an
antibody-drug conjugate effective to treat the PSMA-mediated disease is provided. In a
further embodiment, a method for inhibiting the growth of a tumor comprising contacting
PSMA-expressing cells of the neovasculature of the tumor with an amount of an antibody-
drug conjugate effective to inhibit the growth of the tumor is provided.
In one embodiment, the PSMA-mediated disease is cancer. In another embodiment,
the cancer is a prostate cancer. In yet another embodiment, the cancer is a non-prostate
cancer. In some embodiments, the non-prostate cancer is bladder cancer, pancreatic cancer,
lung cancer, kidney cancer, sarcoma, breast cancer, brain cancer, neuroendocrine carcinoma,
colon cancer, testicular cancer or melanoma.
In some embodiments, the method further comprises co-administering another
therapeutic agent to treat the PSMA-mediated disease. In other embodiments, the method
further comprises contacting PSMA-expressing cells with another therapeutic agent. In some
embodiments, the other therapeutic agent is administered before, during or after the
administration of the antibody-drug conjugate. In one embodiment, the other therapeutic
agent is an antitumor agent, an immunostimulatory agent, an immunomodulator, a
corticosteroid or a combination thereof. In another embodiment, the antitumor agent is a
cytotoxic agent, an agent that acts on tumor neovasculature or a combination thereof. In yet
another embodiment, the antitumor agent is docetaxel. In still another embodiment, the
immunomodulator is a cytokine, chemokine, adjuvant or a combination thereof. In yet
another embodiment, the immunostimulatory agent is interleukin-2, α-interferon,
γ-interferon, tumor necrosis factor-α, immunostimulatory oligonucleotides or a combination
thereof. In a further embodiment, the corticosteroid is prednisone or hydrocortisone. In one
embodiment, the therapeutic agent is a vaccine. In another embodiment, the vaccine
immunizes the subject against PSMA. In another embodiment, the method further comprises
administering still another therapeutic agent. In one embodiment, the still another therapeutic

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agent is prednisone. In one embodiment, therefore, both docetaxel and prednisone are
administered.
The PSMA-expressing cell is, in some embodiments, a prostate tumor cell or a cell of
the neovasculature of a non-prostate tumor. In some embodiments, the PSMA-expressing
cell is an androgen-dependent cell or an androgen-independent cell.
Each of the limitations of the invention can encompass various embodiments of the
invention. It is, therefore, anticipated that each of the limitations of the invention involving
any one element or combinations of elements can be included in each aspect of the invention.
Brief Description of the Figures
Fig. 1 is a graph that shows the percent internalization and total binding of 111in-
labeled PSMA mAb on C4-2 cells. C4-2 cells were incubated with 111In-labeled mAb at
37°C, 5% CO2. At the designated times, cells were washed to remove unbound mAb, and
surface bound mAb was stripped using low pH buffer. The radioactivity (counts per minute
(CPM)) of the low pH eluate and cell pellet was counted separately using a gamma counter.
Percent internalization (Fig. 1A) was calculated as the CPM cell pellet/(CPM cell pellet +
CPM low pH eluate) x 100. Total binding (Fig. 1B) represents the CPM of the cell pellet
plus the CPM of the low pH eluate.
Fig. 2 is a graph showing the binding of PSMA mAb and ADC to 3T3™-PSMA cells.
3T3™-PSMA cells were incubated with increasing concentrations of the PSMA mAb (filled
squares), PSMA ADC (open squares) or isotype-control ADC (open triangles). Cells were
incubated on ice for 1h and washed to remove unbound mAb or ADC. The cells were then
incubated with goat anti-human IgG-FITC, washed again and examined by flow cytometry.
The mean fluorescence intensities (MFIs) are plotted as a function of mAb or ADC
concentration.
Fig. 3 is a graph showing the in vitro cytotoxicity of the PSMA ADC and control
ADC on PSMA-positive and PSMA-negative prostate cancer cell lines. PSMA-positive C4-2
cells (Fig. 3A) and PSMA-negative PC-3™ cells (Fig. 3B) in 96-well microplates were
exposed to ADCs at various concentrations. After 96 hours, cell survival in treated and
untreated cultures was assayed using Alamar Blue.
Fig. 4 is a graph showing the Kaplan-Meier survival and serum PSA levels in a
xenograft study. Nude mice were implanted intramuscularly with C4-2 cells, randomly

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assigned to treatment groups (6 mice per group) according to serum PSA on day 17 and then
treated q4d x 3 with PSMA ADC or vehicle. Fig. 4A shows the survival of animals treated
with 0 (vehicle control, dashed line), 2 mg/kg (thin solid line) and 10 mg/kg PSMA ADC.
Fig. 4B provides the mean PSA values over 30 days in mice treated with 0 (filled columns), 2
mg/kg (striped columns) and 10 mg/kg (open columns) PSMA ADC. The day 30 data for the
control group include day 27 evaluations for two mice which did not survive 30 days.
Fig. 5 shows Kaplan-Meier survival curves of animals treated in another xenograft
study. Nude mice were implanted intramuscularly with C4-2 cells, randomly assigned to
treatment groups (5 mice per group) according to serum PSA on day 14 and then treated q4d
x 6 with PSMA ADC and controls. Mice were treated with 0 (vehicle control, filled circles),
6 mg/kg unmodified PSMA mAb (filled triangles), 6 mg/kg control ADC (open triangles), 3
mg/kg PSMA ADC (open squares) and 6 mg/kg PSMA ADC (filled squares).
Fig. 6 shows the chemical structures of three different drug-linkers. Fig 6A provides
the structure of vcMMAE (maleimidocaproyl-valine-citrulline-p-aminobenzyloxycarbonyl-
monornethylauristatin E). Fig 6B provides the structure of vcMMAF (maleimidocaproyl-
vah'ne-citrulline-p-aminobenzyloxycarbonyl-monomethylauristatin F). Fig 6C provides the
structure of mcMMAF (maleimidocaproyl-monomethylauristatin F).
Fig. 7 demonstrates the in vitro cytotoxicity of the PSMA ADCs (vcMMAE (Fig.
7A), vcMMAF (Fig. 7B), mcMMAF (Fig. 7C)) on PSMA-positive (C4-2) and PSMA-
negative (PC-3™) prostate cancer cell lines. The cells in 96-well microplates were exposed
to ADCs at various concentrations. After 4 days, cell survival in treated and untreated
cultures was assayed using Alamar Blue.
Fig. 8 illustrates effects of PSMA ADC on cell cycle. In each panel, the left peak
corresponds to G1 phase and the right peak to G2/M phase. The percent of cells in G2/M
increased markedly upon treatment with the PSMA ADC, consistent with an arrest in cell
division that occurs after DNA synthesis. The PSMA ADC did not affect cycling of parental
3T3™ cells.
Fig. 9 shows the results from a comparison of PSMA ADCs vcMMAE v. vcMMAF.
Detailed Description of the Invention
The present invention relates, in part, to the surprising discovery that ADCs
comprising a PSMA-binding antibody or antigen-binding fragment thereof conjugated to

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MMAE (also referred to herein as monomethylauristatin E and monomethylauristatin
norephedrine) or MMAF (also referred to herein as monomethylauristatin F and
monomethylauristatin phenylalanine) are particularly useful for killing PSMA-expressing
cells. The ADCs can have a PC-3™ cell to C4-2 or LNCaP™ cell selectivity of at least 250.
In some embodiments, the ADCs exhibit certain levels of cell killing (of PSMA-expressing
cells), e.g., IC50 values that are at or near picomolar concentrations. In other embodiments,
the ADCs effect a cure rate of at least 20%, 30%, 40% or 50% in mice treated with the ADC
with a regimen of q4d x 6 at a dose of 6 mg/kg. Compositions of and methods of using these
ADCs are, therefore, provided. In some embodiments, the mice are those as provided in the
Examples. In one embodiment, the mice are those that are a model of androgen-independent
human prostate cancer. In another embodiment, the mice are nude mice engrafted with C4-2
cells intramuscularly in the left hind-leg.
The antibodies or antigen-binding fragments thereof of the ADCs are any antibody or
antigen-binding fragment thereof that binds PSMA. In one embodiment the antibody or an
antigen-binding fragment thereof specifically binds PSMA (e.g., specifically binds an
extracellular domain of PSMA, specifically binds a conformational epitope of PSMA, etc.)
and can competitively inhibit the specific binding of a second antibody to its target epitope on
PSMA, wherein the second antibody is selected from the group consisting of PSMA 3.7,
PSMA 3.8, PSMA 3.9, PSMA 3.11, PSMA 5.4, PSMA 7.1, PSMA 7.3, PSMA 10.3, PSMA
1.8.3, PSMA A3.1.3, PSMA A3.3.1, Abgenix 4.248.2, Abgenix 4.360.3, Abgenix 4.7.1,
Abgenix 4.4.1, Abgenix 4.177.3, Abgenix 4.16.1, Abgenix 4.22,3, Abgenix 4.28.3, Abgenix
4.40.2, Abgenix 4.48.3, Abgenix 4.49.1, Abgenix 4.209.3, Abgenix 4.219.3, Abgenix
4.288.1, Abgenix 4.333.1, Abgenix 4.54.1, Abgenix 4.153.1, Abgenix 4.232.3, Abgenix
4.292.3, Abgenix 4.304.1, Abgenix 4.78.1, Abgenix 4.152.1 and antibodies comprising (a) a
heavy chain encoded by a nucleic acid molecule comprising a coding region or regions of a
nucleotide sequence selected from the group consisting of nucleotide sequences set forth as
SEQ ID NOs: 2-7, and (b) a light chain encoded by a nucleic acid molecule comprising a
coding region or regions of a nucleotide sequence selected from the group consisting of
nucleotide sequences set forth as SEQ ID NOs: 8-13. The second antibody, therefore,
include any of the antibodies produced by the hybridomas or encoded by the plasmids shown
below in Table 1. These hybridomas and plasmids were deposited pursuant to, and in
satisfaction of, the requirements of the Budapest Treaty on the International Recognition of

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the Deposit of Microorganisms for the Purposes of Patent Procedure with the American Type
Culture Collection ("ATCC") as an International Depository Authority and given the Patent
Deposit Designations shown above and in Table 1.




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To determine competitive inhibition, a variety of assays known to one of ordinary
skill in the art can be employed. For example, cross-competition assays can be used to .
determine if an antibody or antigen-binding fragment thereof competitively inhibits binding
to PSMA by another antibody or antigen-binding fragment thereof. These include cell-based
methods employing flow cytometry or solid phase binding analysis. Other assays that
evaluate the ability of antibodies or antigen-binding fragments thereof to cross-compete for
PSMA molecules that are not expressed on the surface of cells, in solid phase or in solution
phase, also can be used.
In some embodiments, the antibodies or antigen-binding fragments thereof
competitively inhibit the specific binding of a second antibody to its target epitope on PSMA
by at least about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, or 99%. -
Inhibition can be assessed at various molar ratios or mass ratios; for example competitive
binding experiments can be conducted with a 2-fold, 3-fold, 4-fold, 5-fold, 7-fold, 10-fold or
more molar excess of a first antibody or antigen-binding fragment thereof over a second
antibody or antigen-binding fragment thereof.
In another embodiment the antibody or an antigen-binding fragment thereof
specifically binds to an epitope on PSMA defined by an antibody selected from the group
consisting of PSMA 3.7, PSMA 3.8, PSMA 3.9, PSMA 3.11, PSMA 5.4, PSMA 7.1, PSMA
7.3, PSMA 10.3, PSMA 1.8.3, PSMA A3.1.3, PSMA A3.3.1, 4.248.2, 4.360.3, 4.7.1, 4.4.1,
4.177.3, 4.16.1, 4.22.3, 4.28.3,4.40.2, 4.48.3, 4.49.1, 4.209.3, 4.219.3, 4.288.1, 4.333.1,
4.54.1,4.153.1,4.232.3,4.292.3,4.304.1,4.78.1, and 4.152.1. PSMA 3.7, PSMA 3.8, PSMA
3.9, PSMA 3.11, PSMA 5.4, PSMA 7.1, PSMA 7.3, PSMA 10.3, PSMA 1.8.3, PSMA
A3.1.3, PSMA A3.3.1, Abgenix 4.248.2, Abgenix 4.360.3, Abgenix 4.7.1, Abgenix 4.4.1,
Abgenix 4.177.3, Abgenix 4.16.1, Abgenix 4.22.3, Abgenix 4.28.3, Abgenix 4.40.2, Abgenix
4.48.3, Abgenix 4.49.1, Abgenix 4.209.3, Abgenix 4.219.3, Abgenix 4.288.1, Abgenix
4.333.1, Abgenix 4.54.1, Abgenix 4.153.1, Abgenix 4.232.3, Abgenix 4.292.3, Abgenix
4.304.1, Abgenix 4.78.1, Abgenix 4.152.1 and antibodies comprising (a) a heavy chain
encoded by a nucleic acid molecule comprising a coding region or regions of a nucleotide
sequence selected from the group consisting of nucleotide sequences set forth as SEQ ID
NOs: 2-7, and (b) a light chain encoded by a nucleic acid molecule comprising a coding
region or regions of a nucleotide sequence selected from the group consisting of nucleotide
sequences set forth as SEQ ID NOs: 8-13. The antibodies or antigen-binding fragments of

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the ADCs, therefore, include those that specifically bind to an epitope on PSMA defined by
the antibodies produced by the hybridomas or encoded by the plasmids provided above in
Table 1.
To determine the epitope, one can use standard epitope mapping methods known in
the art. For example, fragments (peptides) of PSMA antigen (e.g., synthetic peptides) that
bind the antibody can be used to determine whether a candidate antibody or antigen-binding
fragment thereof binds the same epitope. For linear epitopes, overlapping peptides of a
defined length (e.g., 8 or more amino acids) are synthesized. The peptides can be offset by 1
amino acid, such that a series of peptides covering every 8 amino acid fragment of the PSMA
protein sequence are prepared. Fewer peptides can be prepared by using larger offsets, e.g., 2
or 3 amino acids. In addition, longer peptides (e.g., 9-, 10- or 11-mers) can be synthesized.
Binding of peptides to antibodies or antigen-binding fragments can be determined using
standard methodologies including surface plasmon resonance (BIACORE) and ELISA
assays. For examination of conformational epitopes, larger PSMA fragments can be used.
Other methods that use mass spectrometry to define conformational epitopes have been
described and can be used (see, e.g., Baerga-Ortiz et al., Protein Science 11:1300-1308, 2002
and references cited therein). Still other methods for epitope determination are provided in
standard laboratory reference works, such as Unit 6.8 ("Phage Display Selection and Analysis
of B-cell Epitopes") and Unit 9.8 ("Identification of Antigenic Determinants Using Synthetic
Peptide Combinatorial Libraries") of Current Protocols in Immunology, Coligan et al., eds.,
John Wiley & Sons. Epitopes can be confirmed by introducing point mutations or deletions
into a known epitope, and then testing binding with one or more antibodies or antigen-
binding fragments to determine which mutations reduce binding of the antibodies or antigen-
binding fragments.
In particular embodiments, the antibodies of the ADCs, or from which the antigen-
binding fragments of the ADCs are derived, are those produced by hybridomas referred to
herein as PSMA 3.7, PSMA 3.8, PSMA 3.9, PSMA 3.11, PSMA 5.4, PSMA 7.1, PSMA 7.3,
PSMA 10.3, PSMA 1.8.3, PSMA A3.1.3, PSMA A3.3.1, Abgenix 4.248.2, Abgenix 4.360.3,
Abgenix 4.7.1, Abgenix 4.4.1, Abgenix 4.177.3, Abgenix 4.16.1, Abgenix 4.22.3, Abgenix
4.28.3, Abgenix 4.40.2, Abgenix 4.48.3, Abgenix 4.49.1, Abgenix 4.209.3, Abgenix 4.219.3,
Abgenix 4.288.1, Abgenix 4.333.1, Abgenix 4.54.1, Abgenix 4.153.1, Abgenix 4.232.3,
Abgenix 4.292.3, Abgenix 4.304.1, Abgenix 4.78.1, and Abgenix 4.152.1, respectively. In

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other embodiments, the antibodies are those encoded by the plasmids shown in Table 1. In
still other particular embodiments, the antibodies are those that comprise a heavy chain
encoded by a nucleic acid molecule comprising the heavy chain coding region or regions of a
nucleotide sequence selected from the group consisting of nucleotide sequences set forth as
SEQ ID NOs: 2-7, and a light chain encoded by a nucleic acid molecule comprising the light
chain coding region or regions of a nucleotide sequence selected from the group consisting of
nucleotide sequences set forth as SEQ ID NOs: 8-13.
As used herein, the names of the deposited hybridomas or plasmids may be used
interchangeably with the names of the antibodies. It would be clear to one of ordinary skill in
the art when the name is intended to refer to the antibody or when it refers to the plasmids or
hybridomas that encode or produce the antibodies, respectively. Additionally, the antibody
names may be an abbreviated form of the name shown in Table 1. For instance, antibody
AB-PG1-XG1-006 may be referred to as AB-PG1-XG1-006, PG1-XG1-006, XG1-006, 006,
etc. In another example, the antibody name PSMA 4.232.3 may be referred to as PSMA
4.232.1, 4.232.3, 4.232.1, 4.232, etc. It is intended that all of the variations in the name of the
antibody refer to the same antibody and not a different one.
The antibodies of the ADCs, or from which the antigen-binding fragments of the
ADCs are derived, include those encoded by particular sets of heavy and light chain
sequences. In one embodiment, the antibody (AB-PG1-XG1-006) is encoded by a nucleic
acid molecule which comprises a coding region or regions of the nucleic acid sequences set
forth as SEQ ID NOs: 2 and 8. In another embodiment, the antibody (AB-PG1-XG1-026) is
encoded by a nucleic acid molecule which comprises a coding region or regions of the
nucleic acid sequences set forth as SEQ ID NOs: 3 and 9. In still another embodiment, the
antibody (AB-PG1-XG1-051) is encoded by a nucleic acid molecule which comprises a
coding region or regions of the nucleic acid sequences set forth as SEQ ID NOs: 4 and 10. In
yet another embodiment, the antibody (AB-PG1-XG1-069) is encoded by a nucleic acid
molecule which comprises a coding region or regions of the nucleic acid sequences set forth
as SEQ ID NOs: 5 and 11. In another embodiment, the antibody (AB-PG1-XG1-077) is
encoded by a nucleic acid molecule which comprises a coding region or regions of the
nucleic acid sequences set forth as SEQ ID NOs: 6 and 12. In yet another embodiment, the
antibody (PSMA 10.3) is encoded by a nucleic acid molecule which comprises a coding
region or regions of the nucleic acid sequences set forth as SEQ ID NOs: 7 and 13. In other

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embodiraents, the antibodies of the ADCs, or from which the antigen-binding fragments of
the ADCs are derived, include a heavy chain variable region encoded by a nucleic acid
molecule comprising a coding region or regions of a nucleotide sequence selected from the
group consisting of nucleotide sequences set forth as SEQ ID NOs: 14,18, 22,26 and 30, and
a light chain variable region encoded by a nucleic acid molecule comprising a coding region
or regions of a nucleotide sequence selected from the group consisting of nucleotide
sequences set forth as SEQ ID NOs: 16, 20,24, 28 and 32. In one embodiment, the antibody
(AB-PG1-XG1-006) includes an immunoglobulin variable sequence encoded by nucleic acid
molecules which comprise a coding region or regions of the nucleic acid sequences set forth
as SEQ ID NOs: 14 and 16. Likewise, the antibody can be one that includes an
immunoglobulin variable sequence which comprises the amino acid sequences set forth as
SEQ ID NOs: 15 and 17. In another embodiment, the antibody (AB-PG1-XG1-026) includes
an immunoglobulin variable sequence encoded by nucleic acid molecules comprising a
coding region or regions of nucleotide sequences set forth as SEQ ID NOs: 18 and 20 or
includes an immunoglobulin variable sequence which comprises the amino acid sequences
set forth as SEQ ID NOs 19 and 21. In still another embodiment, the antibody (AB-PG1-
XG1-051) includes an immunoglobulin variable sequence encoded by the nucleic acid
molecules comprising a coding region or regions of nucleotide sequences set forth as SEQ ID
NOs: 22 and 24 or includes an immunoglobulin variable sequence which comprises the
amino acid sequences set forth as SEQ ID NOs: 23 and 25. In yet another embodiment, the
antibody (AB-PG1-XG1-069) includes an immunoglobulin variable sequence encoded by the
nucleic acid molecules comprising a coding region or regions of nucleotide sequences set
forth as SEQ ID NOs: 26 and 28 or includes an immunoglobulin variable sequence which
comprises the amino acid sequences set forth as SEQ ID NOs: 27 and 29. In another
embodiment, the antibody (AB-PG1-XG1-077) includes an immunoglobulin variable
sequence encoded by the nucleic acid molecules comprising a coding region or regions of
nucleotide sequences set forth as SEQ ID NOs: 30 and 32 or includes an immunoglobulin
variable sequence which comprises the amino acid sequences set forth as SEQ ID NOs: 31
and 33. In other embodiments, the antibody includes a heavy chain variable region
comprising an amino acid sequence selected from the group consisting of amino acid
sequences set forth as: SEQ ID NOs: 15, 19, 23, 27 and 31, and a light chain variable region

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comprising an amino acid sequence selected from the group consisting of amino acid
sequences set forth as: SEQ ID NOs: 17,21,25, 29 and 33.
As used herein, a "coding region" refers to a region of a nucleotide sequence that
encodes a polypeptide sequence. Its use herein is consistent with the recognized meaning
known in the art.
In certain embodiments, the antibodies of the ADCs, or from which the antigen-
binding fragments of the ADCs are derived, are those that are encoded by nucleic acid
molecules that are highly homologous to the foregoing nucleic acids. The homologous
nucleic acid molecule can, in some embodiments, comprise a nucleotide sequence that is at
least about 90% identical to the nucleotide sequence provided herein. In other embodiments,
the nucleotide sequence is at least about 95% identical, at least about 97% identical, at least
about 98% identical, or at least about 99% identical to a nucleotide sequence provided herein.
The homology can be calculated using various, publicly available software tools well known
to one of ordinary skill in the art. Exemplary tools include the BLAST system available from
the website of the National Center for Biotechnology Information (NCBI) at the National
Institutes of Health.
One method of identifying highly homologous nucleotide sequences is via nucleic
acid hybridization. Thus, the invention also includes antibodies having the PSMA-binding
properties and other functional properties described herein, which are encoded by nucleic
acid molecules that hybridize under high stringency conditions to the foregoing nucleic acid
molecules. Identification of related sequences can also be achieved using polymerase chain
reaction (PCR) and other amplification techniques suitable for cloning related nucleic acid
sequences. PCR primers can be selected to amplify portions of a nucleic acid sequence of
interest, such as a CDR.
The term "high stringency conditions", as used herein, refers to parameters with
which the art is familiar. Nucleic acid hybridization parameters may be found in references
that compile such methods, e.g. Molecular Cloning: A Laboratory Manual, J. Sambrook, et
al., eds., Second Edition, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, New
York, 1989, or Current Protocols in Molecular Biology, F.M. Ausubel, et al., eds., John
Wiley & Sons, Inc., New York. One example of high-stringency conditions is hybridization
at 65°C in hybridization buffer (3.5X SSC, 0.02% Ficoll, 0.02% polyvinyl pyrrolidone,
0.02% Bovine Serum Albumin, 2.5mM NaH2PO4(pH7), 0.5% SDS, 2mM EDTA). SSC is

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0.15M sodium chloride/0.015M sodium citrate, pH7; SDS is sodium dodecyl sulphate; and
EDTA is ethylenediaminetetracetic acid. After hybridization, a membrane upon which the
nucleic acid is transferred is washed, for example, in 2X SSC at room temperature and then at
0.1 - 0.5X SSC/0.1X SDS at temperatures up to 68°C.
As used herein, the term "antibody" refers to a glycoprotein comprising at least two
heavy (H) chains and two light (L) chains inter-connected by disulfide bonds. Each heavy
chain is comprised of a heavy chain variable region (abbreviated herein as HCVR or VH) and
a heavy chain constant region. The heavy chain constant region is comprised of three
domains, CH1 , CH2 and CH3. Each light chain is comprised of a light chain variable region
(abbreviated herein as LCVR or VL) and a light chain constant region. The light chain
constant region is comprised of one domain, CL. The VH and VL regions can be further
subdivided into regions of hypervariability, termed complementarity determining regions
(CDR), interspersed with regions that are more conserved, termed framework regions (FR).
Each VH and VL is composed of three CDRs and four FRs, arranged from amino-terminus to
carboxy-terminus in the following order: FR1, CDR1, FR2, CDR2, FR3, CDR3, FR4. The
variable regions of the heavy and light chains contain a binding domain that interacts with an
antigen. The constant regions of the antibodies may mediate the binding of the
immunoglobulin to host tissues or factors, including various cells of the immune system (e.g.,
effector cells) and the first component (C1q) of the classical complement system.
The term "antigen-binding fragment" of an antibody as used herein, refers to one or
more portions of an antibody that retain the ability to specifically bind to an antigen (i.e.,
PSMA). It has been shown that the antigen-binding function of an antibody can be
performed by fragments of a full-length antibody. Examples of binding fragments
encompassed within the term "antigen-binding fragment" of an antibody include (i) a Fab
fragment, a monovalent fragment consisting of the VL, VH, CL and CH1 domains; (ii) a
F(ab')2 fragment, a bivalent fragment comprising two Fab fragments linked by a disulfide
bridge at the hinge region; (iii) a Fd fragment consisting of the VH and CH1 domains; (iv) a
Fv fragment consisting of the VL and VH domains of a single arm of an antibody, (v) a dAb
fragment (Ward et al, (1989) Nature 341:544-546) which consists of a VH domain; and (vi)
an isolated complementarity determining region (CDR). The CDRs, and in particular the
CDR3 regions, and more particularly the heavy chain CDR3 contribute to antibody
specificity. Because these CDR regions and in particular the CDR3 region confer antigen

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speciflcity on the antibody these regions may be incorporated into other antibodies or
antigen-binding fragments to confer the identical antigen specificity onto that antibody or
peptide. Furthermore, although the two domains of the Fv fragment, V and VH, are coded for
by separate genes, they can be joined, using recombinant methods, by a synthetic linker that
enables them to be made as a single protein chain in which the VL and VH regions pair to
form monovalent molecules (known as single chain Fv (scFv); see e.g., Bird et al. (1988)
Science 242:423-426; and Huston et al. (1988) Proc. Natl. Acad. Sci USA 85:5879-5883).
Such single chain antibodies are also intended to be encompassed within the term "antigen-
binding fragment" of an antibody. These antibody fragments are obtained using conventional
procedures, such as proteolytic fragmentation procedures, as described in J. Goding,
Monoclonal Antibodies: Principles and Practice, pp 98-118 (N.Y. Academic Press 1983),
which is hereby incorporated by reference as well as by. other techniques known to those with
skill in the art. The fragments are screened for utility in the same manner as are intact
antibodies.
The antibodies, or antigen-binding fragments thereof, of the ADCs are, in some
embodiments, isolated. "Isolated", as used herein, is intended to refer to an antibody (or
antigen-binding fragment thereof), which is substantially free of other antibodies (or antigen-
binding fragments) having different antigenic specificities (e.g., an isolated antibody that
specifically binds to PSMA is substantially free of antibodies that specifically bind antigens
other than PSMA). An isolated antibody that specifically binds to an epitope, isoform or
variant of PSMA may, however, have cross-reactivity to other related antigens, e.g., from
other species (e.g., PSMA species homologs). Moreover, an isolated antibody (or antigen-
binding fragment thereof) may be substantially free of other cellular material and/or
chemicals. As used herein, "specific binding" refers to antibody binding to a predetermined
antigen, in this case PSMA. Typically, the antibody binds with an affinity that is at least two-
fold greater than its affinity for binding to a non-specific antigen (e.g., BSA, casein), which is
an antigen other than PSMA, an isoform or variant of PSMA, or a closely-related antigen.
The antibodies encompass various antibody isotypes, such as IgG1, IgG2, IgG3,
IgG4, IgM, IgA1, IgA2, IgAsec, IgD, IgE. As used herein, "isotype" refers to the antibody
class (e.g., IgM or IgGl) that is encoded by heavy chain constant region genes. The
antibodies can be full length or can include only an antigen-binding fragment such as the

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antibody constant and/or variable domain of IgG1, IgG2, IgG3, IgG4, IgM, IgA1, IgA2,
IgAsec, IgD or IgE or could consist of a Fab fragment, a F(ab')2 fragment and a Fv fragment.
The antibodies of the ADCs, or from which the antigen-binding fragments of the
ADCs are derived, are, in some embodiments monoclonal. The antibodies can be produced
by a variety of techniques well known in the art. Monoclonal antibody production may be
effected by techniques which are well known in the art. The term "monoclonal antibody", as
used herein, refers to a preparation of antibody molecules of single molecular composition.
A monoclonal antibody displays a single binding specificity and affinity for a particular
epitope. The process of monoclonal antibody production involves obtaining immune somatic
cells with the potential for producing antibody, in particular B lymphocytes, which have been
previously immunized with the antigen of interest either in vivo or in vitro and that are
suitable for fusion with a B-cell myeloma line.
Mammalian lymphocytes typically are immunized by in vivo immunization of the
animal (e.g., a mouse) with the desired protein or polypeptide. Such immunizations are
repeated as necessary at intervals of up to several weeks to obtain a sufficient titer of
antibodies. Once immunized, animals can be used as a source of antibody-producing
lymphocytes. Following the last antigen boost, the animals are sacrificed and spleen cells
removed. Mouse lymphocytes give a higher percentage of stable fusions with the mouse
myeloma lines described herein. For example, of the BALB/c mouse. However, other mouse
strains, rabbit, hamster, sheep and frog may also be used as hosts for preparing antibody-
producing cells. See; Goding (in Monoclonal Antibodies: Principles and Practice, 2d ed., pp.
60-61, Orlando, Fla., Academic Press, 1986). In particular, mouse strains that have human
immunoglobulin genes inserted in the genome (and which cannot produce mouse
immunoglobulins) can be used. Examples include the HuMAb mouse strains produced by
Medarex/GenPharm International, and the XenoMouse strains produced by Abgenix. Such
mice produce fully human immunoglobulin molecules in response to immunization. In some
embodiments, therefore, the ADCs comprise a fully human monoclonal antibody or an
antigen-binding fragment thereof that binds PSMA.
Those antibody-producing cells that are in the dividing plasmablast stage fuse
preferentially. Somatic cells may be obtained from the lymph nodes, spleens and peripheral
blood of antigen-primed animals, and the lymphatic cells of choice depend to a large extent
on their empirical usefulness in the particular fusion system. The antibody-secreting

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lymphocytes are then fused with (mouse) B cell myeloma cells or transformed cells, which
are capable of replicating indefinitely in cell culture, thereby producing an immortal,
immunoglobulin-secreting cell line. The resulting fused cells, or hybridomas, are cultured,
and the resulting colonies screened for the production of the desired monoclonal antibodies.
Colonies producing such antibodies are cloned, and grown either in vivo or in vitro to
produce large quantities of antibody. A description of the theoretical basis and practical
methodology of fusing such cells is set forth in Kohler and Milstein, Nature 256:495 (1975),
which is hereby incorporated by reference.
Alternatively, human somatic cells capable of producing antibody, specifically B
lymphocytes, are suitable for fusion with myeloma cell lines. While B lymphocytes from
biopsied spleens, tonsils or lymph nodes of an individual may be used, the more easily
accessible peripheral blood B lymphocytes can also be used. The lymphocytes may be
derived from patients with diagnosed prostate carcinomas or another PSMA-expressing
cancer. In addition, human B cells may be directly immortalized by the Epstein-Barr virus
(Cole et al., 1995, Monoclonal Antibodies and Cancer Therapy, Alan R. Liss, Inc., pp. 77-
96). Although somatic cell hybridization procedures can be used, in principle, other
techniques for producing monoclonal antibodies can be employed such as viral or oncogenic
transformation of B lymphocytes.
Myeloma cell lines suited for use in hybridoma-producing fusion procedures can be
non-antibody-producing, have high fusion efficiency, and enzyme deficiencies that render
them incapable of growing in certain selective media which support the growth of the desired
hybridomas. Examples of such myeloma cell lines that may be used for the production of
fused cell lines include P3-X63/Ag8, X63-Ag8.653, NS1/1.Ag 4.1, Sp2/0-Agl4, FO, NSO/U,
MPC-11, MPC11-X45-GTG 1.7, S194/5XX0 Bui, all derived from mice; R210.RCY3, Y3-
Ag 1.2.3, IR983F and 4B210 derived from rats and U-266, GM1500-GRG2, LICR-LON-
HMy2, UC729-6, all derived from humans (Goding, in Monoclonal Antibodies: Principles
and Practice, 2d ed., pp. 65-66, Orlando, Fla., Academic Press, 1986; Campbell, in
Monoclonal Antibody Technology, Laboratory Techniques in Biochemistry and Molecular
Biology Vol. 13, Burden and Von Knippenberg, eds. pp. 75-83, Amsterdam, Elseview,
1984).
Fusion with mammalian myeloma cells or other fusion partners capable of replicating
indefinitely in cell culture is effected by standard and well-known techniques, for example,

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by using polyethylene glycol ("PEG") or other fusing agents (See Milstein and Kohler, Eur.
J. Immunol. 6:511 (1976), which is hereby incorporated by reference).
In other embodiments, the antibodies of the ADCs, or from which the antigen-binding
fragments of the ADCs are derived, are recombinant antibodies. The term "recombinant
antibody", as used herein, is intended to include antibodies that are prepared, expressed,
created or isolated by recombinant means, such as antibodies isolated from an animal (e.g., a
mouse) that is transgenic for another species' immunoglobulin genes, antibodies expressed
using a recombinant expression vector transfected into a host cell, antibodies isolated from a
recombinant, combinatorial antibody library, or antibodies prepared, expressed, created or
isolated by any other means that involves splicing of immunoglobulin gene sequences to
other DNA sequences.
In yet other embodiments, the antibodies are chimeric or humanized antibodies. As
used herein, the term "chimeric antibody" refers to an antibody, that combines the murine
variable or hypervariable regions with the human constant region or constant and variable
framework regions. As used herein, the term "humanized antibody" refers to an antibody that
retains only the antigen-binding CDRs from the parent antibody in association with human
framework regions (see, Waldmann, 1991, Science 252:1657). Such chimeric or humanized
antibodies retaining binding specificity of the murine antibody are expected to have reduced
immunogenicity when administered in vivo for applications according to the invention.
According to an alternative embodiment, the monoclonal antibodies of the present
invention can be modified to be in the form of a bispecific antibody, or a multispecific
antibody. The term "bispecific antibody" is intended to include any agent, e.g., a protein,
peptide, or protein or peptide complex, which has two different binding specificities which
bind to, or interact with (a) a cell surface antigen and (b) an Fc receptor on the surface of an
effector cell. The term "multispecific antibody" is intended to include any agent, e.g., a
protein, peptide, or protein or peptide complex, which has more than two different binding
specificities which bind to, or interact with (a) a cell surface antigen, (b) an Fc receptor on the
surface of an effector cell, and (c) at least one other component. Accordingly, the antibodies
include, but are not limited to, bispecific, trispecific, tetraspecific, and other multispecific
antibodies which are directed to PSMA and to Fc receptors on effector cells. The term
"bispecific antibodies" further includes diabodies. Diabodies are bivalent, bispecific
antibodies in which the VH and VL domains are expressed on a single polypeptide chain, but

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using a linker that is too short to allow for pairing between the two domains on the same
chain, thereby forcing the domains to pair with complementary domains of another chain and
creating two antigen-binding sites (see e.g., Holliger, P., et ah (1993) Proc. Natl Acad. Sci.
USA 90:6444-6448; Poijak, R.J., et al (1994) Structure 2:1121-1123).
A bispeciflc antibody can be formed of an antigen-binding region specific for PSMA
and an antigen-binding region specific for an effector cell which has rumoricidal or tumor
inhibitory activity. The two antigen-binding regions of the bispecific antibody are either
chemically linked or can be expressed by a cell genetically engineered to produce the
bispecific antibody. (See generally, Fanger et al., 1995 Drug News & Perspec. 8(3):133-137).
Suitable effector cells having rumoricidal activity include but are not limited to cytotoxic T-
cells (primarily CD8+cells), natural killer cells, etc. An effective amount of a bispecific
antibody according to the invention can be administered to a subject with cancer and the
bispecific antibody kills and/or inhibits proliferation of the cancer cells after localization at
sites of primary or metastatic tumors bearing PSMA.
In certain embodiments, the antibodies of the ADCs, or from which the antigen-
binding fragments of the ADCs are derived, are human antibodies. The term "human
antibody", as used herein, is intended to include antibodies having variable and constant
regions derived from human germline immunoglobulin sequences. The human antibodies of
the invention can include amino acid residues not encoded by human germline
immunoglobulin sequences (e.g., mutations introduced by random or site-specific
mutagenesis in vitro or by somatic mutation in vivo). However, the term "human antibody",
as used herein, is not intended to include antibodies in which CDR sequences derived from
the germline of another mammalian species, such as a mouse have been grafted onto human
framework sequences (referred to herein as "humanized antibodies"). Human antibodies
directed against PSMA can be generated using transgenic mice carrying parts of the human
immune system rather than the mouse system. Some examples of which were described
above.
Fully human monoclonal antibodies also can be prepared by immunizing mice
transgenic for large portions of human immunoglobulin heavy and light chain loci. See, e.g.,
U.S. patents 5,591,669, 5,598,369, 5,545,806, 5,545,807, 6,150,584, and references cited
therein, the contents of which are incorporated herein by reference. These animals have been
genetically modified such that there is a functional deletion in the production of endogenous

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(e.g., murine) antibodies. The animals are further modified to contain all or a portion of the
human germ-line immunoglobulin gene locus such that immunization of these animals results
in the production of fully human antibodies to the antigen of interest. Following
immunization of these mice (e.g., XenoMouse (Abgenix), HuMAb mice
(Medarex/GenPharm)), monoclonal antibodies are prepared according to standard hybridoma
technology. These monoclonal antibodies have human immunoglobulin amino acid
sequences and therefore will not provoke human anti-mouse antibody (HAMA) responses
when administered to humans. In general, but not intended to be limiting, the mice are 6-16
weeks of age upon the first immunization. For example, a purified or enriched preparation of
PSMA antigen (e.g., recombinant PSMA or PSMA-expressing cells) is used to immunize the
mice intraperitoneally (IP), although other routes of immunization known to one of ordinary
skill in the art are also possible. PSMA antigen is injected in combination with an adjuvant,
such as complete Freund's adjuvant, and, in some embodiments, the initial injection is
followed by booster immunizations with antigen in an adjuvant, such as incomplete Freund's
adjuvant. The immune response is monitored over the course of the immunization protocol
with plasma samples obtained by, for example, retroorbital bleeds. The plasma is screened
by ELISA, and mice with sufficient titers of anti-PSMA human immunoglobulin are used for
fusions. Mice are boosted intravenously with antigen 3 days before sacrifice and removal of
the spleen.
The antibody or antigen-binding fragment thereof of the ADCs can, in some
embodiments, be selected for the ability to bind live PSMA-expressing cells. In order to
demonstrate binding to live PSMA-expressing cells, flow cytometry can be used. For
example, PSMA-expressing cells lines (grown under standard growth conditions) or prostate
cancer cells that express PSMA are mixed with various concentrations of monoclonal
antibodies in PBS containing 0.1% Tween 80 and 20% mouse serum, and incubated at 37°C
for 1 hour. After washing, the cells are reacted with fluorescein-Iabeled anti-human IgG
secondary antibody (if human anti-PSMA antibodies were used) under the same conditions as
the primary antibody staining. The samples can be analyzed by a fluorescence activated cell
sorter (FACS) instrument using light and side scatter properties to gate on single cells. An
alternative assay using fluorescence microscopy can be used (in addition to or instead of) the
flow cytometry assay. Cells can be stained and examined by fluorescence microscopy. This
method allows visualization of individual cells, but may have diminished sensitivity

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depending on the density of the antigen. It follows, that the ADCs, in some embodiments,
bind live cells. The ADCs, in some embodiments, therefore, do not require cell lysis to bind
PSMA.
The antibodies can, in some embodiments, promote cytolysis of PSMA-expressing
cells. Cytolysis can be complement-mediated or can be mediated by effector cells. In one
embodiment, the cytolysis is carried out in a living organism, such as a mammal, and the live
cell is a tumor cell. Examples of tumors which can be targeted with the antibodies or
antigen-binding fragments thereof include, any tumor that expresses PSMA (this includes
tumors with neovascualture expressing PSMA), such as, prostate, bladder, pancreas, lung,
colon, kidney, melanomas and sarcomas. In one embodiment, the tumor cell is a prostate
cancer cell.
The testing of cytolytic activity in vitro by chromium release assay can provide an
initial screening prior to testing in vivo models. This testing can be carried out using standard
chromium release assays. Briefly, polymorphonuclear cells (PMN), or other effector cells,
from healthy donors can be purified by Ficoll Hypaque density centrifugation, followed by
lysis of contaminating erythrocytes. Washed PMNs can be suspended in RPMI
supplemented with 10% heat-inactivated fetal calf serum and mixed with 51Cr labeled cells
expressing PSMA, at various ratios of effector cells to tumor cells (effector cellsrtumor cells).
Purified anti-PSMA IgGs can then be added at various concentrations. Irrelevant IgG can be
• used as a negative control. Assays can be carried out for 0-120 minutes at 37°C. Samples
can be assayed for cytolysis by measuring 51Cr release into the culture supernatant. Anti-
PSMA monoclonal antibodies and/or ADCs can also be tested in combinations with each
other to determine whether cytolysis is enhanced with multiple monoclonal antibodies and/or
ADCs. Antibodies that bind to PSMA and/or ADCs also can be tested in an in vivo model
(e.g., in mice) to determine their efficacy in mediating cytolysis and killing of cells
expressing PSMA, e.g., tumor cells.
The antibodies of the ADCs, or from which the antigen-binding fragments of the
ADCs are derived, can be selected, for example, based on the following criteria, which are
not intended to be exclusive:
1) binding to live cells expressing PSMA;
2) high affinity of binding to PSMA;

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3) binding to a unique epitope on PSMA (i.e., an epitope not recognized
by a previously produced antibody);
4) opsonization of cells expressing PSMA;
5) mediation of growth inhibition, phagocytosis and/or killing of cells
expressing PSMA in the presence of effector cells;
6) modulation (inhibition or enhancement) of NAALADase, folate
hydrolase, dipeptidyl peptidase IV and/or γ-glutamyl hydrolase
activities;
7) growth inhibition, cell cycle arrest and/or cytotoxicity in the absence of
effector cells;
8) internalization of PSMA;
9) binding to a conformational epitope on PSMA;
10) minimal cross-reactivity with cells or tissues that do not express
PSMA; and
11) preferential binding to dimeric forms of PSMA rather than monomeric
forms of PSMA.
The antibodies can meet one or more, and possibly all, of these criteria.
In one embodiment, the antibody or antigen-binding fragment thereof binds to a
conformational epitope, such as a conformational epitope within the extracellular domain of
PSMA. To determine if an anti-PSMA antibody or antigen-binding fragment thereof binds to
conformational epitopes, each antibody can be tested in assays using native protein (e.g., non-
denaturing immunoprecipitation, flow cytometric analysis of cell surface binding) and
denatured protein (e.g., Western blot, immunoprecipitation of denatured proteins). A
comparison of the results will indicate whether the antibody or antigen-binding fragment
thereof binds a conformational epitope. Antibodies or antigen-binding fragments thereof that
bind to native protein but not denatured protein are, in some embodiments, those that bind
conformational epitopes. It follows, that the ADCs, in some embodiments, bind
comforrnational epitopes of PSMA.
In another embodiment, the antibody or antigen-binding fragment thereof binds to a
dimer-specific epitope on PSMA. Generally, antibodies or antigen-binding fragments thereof
which bind to a dimer-specific epitope preferentially bind the PSMA dimer rather than the
PSMA monomer. To determine if an antibody or antigen-binding fragment thereof binds

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preferentially (i.e., selectively and/or specifically) to a PSMA dimer, the antibody or antigen-
binding fragment thereof can be tested in assays (e.g., immunoprecipitation followed by
Western blotting) using native dimeric PSMA protein and dissociated monomeric PSMA
protein. A comparison of the results will indicate whether the antibody or antigen-binding
fragment thereof binds preferentially to the dimer. In some embodiments, the antibodies or
antigen-binding fragments thereof bind to the PSMA dimer but not to the monomeric PSMA
protein. It follows, that the ADCs, in some embodiments, bind to a dimer-specific epitope on
PSMA.
The invention, therefore, also includes ADCs that selectively bind PSMA multimers.
As used herein, particularly with respect to the binding of PSMA multimers by the ADCs,
"selectively binds" means that an antibody preferentially binds to a PSMA protein multimer
(e.g., with greater avidity, greater binding affinity) rather than to a PSMA protein monomer.
In some embodiments, the ADCs of the invention bind to a PSMA protein multimer with an
avidity and/or binding affinity that is 1.1-fold, 1.2-fold, 1.3-fold, 1.4-fold, 1.5-fold, 1.6-fold,
1.7-fold, 1.8-fold, 1.9-fold, 2-fold, 3-fold, 4-fold, 5-fold, 7-fold, 10-fold, 20-fold, 30-fold, 40-
fold, 50-fold, 70-fold, 100-fold, 200-fold, 300-fold, 500-fold, 1000-fold or more than that
exhibited by the ADC for a PSMA protein monomer. The ADC can, in some embodiments,
selectively bind a PSMA protein multimer, and not a PSMA protein monomer, i.e.,
exclusively binds to a PSMA protein multimer. In some embodiments, the ADC selectively
binds a PSMA protein dimer.
A PSMA protein multimer, as used herein, is a protein complex of at least two PSMA
proteins or fragments thereof. The PSMA protein multimers can be composed of various
combinations of full-length PSMA proteins (e.g., SEQ ID NO: 1), recombinant soluble
PSMA (rsPSMA, e.g., amino acids 44-750 of SEQ ID NO: 1) and fragments of the foregoing
that form multimers (i.e., that retain the protein domain required for forming dimers and/or
higher order multimers of PSMA). In some embodiments, at least one of the PSMA proteins
forming the multimer is a recombinant, soluble PSMA (rsPSMA) polypeptide. The PSMA
protein multimers can be dimers, such as those formed from recombinant soluble PSMA
protein. In one embodiment, the dimer is a rsPSMA homodimer. The PSMA protein
multimers referred to herein are believed to assume a native conformation and can have such
a conformation. The PSMA proteins in certain embodiments are noncovalently bound
together to form the PSMA protein multimer. For example, it has been discovered that

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PSMA protein noncovalently associates to form dimers under non-denaturing conditions.
The PSMA protein multimers can retain the activities of PSMA. The PSMA activity may be
an enzymatic activity, such as folate hydrolase activity, NAALADase activity, dipeptidyl
peptidase IV activity or y-glutamyl hydrolase activity. Methods for testing the PSMA
activity of multimers are well known in the art (reviewed by O'Keefe et al. in: Prostate
Cancer: Biology, Genetics, and the New Therapeutics, L.W.K. Chung, W.B. Isaacs and J.W.
Simons (eds.) Humana Press, Totowa, NJ, 2000, pp. 307-326).
The antibody or antigen-binding fragment thereof of the ADCs can bind to and is
internalized with PSMA expressed on cells. The mechanism by which the antibody or
antigen-binding fragment thereof is internalized with PSMA is not critical to the practice of
the present invention. For example, the antibody or antigen-binding fragment thereof can
induce internalization of PSMA. Alternatively, internalization of the antibody or antigen-
binding fragment thereof can be the result of routine internalization of PSMA. It follows that
the ADC can be internalized with PSMA expressed on cells.
The antibodies or antigen-binding fragments thereof, and therefore the ADCs of the
invention, can specifically bind cell-surface PSMA and/or rsPSMA with sub-nanomolar
affinity. The binding affinities can be about 1 X 10-9M or less, about 1 X 10-10M or less, or
about 1 X 10-11M or less. In a particular embodiment the binding affinity is less than about 5
X 10-10M.
The antibodies or antigen-binding fragments thereof can, in some embodiments,
modulate at least one enzymatic activity of PSMA. The activity can be selected from the
group consisting of N-acetylated α-linked acidic dipeptidase (NAALADase), folate
hydrolase, dipeptidyl dipeptidase IV, γ-glutamyl hydrolase activity and combinations thereof
in vitro or in vivo. The modulation may be enhancement or inhibition of at least one
enzymatic activity of PSMA.
Tissue levels of NAALADase can be determined by detergent solubilizing
homogenizing tissues, pelleting the insoluble material by centrifugation and measuring the
NAALADase activity in the remaining supernatant. Likewise, the NAALADase activity in
bodily fluids can also be measured by first pelleting the cellular material by centrifugation
and performing a typical enzyme assay for NAALADase activity on the supernatant.
NAALADase enzyme assays have been described by Frieden, 1959, J. Biol, Chem.,
234:2891. In this assay, the reaction product of the NAALADase enzyme is glutamic acid.

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This is derived from the enzyme catalyzed cleavage of N-acetylaspartylglutamate to yield N-
acetylaspartic acid and glutamic acid. Glutamic acid, in a NAD(P)+ requiring step, yields 2-
oxoglutarate plus NAD(P)H in a reaction catalyzed by glutamate dehydrogenase. Progress of
the reaction can easily and conveniently be measured by the change in absorbance at 340 nm
due to the conversion of NAD(P)+ to NAD(P)H.
Folate hydrolase activity of PSMA can be measured by performing enzyme assays as
described by Heston and others (e.g., Clin. Cancer Res. 2(9): 1445-51,1996; Urology 49(3 A
Suppl):104-12,1997). Folate hydrolases such as PSMA remove the gamma-linked glutamates
from polyglutamated folates. Folate hydrolase activity can be measured using substrates such
as methotrexate tri-gamma glutamate (MTXGlu3), methotrexate di-gamma glutamate
(MTXGlu2) or pteroylpentaglutamate (PteGlu5), for example using capillary electrophoresis
(see Clin. Cancer Res. 2(9):1445-51,1996). Timed incubations of PSMA with
polyglutamated substrates is followed by separation and detection of hydrolysis products.
An ADC of the invention comprises an antibody or antigen-binding fragment thereof
conjugated to MMAE or MMAF. The antibody or antigen-binding fragment thereof can be,
in some embodiments, conjugated to MMAE or MMAF with a compound of the following
formula (Formula 1): -An-Ym-Zm-Xn-Wn-, wherein A is a carboxylic acyl unit; Y is an
amino acid; Z is an amino acid; X and W are each a self-immolative spacer; n is an integer of
0 or 1; and m is an integer of 0 or 1, 2, 3, 4, 5 or 6. A conjugate of the present invention, in
some embodiments, is represented by the formula (Formula 2): L-{An-Ym-Zm-Xn-Wn-D}p
wherein L is an antibody or antigen-binding fragment thereof that binds PSMA, D is MMAE
or MMAF and p is an integer of 1, 2, 3, 4, 5, 6, 7 or 8. The other components are as
described above. In one embodiment, the carboxylic unit "An" is linked to the antibody or
antigen-binding fragment via a sulfur atom derived from the antibody or antigen-binding
fragment:
In one embodiment, A is

WO 2007/002222 PCT/US2006/024182
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in which q is 1-10. Therefore, in one embodiment, the conjugate is:

wherein L, Y, Z, X, W, D, n, m, q and p are as previously defined.
In another embodiment, A is 4-(N-succinimidomethyl)cyclohexane-1-carbonyl, m-
succinimidobenzoyl, 4-(p-succinimidophenyl) -butyryl, 4-(2-acetamido)benzoyl, 3-
thiopropionyl, 4-(1-thioethyl)-benzoyl, 6-(3-thiopropionylamido)-hexanoyl or maleimide
caproyl. In a further embodiment, A is maleimide caproyl. Representative examples of
various carboxylic acyl units and methods for their synthesis and attachment are described in
US Pat. No. 6,214,345, the entire contents of which are herein incorporated by reference.
In another embodiment, Y is alanine, valine, leucine, isoleucine, methionine,
phenylalanine, tryptophan or proline. In yet another embodiment, Y is valine. In a further
embodiment, Z is Iysine, lysine protected with acetyl or formyl, arginine, arginine protected
with tosyl or nitro groups, histidine, ornithine, ornithine protected with acetyl or formyl, or
citrulline. In still a further embodiment, Z is citrulline. In one embodiment Ym-Zm is valine-
citrulline. In another embodiment, Ym-Zm is a protein sequence which is selectively
cleavable by a protease.
In a further embodiment, X is a compound having the formula

WO 2007/002222 PCT/US2006/024182
. -34-

in which T is O, N, or S. In another embodiment, X is a compound having the formula
-HN-R1 -COT in which R1 is C1-C5 alkyl, T is O, N or S. In a further embodiment, X is a
compound having the formula

in which T is O, N, or S, R2 is H or C1 -C5 alkyl. In one embodiment, X is p-
aminobenzylcarbamoyloxy. In another embodiment, X is p-aminobenzylalcohol. In a further
embodiment, X is p-aminobenzylcarbamate. In yet a further embodiment, X is p-
aminobenzyloxycarbonyl. In another embodiment, X is y-aminobutyric acid; α,α-dimethyl y-
aminobutyric acid or β,β-dimethyl y-aminobutyric acid.
In some embodiments, W is

in which T is O, S or N.
In one embodiment, the compound of Formula 1 is maleimidocaproyl.
Maleimidocaproyl has been used for conjugation of two specific auristatins to an anti-CD30
mAb(AC10) (Doronina, Svetlana et al. "Novel Linkers for Monoclonal Antibody-Mediated

WO 2007/002222 PCT/US2006/024182
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Delivery of Anticancer Agents", AACR, Anaheim, CA, Abstract, No. 1421, April 16-20,
2005). Maleimidocaproyl reacts with thiol groups to form a thioether.
MMAE or MMAF can be conjugated to an antibody or antigen-binding fragment
thereof using methods known to those of ordinary skill in the art (e.g., See, Niemeyer, CM,
Bioconjugation Protocols, Strategies and Methods, Humana Press, 2004) or as described
herein. In some embodiments, more than one MMAE or MMAF molecule is conjugated to
the antibody or antigen-binding fragment thereof. In other embodiments, 1, 2, 3, 4, 5, 6, 7 or
8 MMAE or MMAF molecules are conjugated to the antibody or antigen-binding fragment
thereof. In still other embodiments, at least 3, 4 or 5 MMAE or MMAF molecules are
conjugated to the antibody or antigen-binding fragment thereof. In further embodiments, 3,4
or 5 MMAE or MMAF molecules are conjugated to the antibody or antigen-binding fragment
thereof.
The ADCs of the invention have been found to have particularly high levels of
selectivity when killing of non-PSMA-expressing cells is compared to killing of PSMA-
expressing cells. Therefore, in some embodiments, the ADCs have a PC-3™ cell to C4-2 cell
or LNCaP™ cell selectivity of at least 250. In other embodiments, the selectivity is at least
300, 350, 400,450, 500, 600, 700, 800, 900, 1000,1100,1200,1300, 1400, 1500,1600,
1700,1800,1900, 2000, 2250, 2500,2750, 3000, 3500,4000, 4500, 5000, 5500, 6000, 6500,
7000, 7500, 8000, 8500, 9000, 9500, 10000, 11000,12000, 13000, 14000, 15000, 17500,
20000 or more. In some embodiments, the selectivity is between 250-500, 500-750, 750-
1000,1000-2000, 2000-5000, 5000-10000, 10000-15000 or 15000-20000. "Selectivity", as
defined herein, refers to the ratio of IC50 values of an ADC on PC-3™ cells (non-PSMA-
expressing cells) to C4-2 cells or LNCaP™ cells (PSMA-expressing cells).
It has also been found that the ADCs of the invention mediate, in some embodiments,
PSMA-expressing specific cell killing at very low concentrations, such as at or near
picomolar concentrations. The ADCs, in some embodiments, exhibit IC50S at concentrations
of less than about 1 X 10-10M, less than about 1 X 10-11M, or less than about 1 X 10-12M. In a
particular embodiment, an IC50 is achieved at a concentration of less than about 1.5 X 10-11M.
In another embodiment, the ADCs provided exhibit IC50s of between 10-210, 40-210, 60-210
or 65-210 pM. In yet another embodiment, the ADCs provided exhibit IC50S of about 10, 40,
60 or 80 pM. In still another embodiment, the ADCs provided exhibit IC50S of about 11,42,
60 or 83 pM.

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It has also been found that the ADCs, in some embodiments, effect a cure rate in mice
of at least 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90% or 95%. In other embodiments, the
cure rate in mice is about 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90% or 95%. In still other
embodiments, the cure rate is 20-40%, 40-60% or 60-80%. As used herein, "cure rate" refers
to the number of mice still alive after about 500 days from the start of a study period, with no
evidence of a tumor and no measurable PSA levels, divided by the number of mice at the
beginning of the study period. To assess the cure rate, mice are administered 6 mg/kg ADC
with a regimen of q4d x 6. In some embodiments, the number of mice at the beginning of the
study is at least 5,6,7, 8, 9,10,12,15,17,20,25,30 or more mice. Further details regarding
an example of such a study are provided herein below in the Examples. In one embodiment,
the mice are those that are a model of androgen-independent human prostate cancer. In
another embodiment, the mice are nude mice engrafted with C4-2 cells intramuscularly in the
left hind-leg. Techniques for determining the presence of a tumor and for measuring PSA
levels are well known to those of ordinary skill in the art.
Binding of the ADCs of the invention to live PSMA-expressing cells can inhibit the
growth of PSMA-expressing cells, result in cell-cycle arrest (e.g., G2/M arrest), promote
apoptosis of PSMA-expressing cells, etc. As used herein, "result in cell-cycle arrest" refers
to an increase in the number of cells in the G2/M phase due to the administration of an ADC.
In some embodiments, the ADCs can effect apoptosis. In other embodiments, the ADCs
result in both cell cycle arrest and subsequent apoptosis. The ADCs of the invention,
therefore, can be used in various in vitro and in vivo methods for effecting these possible
endpoints. In particular, the ADCs of the invention can be used in methods for treating
PSMA-mediated disease.
As used herein, a "PSMA-mediated disease" is any disease in which PSMA is
causative or a symptom of the disease. PSMA-mediated diseases also include diseases or
disorders in which there is aberrant (e.g., overexpression) of PSMA. PSMA is a 100 kD
Type II membrane glycoprotein expressed in prostate tissues (Horoszewicz et al., 1987,
Anticancer Res. 7:927-935; U.S. Pat. No. 5,162,504). PSMA was characterized as a type II
transmembrane protein having sequence identity with the transferrin receptor (Israeli et al.,
1994, Cancer Res. 54:1807-1811) and with NAALADase activity (Carter et al., 1996, Proc.
Natl. Acad. Sci. U.S.A. 93:749-753). More importantly, PSMA is expressed in increased
amounts in prostate cancer, and elevated levels of PSMA are also detectable in the sera of

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these patients (Horoszewicz et al., 1987; Rochon et al., 1994, Prostate 25:219-223; Murphy
etal., 1995, Prostate 26:164-168; and Murphy etal., 1995, Anticancer Res. 15:1473-1479).
Therefore, a PSMA-mediated disorder is, for example, prostate cancer. PSMA expression
increases with disease progression, becoming highest in metastatic, hormone-refractory
disease for which there is no present therapy. In addition, provocative data indicates that
PSMA is also abundantly expressed on the neovasculature of a variety of other important
tumors, including bladder, pancreas, sarcoma, melanoma, lung, and kidney tumor cells, but
not on normal vasculature. PSMA-mediated diseases, therefore, include cancers in which
PSMA is expressed on the cells of the tumor or of the tumor neovasculature.
Compositions and methods are, therefore, provided that can be used to treat any
PSMA-mediated disorder. For example, ADCs can be used to inhibit the neovascularization
of a tumor. In another example, PSMA ADCs can be used to kill tumor cells. In some
embodiments, two or more different ADCs are used in combination. In another embodiment,
one or more unconjugated anti-PSMA antibodies or antigen-binding fragments thereof can be
combined with one or more ADCs in a single therapy to achieve a desired therapeutic effect.
As an illustration, an unconjugated anti-PSMA antibody that mediates highly effective killing
of target cells in the presence of effector cells and/or that inhibits the growth of cells
expressing PSMA can be used with one or more ADCs. In yet another embodiment, the
ADCs can be combined with one or more additional therapeutic agents. Such therapeutic
agents include antitumor agents, such as docetaxel; corticosteroids, such as prednisone or
hydrocortisone; immunostimulatory agents; immunomodulators; or some combination
thereof.
Antitumor agents include cytotoxic agents, chemotherapeutic agents and agents that
act on tumor neovasculature. Cytotoxic agents include cytotoxic radionuclides, chemical
toxins and protein toxins. The cytotoxic radionuclide or radiotherapeutic isotope can be an
alpha-emitting isotope such as 225Ac, 2I1At, 212Bi, 213Bi, 212Pb, mRa or 223Ra. Alternatively,
the cytotoxic radionuclide can be a beta-emitting isotope such as ls6Rh, 188Rh, 177Lu, 90Y, I31I,
67Cu, 64Cu, 153Sm or 166Ho. Further, the cytotoxic radionuclide can emit Auger and low
energy electrons and include the isotopes 125I, 123I or 77Br.
Suitable chemical toxins or chemotherapeutic agents include members of the enediyne
family of molecules, such as calicheamicin and esperamicin. Chemical toxins can also be
taken from the group consisting of methotrexate, doxorubicin, melphalan, chlorambucil,

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ARA-C, vindesine, mitomycin C, cis-platinum, etoposide, bleomycin and 5-fluorouracil.
Other antineoplastic agents include dolastatins (U.S. Patent Nos. 6,034,065 and 6,239,104)
and derivatives thereof. Dolastatins and derivatives thereof include dolastatin 10 (dolavaline-
valine-dolaisoleuine-dolaproine-dolaphenine) and the derivatives auristatin PHE (dolavaline-
valine-dolaisoleuine-dolaproine-phenylalanine-methyl ester) (Pettit, G.R. et al., Anticancer
Drug Des. 13(4):243-277,1998; Woyke, T. et al., Antimicrob. Agents Chemother.
45(12):3580-3584,2001), and aurastatin E and the like. Toxins also include poisonous
lectins, plant toxins such as ricin, abrin, modeccin, botulina and diphtheria toxins. Other
chemotherapeutic agents are known to those skilled in the art.
Agents that act on the tumor vasculature include tubulin-biriding agents such as
combrestatin A4 (Griggs et al., Lancet Oncol. 2:82, 2001), angiostatin and endostatin
(reviewed in Rosen, Oncologist 5:20,2000, incorporated by reference herein) and interferon
inducible protein 10 (U.S. Patent No. 5,994,292). A number of other antiangiogenic agents
are also contemplated and include: 2ME2, Angiostatin, Angiozyme, Anti-VEGF RhuMAb,
Apra (CT-2584), Avicine, Benefin, BMS275291, Carboxyamidotriazole, CC4047, CC5013,
CC7085, CDC801, CGP-41251 (PKC 412), CM101, Combretastatin A-4 Prodrug, EMD
121974, Endostatin, Flavopiridol, Genistein (GCP), Green Tea Extract, IM-862, ImmTher,
Interferon alpha, Interleukin-12, Iressa (ZD1839), Marimastat, Metastat (Col-3), Neovastat,
Octreotide, Paclitaxel, Penicillamine, Photofrin, Photopoint, PI-88, Prinomastat (AG-3340),
PTK787 (ZK22584), RO317453, Solimastat, Squalamine, SU 101, SU 5416, SU-6668,
Suradista (FCE 26644), Suramin (Metaret), Tetrathiomolybdate, Thalidomide, TNP-470 and
Vitaxin. Additional antiangiogenic agents are described by Kerbel, J. Clin. Oncol.
19(18s);45s-51s, 2001, which is incorporated by reference herein.
The ADCs can be administered with one or more immunostimulatory agents to induce
or enhance an immune response, such as IL-2 and immunostimulatory oligonucleotides (e.g.,
those containing CpG motifs). Immunostimulatory agents can, in some embodiments,
stimulate specific arms of the immune system, such as natural killer (NK) cells that mediate
antibody-dependent cell cytotoxicity (ADCC). Immunostimulatory agents include
interleukin-2, α-interferon, y-interferon, tumor necrosis factor alpha (TNFα),
immunostimulatory oligonucleotides or a combination thereof. Immunornodulators include
cytokines, chemokines, adjuvants or a combination thereof. Chemokines useful in increasing

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immune responses include but are not limited to SLC, ELC, MIP3a, MIP3β, IP-10, MIG, and
combinations thereof.
The other therapeutic agent can also be a vaccine. In some embodiments, the vaccine
immunizes a subject against PSMA. Such vaccines, in some embodiments, include antigens,
such as PSMA dimers, with, optionally, one or more adjuvants to induce or enhance an
immune response. An adjuvant is a substance which potentiates the immune response.
Adjuvants of many kinds are well known in the art. Specific examples of adjuvants include
monophosphoryl lipid A (MPL, SmithKline Beecham); saponins including QS21
(SmithKline Beecham); immunostimulatory oligonucleotides (e.g., CpG oligonucleotides
described by Kreig et al., Nature 374:546-9,1995);incomplete Freund's adjuvant; complete
Freund's adjuvant; montanide; vitamin E and various water-in-oil emulsions prepared from
biodegradable oils such as squalene and/or tocopherol, Quil A, Ribi Detox, CRL-1005, L-
121, and combinations thereof. Formulations, such as those described in U.S. Application
Serial No. 10/976352, are also contemplated for use as vaccines in the methods provided
herein. The disclosure of such formulations are incorporated herein by reference.
The vaccines can, in some embodiments, include one or more of the isolated PSMA
protein multimers described herein, such as the PSMA protein dimer. In some embodiments,
a PSMA protein multimer composition contains at least about 10% PSMA protein multimer
(of the total amount of PSMA protein in the composition). In other embodiments, the PSMA
protein multimer composition contains at least about 20%, 30%, 40%, 50%, 60%, 70%, 75%,
80%, 85%, 90%, 95%, 99% or 99.5% PSMA protein multimer. In one embodiment, the
PSMA protein multimer composition contains substantially pure PSMA protein multimer,
with substantially no PSMA protein monomer. It is understood that the list of specific
percentages includes by inference all of the unnamed percentages between the recited
percentages.
Cytokines can also be used in vaccination protocols as a result of their lymphocyte
regulatory properties. Many cytokines useful for such purposes will be known to one of
ordinary skill in the art, including interleukin-2 (IL-2); IL-4; IL-5; IL-12, which has been
shown to enhance the protective effects of vaccines {see, e.g., Science 268: 1432-1434,
1995); GM-CSF; IL-15; IL-18; combinations thereof, and the like. Thus cytokines can be
administered in conjunction with antigen, chemokines and/or adjuvants to increase an
immune response.

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The other therapeutic agents can be present in the compositions of the invention or
used in the methods of the invention in unconjugated form or in conjugated form, such as
conjugated to an anti-PSMA antibody or antigen-binding fragment thereof. Coupling of one
or more toxin molecules to the anti-PSMA antibody or antigen-binding fragment thereof can
include many chemical mechanisms, for instance covalent binding, affinity binding,
intercalation, coordinate binding and complexation.
The covalent binding can be achieved either by direct condensation of existing side
chains or by the incorporation of external bridging molecules. Many bivalent or polyvalent
agents are useful in coupling protein molecules to other proteins, peptides or amine functions,
etc. For example, the literature is replete with coupling agents such as carbodiimides,
diisocyanates, glutaraldehyde, diazobenzenes, and hexamethylene diamines: This list is not
intended to be exhaustive of the various coupling agents known in the art but, rather, is
exemplary of the more common coupling agents.
In some embodiments, it is contemplated that one may wish to first derivatize the
antibody, and then attach the therapeutic agent to the derivatized product. Suitable cross-
linking agents for use in this manner include, for example, SPDP (N-succinimidyl-3-(2-
pyridyldithio)propionate), and SMPT, 4-succinimidyl-oxycarbonyl-methyl-(2-
pyridyldithio)toluene.
In addition, protein toxins can be fused to the anti-PSMA antibody or antigen-binding
fragment thereof by genetic methods to form a hybrid immunotoxin fusion protein. The
fusion proteins can include additional peptide sequences, such as peptide spacers which
operatively attach, for example, the anti-PSMA antibody and toxin, as long as such additional
sequences do not appreciably affect the targeting or toxin activities of the fusion protein. The
proteins can be attached by a peptide linker or spacer, such as a glycine-serine spacer peptide,
or a peptide hinge, as is well known in the art. Thus, for example, the C-terminus of an anti-
PSMA antibody or antigen-binding fragment thereof can be fused to the N-terminus of the
protein toxin molecule to form an immunotoxin that retains the binding properties of the anti-
PSMA antibody. Other fusion arrangements will be known to one of ordinary skill in the art.
To express the fusion immunotoxin, the nucleic acid encoding the fusion protein is inserted
into an expression vector in accordance with standard methods, for stable expression of the
fusion protein, such as in mammalian cells, such as CHO cells. The fusion protein can be

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isolated and purified from the cells or culture supernatant using standard methodology, such
as a PSMA affinity column.
Radionuclides typically are coupled to an antibody or antigen-binding fragment
thereof by chelation. For example, in the case of metallic radionuclides, a bifunctional
chelator is commonly used to link the isotope to the antibody or other protein of interest.
Typically, the chelator is first attached to the antibody, and the chelator-antibody conjugate is
contacted with the metallic radioisotope. A number of bifunctional chelators have been
developed for this purpose, including the diethylenetriamine pentaacetic acid (DTPA) series
of amino acids described in U.S. patents 5,124,471, 5,286,850 and 5,434,287, which are
incorporated herein by reference. As another example, hydroxamic acid-based bifunctional
chelating agents are described in U.S. patent 5,756,825, the contents of which are
incorporated herein. Another example is the chelating agent termed p-SCN-Bz-HEHA
(1,4,7,10,13,16-hexaazacyclo-octadecane-N,N',N",N'",N"",N'""-hexaacetic acid) (Deal et al,
J. Med. Chem. 42:2988, 1999), which is an effective chelator of radiometals such as 225Ac.
Yet another example is DOTA (1,4,7,10-tetraazacyclododecane N,N',N",N"'-tetraacetic
acid), which is a bifunctional chelating agent (see McDevitt et al., Science 294:1537-1540,
2001) that can be used in a two-step method for labeling followed by conjugation.
Other therapeutic agents also include replication-selective viruses. Replication-
competent virus such as the p53 pathway targeting adenovirus mutant d11520, ONYX-015,
kills tumor cells selectively (Biederer, C. et al., J. Mol. Med. 80(3):163-175,2002). The
virus can, in some embodiments, be conjugated to PSMA antibodies or antigen-binding
fragments thereof.
The compositions provided of the present invention can be used in conjunction with
other therapeutic treatment modalities. Such other treatments include surgery, radiation,
cryosurgery, thermotherapy, hormone treatment, chemotherapy, vaccines and other
immunotherapies.
The ADCs of the invention, such as through their antibody or antigen-binding
fragment thereof, can be linked to a label. Labels include, for example, fluorescent labels,
enzyme labels, radioactive labels, nuclear magnetic resonance active labels, luminescent
labels or chromophore labels.
The compositions provided can include a physiologically or pharmaceutically
acceptable carrier, excipient or stabilizer mixed with the ADC. In some embodiments, when

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a composition comprises two or more different ADCs, each of the antibodies or antigen-
binding fragments thereof of the ADCs binds to a distinct conformational epitope of PSMA.
As used herein, "target cell" shall mean any undesirable cell in a subject (e.g., a
human or animal) that can be targeted by an ADC of the invention. In some embodiments,
the target cell is a cell expressing or overexpressing PSMA. Cells expressing PSMA or
PSMA-expressing cells, typically include tumor cells, such as prostate, bladder, pancreas,
lung, kidney, colon tumor cells, as well as melanoma and sarcoma cells.
Pharmaceutical compositions of the invention can be administered in
combination therapy, i.e., combined with other agents. For example, the combination therapy
can include a composition of the present invention with at least one anti-tumor agent,
immunomodulator, immunostimulatory agent or other conventional therapy. The other agent
can be conjugated to or formed as a recombinant fusion molecule with a PSMA antibody or
antigen-binding fragment thereof for directed targeting of the agent to PSMA-expressing
cells. In another embodiment the other therapeutic agent can be unconjugated. Additional
therapeutic agents can be administered or contacted with the PSMA-expressing cells through
co-administration. "Co-administering," as used herein, refers to administering two or more
therapeutic agents simultaneously as an admixture in a single composition, or sequentially,
and close enough in time so that the compounds may exert an additive or even synergistic
effect. In still other embodiments, an additional therapeutic agent can be administered
before, during or after the administration of one or more ADCs or compositions thereof.
As used herein, "pharmaceutically acceptable carrier" or "physiologically acceptable
carrier" includes any and all salts, solvents, dispersion media, coatings, antibacterial and
antifungal agents, isotonic and absorption delaying agents, and the like that are
physiologically compatible. In some embodiments, the carrier is suitable for intravenous,
intramuscular, subcutaneous, parenteral, spinal or epidermal administration (e.g., by injection
or infusion). Depending on the route of administration, the active compound, can be coated
in a material to protect the compound from the action of acids and other natural conditions
that may inactivate the compound.
When administered, the pharmaceutical preparations of the invention are applied in
pharmaceutically-acceptable amounts and in pharmaceutically-acceptable compositions. The
term "pharmaceutically acceptable" means a non-toxic material that does not interfere with
the effectiveness of the hiological activity of the active ingredients. Such preparations may

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routinely contain salts, buffering agents, preservatives, compatible carriers, and optionally
other therapeutic agents, such as supplementary immune potentiating agents including
adjuvants, chemokines and oytokines. When used in medicine, the salts should be
pharmaceutically acceptable, but non-pharmaceutically acceptable salts may conveniently be
used to prepare pharmaceutically-acceptable salts thereof and are not excluded from the
scope of the invention.
A salt retains the desired biological activity of the parent compound and does not
impart any undesired toxicological effects (see e.g., Berge, S.M., et al. (1977) J. Pharm. Sci.
66:1-19). Examples of such salts include acid addition salts and base addition salts. Acid
addition salts include those derived from nontoxic inorganic acids, such as hydrochloric,
nitric, phosphoric, sulfuric, hydrobromic, hydroiodic, phosphorous and the like, as well as
from nontoxic organic acids such as aliphatic mono- and dicarboxylic acids, phenyl
substituted alkanoic acids, hydroxy alkanoic acids, aromatic acids, aliphatic and aromatic
sulfonic acids and the like. Base addition salts include those derived from alkaline earth
metals, such as sodium, potassium, magnesium, calcium and the like, as well as from
nontoxic organic amines, such as N,N'-dibenzylethylenediamine, N-methylglucamine,
chioroprocaine, choline, diethanolamine, ethylenediamine, procaine and the like.
An ADC can be combined, if desired, with a pharmaceutically-acceptable carrier.
The term "pharmaceutically-acceptable carrier" as used herein means one or more compatible
solid or liquid fillers, diluents or encapsulating substances which are suitable for
administration into a human. The term "carrier" denotes an organic or inorganic ingredient,
natural or synthetic, with which the active ingredient is combined to facilitate the application.
The components of the pharmaceutical compositions also are capable of being co-mingled in
a manner such that there is no interaction which would substantially impair the desired
pharmaceutical efficacy.
The pharmaceutical compositions may contain suitable buffering agents, including:
acetic acid in a salt; citric acid in a salt; boric acid in a salt; and phosphoric acid in a salt.
The pharmaceutical compositions also may contain, optionally, suitable preservatives,
such as: benzalkonium chloride; chlorobutanol; parabens and thimerosal.
The pharmaceutical compositions may conveniently be presented in unit dosage form
and may be prepared by any of the methods well-known in the art of pharmacy. All methods
include the step of bringing the active agent into association with a carrier which constitutes

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one or more accessory ingredients. In general, the compositions are prepared by uniformly
and intimately bringing the active compound into association with a liquid carrier, a finely
divided solid carrier, or both, and then, if necessary, shaping the product.
Compositions suitable for parenteral administration conveniently comprise a sterile
aqueous or non-aqueous preparation of the compounds, which is, in some embodiments,
isotonic with the blood of the recipient. This preparation may be formulated according to
known methods using suitable dispersing or wetting agents and suspending agents. The
sterile injectable preparation also may be a sterile injectable solution or suspension in a non-
toxic parenterally-acceptable diluent or solvent, for example, as a solution in 1,3-butane diol.
Among the acceptable vehicles and solvents that may be employed are water, Ringer's
solution, and isotonic sodium chloride solution. In addition, sterile, fixed oils are
conventionally employed as a solvent or suspending medium. For this purpose any bland
fixed oil may be employed including synthetic mono-or di-glycerides. In addition, fatty acids
such as oleic acid may be used in the preparation of injectables. Carrier formulations suitable
for oral, subcutaneous, intravenous, intramuscular, etc. administration can be found in
Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, PA.
The active compounds can be prepared with carriers that will protect the compound
against rapid release, such as a controlled release formulation, including implants,
transdermal patches, and microencapsulated delivery systems. Biodegradable, biocompatible
polymers can be used, such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid,
collagen, polyorthoesters, and polylactic acid. Many methods for the preparation of such
formulations are patented or generally known to those skilled in the art. See, e.g., Sustained
and Controlled Release Drug Delivery Systems, J.R. Robinson, ed., Marcel Dekker, Inc.,
New York, 1978.
The therapeutics of the invention can be administered by any conventional route,
including injection or by gradual infusion over time. The administration may, for example,
be oral, intravenous, intraperitoneal, intramuscular, intracavity, intratumor, or transdermal.
When compounds containing antibodies are used therapeutically, routes of administration
include intravenous and by pulmonary aerosol. Techniques for preparing aerosol delivery
systems containing antibodies are well known to those of skill in the art. Generally, such
systems should utilize components which will not significantly impair the biological
properties of the antibodies, such as the paratope binding capacity (see, for example, Sciarra

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and Cutie, "Aerosols," in Remington's Pharmaceutical Sciences, 18th edition, 1990, pp.
1694-1712; incorporated by reference). Those of skill in the art can readily determine the
various parameters and conditions for producing antibody aerosols without resorting to undue
experimentation.
The compositions of the invention are administered in effective amounts. An
"effective amount" is that amount of any of the ADCs provided herein that alone, or together
with further doses and/or other therapeutic agents, produces the desired response, e.g., treats a
PSMA-mediated disease in a subject This can involve only slowing the progression of the
disease temporarily, although in some embodiments, it involves halting the progression of the
disease permanently. This can be monitored by routine methods. The desired response to
treatment of the disease or condition also can be delaying the onset or even preventing the
onset of the disease or condition. An amount that is effective can be the amount of an ADC
alone which produces the desired therapeutic endpoint. An amount that is effective is also
the amount of an ADC in combination with another agent that produces the desired result.
Such amounts will depend, of course, on the particular PSMA-mediated disease being
treated, the severity of the condition, the individual patient parameters including age, physical
condition, size and weight, the duration of the treatment, the nature of concurrent therapy (if
any), the specific route of administration and like factors within the knowledge and expertise
of the health practitioner. These factors are well known to those of ordinary skill in the art
and can be addressed with no more than routine experimentation. It is generally preferred
that a maximum dose of the individual components or combinations thereof be used, that is,
the highest safe dose according to sound medical judgment. It will be understood by those of
ordinary skill in the art, however, that a patient may insist upon a lower dose or tolerable dose
for medical reasons, psychological reasons or for virtually any other reasons.
The pharmaceutical compositions used in the foregoing methods preferably are sterile
and contain an effective amount of an ADC, alone or in combination with another agent, for
producing the desired response in a unit of weight or volume suitable for administration to a
patient. The response can, for example, be measured by determining the physiological effects
of the ADC composition, such as regression of a tumor or decrease of disease symptoms.
Other assays will be known to one of ordinary skill in the art and can be employed for
measuring the level of the response.

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The doses of ADCs administered to a subject can be chosen in accordance with
different parameters, in particular in accordance with the mode of administration used and the
state of the subject. Other factors include the desired period of treatment. In the event that a
response in a subject is insufficient at the initial doses applied, higher doses (or effectively
higher doses by a different, more localized delivery route) may be employed to the extent that
patient tolerance permits.
In general, doses can range from about 10 μg/kg to about 100,000 μg/kg. In some
embodiments, the doses can range from about 0.1 mg/kg to about 20 mg/kg. In still other
embodiments, the doses range from about 0.1 mg/kg to 5 mg/kg, 0.1 mg/kg to 10 mg/kg or
0.1 mg/kg to 15 mg/kg. In yet other embodiments, the doses range from about 1 mg/kg to 5
mg/kg, 5 mg/kg to 10 mg/kg, 10 mg/kg to 15 mg/kg or 15 mg/kg to 20 mg/kg. In further
embodiments, the dose is about 0.1 mg/kg, 0.5 mg/kg, 1 mg/kg, 2 mg/kg, 3 mg/kg, 5 mg/kg,
7 mg/kg, 10 mg/kg, 12 mg/kg, 15 mg/kg, 17 mg/kg, 20 mg/kg, 25 mg/kg or 30 mg/kg. In
another embodiment, the dose is about 1 mg/kg, 3 mg/kg, 5 mg/kg or 6 mg/kg. Based upon
the composition, the dose can be delivered continuously, such as by continuous pump, or at
periodic intervals. In some embodiments, when the ADC is administered intravenously, the
dose is between 0.1 and 20 mg/kg or any value in between. Desired time intervals of
multiple doses of a particular composition can be determined without undue experimentation
by one skilled in the art. Other protocols for the administration of the compositions provided
will be known to one of ordinary skill in the art, in which the dose amount, schedule of
administration, sites of administration, mode of administration and the like vary from the
foregoing. In some embodiments, subjects are administered the ADC with a dose regimen of
q4d x 3 or q4d x 6. In one embodiment, the dose is administered intravenously. In another
embodiment, the dose regimen is a single intravenous dose.
Administration of ADC compositions to mammals other than humans, e.g. for testing
purposes or veterinary therapeutic purposes, is carried out under substantially the same
conditions as described above.
The compositions of the present invention have in vitro and in vivo diagnostic and
therapeutic utilities. For example, these molecules can be administered to cells in culture,
e.g. in vitro or ex vivo, or in a subject, e.g., in vivo, to treat, prevent or diagnose a variety of
PSMA-mediated diseases. As used herein, the term "subject" is intended to include humans
and non-human animals. Subjects include a human patient having a disorder characterized by

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expression, typically aberrant expression (e.g., overexpression) of PSMA, such disorders are
included in the definition of "PSMA-mediated disease".
The compositions provided herein can be utilized in in vivo therapy of cancer. The
ADCs can be used to inhibit proliferation of the malignant cells or tissues following
administration and localization of the conjugates. The compositions provided can include
anti-PSMA antibodies, in some embodiments, that may mediate tumor destruction by
complement fixation or antibody-dependent cellular cytotoxicity. Alternatively, the
compositions can contain an additional therapeutic agent to result in synergistic therapeutic
effects (Baslya and Mendelsohn, 1994 Breast Cancer Res. and Treatment 29:127-138).
The compositions of the invention can also be administered together with, in some
embodiments, complement and/or unconjugated anti-PSMA antibodies. Accordingly, within
the scope of the invention are compositions comprising ADC and serum or complement.
These compositions are advantageous in that the complement is located in close proximity to
the human antibodies or antigen-binding fragments thereof. Alternatively, the ADCs,
antibodies or antigen-binding fragments thereof and/or complement or serum can be
administered separately.
Use of the therapy of the present invention has a number of benefits. Since the ADCs
preferentially target PSMA e.g., on prostate cancer cells, other tissue can be spared. As a
result, treatment with such biological agents is safer, particularly for elderly patients.
Treatment according to the present invention is expected to be particularly effective, in some
embodiments, because it can direct high levels of ADCs to the bone marrow and lymph nodes
where cancer metastases, such as prostate cancer metastases, can predominate. Treatment in
accordance with the present invention can be effectively monitored with clinical parameters
such as serum prostate specific antigen and/or pathological features of a patient's cancer,
including stage, Gleason score, extracapsular, seminal, vesicle or perineural invasion,
positive margins, involved lymph nodes, etc. Alternatively, these parameters can be used to
indicate when such treatment should be employed.
Also within the scope of the invention are kits comprising the compositions, e.g., one
or more ADCs, of the invention and instructions for use. The kits can further contain at least
one additional reagent, such as complement, a chemotherapeutic agent, a corticosteroid, or
one or more antibodies that bind PSMA. Other kits can also include PSMA multimers. In
another embodiment, a kit can comprise a carrier being compartmentalized to receive in close

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confinement therein one or more container means or series of container means such as test
tubes, vials, flasks, bottles, syringes, or the like. A first of said container means or series of
container means may contain one or more antt-PSMA antibodies or antigen-binding
fragments thereof. A second container means or series of container means can, in some
embodiments, contain MMAE or MMAF or the compound of Formula 1 conjugated to
MMAE or MMAF. In some embodiments, a third container means or series of container
means contain a compound of Formula 1. Kits for use in in vivo tumor localization and
therapy method containing the ADCs can be prepared. The components of the kits can be
packaged either in aqueous medium or in lyophilized form. The components of the ADC
conjugates can be supplied either in fully conjugated form, in the form of intermediates or as
separate moieties to be conjugated by the user of the kit.
As used herein with respect to polypeptides, proteins or fragments thereof, "isolated"
means separated from its native environment and present in sufficient quantity to permit its
identification or use. Isolated, when referring to a protein or polypeptide, means, for
example: (i) selectively produced by expression cloning or (ii) purified as by
chromatography or electrophoresis. Isolated proteins or polypeptides may be, but need not
be, substantially pure. The term "substantially pure" means that the proteins or polypeptides
are essentially free of other substances with which they may be found in nature or in vivo
systems to an extent practical and appropriate for their intended use. Substantially pure
polypeptides may be produced by techniques well known in the art. Because an isolated
protein may be admixed with a pharmaceutically acceptable carrier in a pharmaceutical
preparation, the protein may comprise only a small percentage by weight of the preparation.
The protein is nonetheless isolated in that it has been separated from the substances with
which it may be associated in living systems, i.e. isolated from other proteins.
The compositions provided herein can be in lyophilized form or provided in an
aqueous medium.
The present invention is further illustrated by the following Examples, which in no
way should be construed as further limiting. The entire contents of all of the references
(including literature references, issued patents, published patent applications, and co-pending
patent applications) cited throughout this application are hereby expressly incorporated by
reference.

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Examples
Example 1; Potent Antitumor Activity of an Auristatin-Conjugated, Fully Human
Monoclonal Antibody to Prostate-Specific Membrane Antigen
Materials and Methods
Cell Lines and Antibodies
LNCaP™ (CRL-1740), PC-3™ (CRL-1435), and 3T3™ (CRL-2752) were obtained
from American Type Culture Collection (Rockville, MD). C4-2 cell line, a sub-cell line from
LNCaP™, was obtained from The Cleveland Clinic Foundation (Cleveland, OH). A 3T3™-
PSMA cell line was obtained from Memorial Sloan-Kettering Cancer Center (New York,
NY). LNCaP™, C4-2 and PC-3™ were cultured in RPMI 1640 (Life Technologies,
Gaithersburg, MD), and 3T3™ and 3T3™-PSMA were cultured in DMEM (Life
Technologies). Culture media were supplemented with 10% fetal bovine serum (Hyclone,
Logan, UT), L-glutamine, penicillin and streptomycin (Life Technologies). C4-2, LNCaP™
and 3T3™-PSMA cells were determined to express PSMA at levels of approximately 2 x 105,
6 x 105 and >1 x 106 copies/cell, respectively, according to published methods (Ma D, et al.,
Leukemia 2002;16:60-6.). C4-2 is an androgen-independent subclone of androgen-dependent
LNCaP™ cells. PC-3™ is a de-differentiated prostate cancer cell line that does not express
PSMA. PSMA mAbs (AB-PG1-XG1-006 (PTA-4403 and PTA-4404) and Abgenix 4.40.2
(PTA-4360)) were produced as described previously in U.S. Pat. Appl. No. 10/395,894 and
Schulke N et al., PNAS USA, 2003; 100:12590-5, each of which is herein incorporated by
reference in its entirety. Abgenix 4.40.2 was used as a control. A fully human PSMA mAb
(IgGl,K) was raised in mice transgenic for the human immunoglobulin gene locus
(XenoMice™, Abgenix, Inc., Fremont, CA) following immunization with recombinant
soluble PSMA and LNCaP cells as previously described (Schulke N et al., PNAS USA, 2003;
100:12590-5).
PSMA Internalization

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mAbs were modified with bifunctional chelates of cyclohexyl-diethylenetriamine
pentaaoetic acid (CHX-DTPA) obtained from the National Cancer Institute (Bethesda, MD),
and labeled with lnIn (PerkinElmer, Boston, MA) as previously described (Ma D, et al.,
Leukemia 2002;16:60-6; Nikula TK, et al., JNucl.Med 1999;40:166-76). 111In-labeled mAb
was determined to be >90% immunoreactive by incubating the radioconjugate with an excess
of 3T3™-PSMA cells and measuring the bound fraction according to published methods (Ma
D, et al., Leukemia 2002;16:60-6; Nikula TK, et al., JNucl.Med 1999;40:166-76). For
internalization analysis, 111In-labeled mAb was incubated with 2 x 105 C4-2 cells at 37°C in
5% CO2. At sequential time points, unbound mAb was removed by washing in PBS and cell-
surface mAb was eluted using low pH buffer (pH 2.4, glycine/NaCl). The low pH eluate was
counted separately from the cell pellet, and percent internalization was calculated as
previously described (McDevitt MR, et al., Cancer Res 2000;60:6095-100).
Preparation of Antibody-Drug Conjugates
The synthesis and design of the linkers and the conjugation of the linker to the
cytotoxic drug were carried out as described in U.S. Pat. No. 6,884,889 and U.S. Pat. No.
6,214,345, each of which is herein incorporated by reference in its entirety. The conjugation
of mAbs with maleimidocaproyl (mc)-valine (Val)-citrulline (Cit)-monomethyl auristatin E
(MMAE) was performed as described (Doronina SO, et al., Nat. Biotechnology. 2003;21:778-
84). PSMA mAb and isotype-control human IgG1 (Calbiochem, San Diego, CA) in PBS
containing 50 mM borate, pH 8.0, were treated with dithiothreitol (DTT) (10 mM final) at
37°C for 30 min. The final reaction concentrations were 7.5 mL - 8.0 ml, 1 mL 0.5 M sodium
borate pH 8 and 0.5 M NaCl, 1 mL 100 mM DTT, and 0.5 mL or 0 ml, respectively, of PBS.
This solution was incubated at 40°C for 1hr, and the antibody purified on a gel filtration
column. The column was equilibrated with 10 mM DTP A in PBS at 10 mL/min, loaded with
10.0 mL of the antibody reduction mixture, and eluted at 8 mL/min in PBS/DTPA buffer.
The concentration of antibody-cysteine thiols produced was determined by titrating with 5,5'-
dithio-bis-(2-nitrobenzoic acid) (DTNB) (Pierce Chemical Co., Rockford, IL). An equivalent
chemical can be obtained from Sigma (St. Louis, MO)..
The fully reduced mAb Abgenix 4.40.2 (22.6 mL of 7.8 μM mAb, 75.6 uM cysteine
thiol) was partially reoxidized with 35.43 μL of 10 mM DTNB, and the fully reduced mAb
AB-PG1-XG1-006 (25.1 mL of 11.2 μM mAb, 95.8 μM cysteine thiol) was partially

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reoxidized with 56,27 μL of 10 mM DTNB. The color of the solution immediately turned
yellow.
The drug mc-Val-Cit-paraaminobenzyl carbamate-MMAE (vcMMAE) was then
conjugated to the partially reoxidized mAbs as follows: the mAbs were first cooled to 0°C.
vcMMAE (5 molar equivalents per antibody: 89.7 and 140.6 uL, respectively, of a 10 mM
stock solution of vcMMAE) was dissolved in 5 mL acetonitrile, then added to the antibody
solution while carefully vortexing. The reaction mixtures were incubated on ice. No
additional color change was observed. The reaction mixtures were quenched with 20 molar
equivalents of cysteine/drug. The conjugate was purified using a gel-filtration column at 4°C
and eluted with PBS at 8.0 mL/min. The ADCs were determined to have > 98% monomeric
mAb containing 3.0-3.5 drugs per mAb using published methods (Doronina SO, et al., Nat
Biotechnol. 2003;21:778-84).
Alternatively, the conjugation of mAbs with maleimidocaproyl (mc)-valine (Val)-
citrulline (Cit)-monomethyl auristatin E (MMAE) was performed as described (Doronina SO,
et al., Nat. Biotechnology. 2003;21:778-84). PSMA mAb and isotype-control human IgGl
(Calbiochem, San Diego, CA) in PBS containing 50 mM borate, pH 8.0, were treated with
dithiothreitol (DTT) (10 mM final) at 37°C for 30 min. The mAbs were exchanged into PBS
containing 1 mM DTPA (Aldrich, Milwaukee, WI) by passage through a Sephadex G-25
column (Amersham Biosciences, Piscataway, NJ). The mAb solutions were chilled to 4°C
and combined with the maleimido drug derivative in cold CH3CN. After 1 hour, the
reactions were quenched with excess cysteine, and the conjugates were concentrated and
exchanged into PBS buffer. The ADCs were determined to have > 98% monomeric mAb
containing 3.0-3.5 drugs per mAb using published methods (Doronina SO, et al., Nat
Biotechnol. 2003;21:778-84).
Reactivity of ADCs with Cell-Surface PSMA
Binding of PSMA mAb and ADC to 3T3™-PSMA and parental 3T3™ cells was
analyzed using a FACSCalibur flow cytorneter (BD Bioscience, San Diego, CA). Briefly, 2 x
105 3T3™-PSMA (or 3T3™) cells were incubated with different concentrations of mAb or
ADC on ice for 1h. After washing, the presence of bound antibody was detected using goat


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anti-hnman IgG-FITC (Caltag Laboratories, Burlingame, CA). Isotype-control antibody and
ADC were examined in parallel.
In Vitro Cytotoxicity Assay
PSMA-positive cells (C4-2, LNCaP™ or 3T3™-PSMA) and PSMA-negative cells
(PC-3™ or 3T3™) were added to 96-well microplates (Falcon, BD Biosciences, San Jose,
CA) at 2.5 x 103 cells/well and incubated overnight at 37°C and 5% CO2. Cells were then
incubated with serially diluted ADCs for 4 days. The cell culture medium was replaced with
fresh medium containing 10% Alamar Blue (Biosource International, Camarillo, CA), and
cells were incubated for 4h. Plates were then read on a fluorescence plate reader using an
excitation wavelength of 530 run and an emission wavelength of 590 nm. Cell survival was
compared in treated and untreated cultures, and the concentration of ADC required for 50%
cell kill (IC50 value) was determined.
Xenograft Model of Androgen-Independent Prostate Cancer
All animal studies were carried out in accordance with Animal Care and Use
Committee guidelines. Athymic male nude mice (National Cancer Institute, Frederick, MD)
6-8 weeks in age were implanted with an intramuscular injection of 5 x 106 C4-2 cells mixed
with 50% Matrigel (Beckon Dickinson Labware, Bedford, MA) into the left hind-leg as
described (McDevitt MR, et al., Cancer Res 2000;60:6095-100). Approximately 1 day prior
to initiation of treatment, animals were randomized according to serum levels of prostate-
specific antigen (PSA) as measured by ELISA (Medicorp, Montreal, Quebec, Canada).
ADC, mAbs and vehicle control were administered via tail vein injection. In the first series
of experiments, mice were treated in groups of 6 with 2 or 10 mg/kg PSMA ADC or with
vehicle control. Treatment was initiated 17 days post-implantation and consisted of 3
injections at 4-day intervals (q4d x 3). The second series of experiments examined dose
levels of 0,3 or 6 mg/kg. Treatment was initiated 14 days post-implantation and consisted of
6 injections at 4-day intervals (q4d x 6). Animals were monitored for their physical
appearance, body weight, PSA level and tumor size. Survival rates were recorded throughout
the studies.

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Statistical Analyses
Treatment effects were examined for significance via t-tests (for PSA levels) or log-
rank tests (for animal survival) using two-tailed, paired analyses. Data were considered
significant when P Results
Internalization of PSMA mAb into Human Prostate Cancer Cells
Internalization was examined using 111In-labeled PSMA mAb and C4-2 cells. Total
binding and percent internalization over time are illustrated in Fig. 1. Over half of the bound
mAb was internalized within 2h (Fig. 1A). Total binding increased over time, presumably
due to PSMA recycling (Fig. 1B). Thus, the PSMA mAb is readily internalized into PSMA-
expressing cells.
Reactivity of the PSMA ADC with PSMA-expressing Cells
Flow cytometry was used to compare the binding of PSMA mAb and ADC. The
unmodified mAb and ADC demonstrated comparable levels of binding to 3T3™-PSMA over
a broad range of dilutions (Fig. 2). Neither the maximal amount of binding nor the
concentration required for half-maximal binding was appreciably affected by conjugation.
No significant binding was observed for the isotype-control ADC or antibody on 3T3™-
PSMA cells or for PSMA mAb or ADC on parental 3T3™ cells.
In vitro Potency and Selectivity of the PSMA ADC
PSMA and control ADCs were tested for cytotoxicity in vitro against human prostate
cancer cells lines and 3T3™-PSMA cells. Fig. 3 illustrates dose-response curves for PSMA-
positive C4-2 cells and PSMA-negative PC-3™ cells in a representative experiment, and IC50
values for the various cell lines are listed in Table 2. The PSMA ADC potently eliminated
all PSMA-positive cell lines examined at IC50 values of 65-210 pM, whereas these
concentrations had no effect on PSMA-negative cells. In contrast, nearly 1000-fold higher
concentrations were required for the control ADC, whose activity was independent of PSMA
expression (Fig. 3 and Table 2).

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Table 2: Summary of in vitro cytotoxicity (IC50 values in pM)

Efficacy of the PSMA ADC in a Xenograft Model of Androgen-Independent Prostate Cancer
In vivo efficacy of the PSMA ADC was evaluated in a mouse model of androgen-
independent human prostate cancer. Nude mice were engrafted with C4-2 cells
intramuscularly in the left hind-leg. Approximately 14-17 days later, serum PSA levels were
measured and used to randomly assign animals to treatment groups. Animals were treated
intravenously with the PSMA ADC, and animals were monitored for tumor burden, PSA
levels and other parameters for as long as 500 days.
In the first experiment, animals were treated q4d x 3 with 0,2 or 10 mg/kg PSMA
ADC. Left untreated, tumors grew rapidly and animals had a median survival of 32 days. In
contrast, the groups treated with 2 mg/kg and 10 mg/kg PSMA ADC had median survivals of
58 days (P = 0.0035) and 94.5 days (P = 0.0012), respectively (Table 3, Fig. 4A). The
PSMA ADC treatment significantly improved median survival up to 4.5-fold in a dose-
dependent fashion. There was no evidence of treatment-related toxicity.
Serum PSA levels were measured over time by ELISA. Fig. 4B depicts the mean
PSA concentration in each group at study days 17, 23 and 30. Treatment at 10 mg/kg
reduced PSA levels >10-fold from 8.8 ±11.7 ng/mL at day 17 to 0.7 ± 0.9 ng/mL at day 30,
whereas PSA levels in the control group increased >60-fold over the same time period. An
intermediate response was observed at 2 mg/kg PSMA ADC. The differences in PSA levels
at day 30 were significant for both the 2 mg/kg (P = 0.0048) and 10 mg/kg (P = 0.0006) dose
groups. Three of six animals in the 10 mg/kg group had undetectable PSA through day 52 of
the study.
To extend these findings, a second PSMA ADC study was conducted that also
included unmodified mAb and isotype-control ADC. After randomization at day 14 with a
mean PSA level of 2.0 ± 1.1 ng/mL in each group (n = 5), animals were treated with a

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regimen of q4d x 6. Kaplan-Meier survival curves for each group are depicted in Fig. 5.
Animus treated with vehicle control, 6 mg/kg unmodified PSMA mAb and 6 mg/kg control
ADC had similar median survival times of 29, 31 and 31 days, respectively; and these
differences were not significant. However, median survival was extended to 49 days and 148
days for animals treated with 3 mg/kg and 6 mg/kg PSMA ADC, respectively (Table 3).
Treatment of the PSMA ADC group with 6 mg/kg improved post-randomization survival 7.9-
fold relative to the control ADC group (P = 0.0018). At day 500,2 of 5 animals had no
evidence of tumor, no measurable PSA and were considered to be cured by treatment. As in
the first study, treatment had a significant impact on PSA levels on day 29 (P = 0.0068 for 6
mg/kg PSMA and vehicle groups). Moreover, in the 6 mg/kg PSMA ADC group, serum PSA
decreased to undetectable levels post-treatment and remained undetectable through day 63 in
4 of 5 animals. There was no overt toxicity associated with ADC therapy. Physical
appearance and activity were unaffected by treatment, and body weights of treated and
vehicle-control animals were not significantly different at any time point.
Table 3: Summary of median survival times of C4-2 tumor-bearing animals treated

Example 2: Evaluation of PSMA mAb Conjugated to Three Different Drug-linkers
The PSMA mAb when conjugated to vcMMAE and two other drug-linkers, vcMMAF
and mcMMAF, was evaluated. The full chemical structuresof three different drug-linkers
are illustrated in Fig. 6.

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Preparation of Three Drug-linker Conjugates of PSMA mAb
The three drug-linkers were djrectly conjugated to PSMA mAb via a thioether bond to
prepare approximately four drugs per antibody conjugates. Partial reduction of the mAb
interchain disulfides proceeded with a slight excess of tris(2-carboxyethyl)phosphine (TCEP)
at pH 7.2 and 37°C and subsequent conjugation of the free thiols with drug-linkers was
quantitative. Briefly, the PSMA mAb (10 mg, 67.5 nmol in PBS) was incubated at 37°C with
1 mM DTP A and 169 nmol of TCEP for 90 min. At three time points during the incubation
(30, 60 and 90 minutes), aliquots of 50 u.g mAb were removed and reacted with an excess of
vcMMAE. Analysis of the resulting ADCs by hydrophobic interaction chromatography
allowed the progress of the reduction to be followed. The results indicated that the mAb was
rapidly reduced under the above conditions, being essentially complete after 1 hour.
Furthermore, the extent of reduction resulted in an average drug loading of 5 drugs/mAb.
To prepare a 4-loaded ADC with drug-linkers from the above partially reduced mAb,
0.5 equivalents of DTNB were added to re-oxidize the mAb population back to the desired
level. Then, 3 mg of this material (20.3 nmol) was reacted with 101 nmol of vcMMAE,
vcMMAF or mcMMAF in a 15% dimethyl sulfoxide (DMSO) reaction solution. This
reaction proceeded for 1 hour at 0°C and was then quenched with a 20-fold excess of N-
acetyl cysteine. The ADCs were separated from unreacted drug and other small molecule
impurities by size exclusion chromatography (SEC) on a PD-10 column (Amersham
Biosciences/GE Healthcare, Piscataway, NJ) and concentrated with a centrifugal
concentration device (30 kD MWCO) (Amicon Bioseparations, Millipore Corporation,
Bedford, MA).
A summary of the characterization of three drug-linker conjugates is provided in
Tables 4-6 for vcMMAE, vcMMAF and mcMMAF, respectively. For each of the three
drug-linkers, ADC contains approximately 4 drugs per mAb, as determined by H/L-chain
loading distribution and species distribution, and phase (RP) HPLC. For all conjugates, no aggregates were detected by SEC-HPLC. In
addition, the overall mAb yields were 70-80%.



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Potency and Selectivity of PSMA mAb Conjugates on Human Prostate Cancer Cells
In vitro cytotoxicity studies were conducted with PSMA-positive and PSMA-
negative cell lines. Briefly, PSMA-positive cells (C4-2, LNCaP™ or 3T3™-PSMA) and
PSMA-negative cells (PC-3™ or 3T3™) were added to 96-well microplates at 2.5 x 103
cells/well and incubated overnight at 37°C and 5% CO2. Cells were then incubated with
serially diluted ADCs for 4 days and assayed for percent cell kill compared to untreated
controls using 10% Alamar Blue. The concentration of ADCs required for 50% cell kill (IC50
value) was determined.
Fig. 7 illustrates dose-response curves of vcMMAE (Fig. 7A), vcMMAF (Fig. 7B)
and mcMMAF (Fig. 7C) conjugates for PSMA-positive C4-2 cells and PSMA-negative PC-
3™ cells in a representative experiment. A summary of the potency (IC50) and selectivity on
C4-2 and PC-3™ cell lines is listed in Table 7. The IC50s on PSMA-expressing C4-2 cells
were at picomolar concentrations of 11, 42, and 60 for vcMMAF, mcMMAF and vcMMAE
conjugates, respectively. In contrast, the IC50S on PC-3™ PSMA-negative cells were greater

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than 90 nM ranging from 94 to 264 nM. Based on the potency of each conjugate on PC-3™
and C4-2, the selectivity was calculated to be 13,636; 6,286 and 1,567 for vcMMAF,
mcMMAF and vcMMAE conjugates, respectively. The vcMMAF conjugate was the most
potent on the C4-2 PSMA positive cell line, and the mcMMAF was the least toxic over the
PC-3™ control cell line. Compared to the vcMMAE conjugate, there was a 4-fold and 9-fold
improvement in selectivity for mcMMAF and vcMMAF conjugates, respectively.
Table 7: Summary of in vitro potency (IC50 values in pM) and selectivity

Mechanism of Cell Killing by the PSMA mAb Drug Conjugate
Cell-cycle analysis was performed to determine the mechanism of cytotoxicity
mediated by MMAE-conjugated mAb. 3T3™-PSMA or C4-2 cells were cultured in the
presence of 0.2 nM PSMA ADC or 20 nM unmodified PSMA mAb. Untreated cells served
as a control culture. At 12h, 24h and 48h, cells were stained with propidium iodide (PI) to
detect total DNA and analyzed by flow cytometry. As indicated in Fig. 8, cells treated with
PSMA ADC were arrested in G2 phase. By 48h post-treatment, the percent of cells with a
duplicate set of chromosomes was >50% for the PSMA ADC cultures and 2% for untreated
cultures. Cell-cycle arrest required the presence of the toxin, in this case MMAE, as only 3%
of cells treated with unmodified mAb were in G2/M phase at 48h. The data demonstrate that
treatment of prostate cancer cells with MMAE ADCs lead to G2/M arrest and then apoptosis
of target cells.
Each of the foregoing patents, patent applications and references that are recited in
this application are herein incorporated in their entirety by reference. The recitation of the
references is not intended to be an admission that any of the references is a prior art
reference. Having described the presently preferred embodiments, and in accordance with
the present invention, it is believed that other modifications, variations and changes will be
suggested to those skilled in the art in view of the teachings set forth herein. It is, therefore,

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to be understood that all such variations, modifications, and changes are believed to fall
within the scope of the present invention as defined by the appended claims.
I/we claim:

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Claims
1. An antibody-drug conjugate comprising:
an antibody or antigen-binding fragment thereof, which binds to prostate-specific
membrane antigen (PSMA), conjugated to monomethylauristatin norephedrine or
monomethylauristatin phenylalanine, wherein the antibody-drug conjugate has a PC-3™ cell
to C4-2 or LNCaP™ cell selectivity of at least 250.
2. The antibody-drug conjugate of claim 1, wherein the antibody or antigen-binding
fragment thereof is a monoclonal antibody or antigen-binding fragment thereof that
specifically binds PSMA.
3. The antibody-drug conjugate of claim 2, wherein the monoclonal antibody or
antigen-binding fragment thereof binds an extracellular domain of PSMA.
4. The antibody-drug conjugate of claim 1, wherein the antibody or antigen-binding
fragment thereof is a monoclonal antibody or antigen-binding fragment thereof that
specifically binds to a conformational epitope of PSMA.
5. The antibody-drug conjugate of claim 1, wherein the antibody or antigen-binding
fragment thereof
(i) competitively inhibits the specific binding of a second antibody to its target epitope
on PSMA, or
(ii) binds to an epitope on PSMA defined by an antibody selected from the group
consisting of PSMA 3.7, PSMA 3.8, PSMA 3.9, PSMA 3.11, PSMA 5.4, PSMA 7.1, PSMA
7.3, PSMA 10.3, PSMA 1.8.3, PSMA A3.1.3, PSMA A3.3.1, Abgenix 4.248.2, Abgenix
4.360.3, Abgenix 4.7.1, Abgenix 4.4.1, Abgenix 4.177.3, Abgenix 4.16.1, Abgenix 4.22.3,
Abgenix 4.28.3, Abgenix 4.40.2, Abgenix 4.48.3, Abgenix 4.49.1, Abgenix 4.209.3, Abgenix
4.219.3, Abgenix 4.288.1, Abgenix 4.333.1, Abgenix 4.54.1, Abgenix 4.153.1, Abgenix
4.232.3, Abgenix 4.292.3, Abgenix 4.304.1, Abgenix 4.78.1, Abgenix 4.152.1 and antibodies
comprising:

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(a) a heavy chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ID NOs: 2-7, and
(b) a light chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ID NOs: 8-13.
6. The antibody-drug conjugate of claim 5, wherein the second antibody is selected
from the group consisting of PSMA 3.7, PSMA 3.8, PSMA 3.9, PSMA 3.11, PSMA 5.4,
PSMA 7.1, PSMA 7.3, PSMA 10.3, PSMA 1.8.3, PSMA A3.1.3, PSMA A3.3.1, Abgenix
4.248.2, Abgenix 4.360.3, Abgenix 4.7.1, Abgenix 4.4.1, Abgenix 4.177.3, Abgenix 4.16.1,
Abgenix 4.22.3, Abgenix 4.28.3, Abgenix 4.40.2, Abgenix 4.48.3, Abgenix 4.49.1, Abgenix
4.209.2, Abgenix 4.219.3, Abgenix 4.288.1, Abgenix 4.333.1, Abgenix 4.54.1, Abgenix
4.153.1, Abgenix 4.232.3, Abgenix 4.292.3, Abgenix 4.304.1, Abgenix 4.78.1, Abgenix
4.152.1 and antibodies comprising:

(a) a heavy chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ID NOs: 2-7, and
(b) a light chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ED NOs: 8-13.
7. The antibody-drug conjugate of claim 5, wherein the second antibody is selected
from the group consisting of AB-PG1-XG1-006, AB-PG1-XG1-026 and antibodies
comprising:
(a) a heavy chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ID NOs: 2 and 3, and
(b) a light chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ID NOs: 8 and 9.

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8. The antibody-drug conjugate of claim 7, wherein the second antibody comprises:
(a) a heavy chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence set forth as SEQ ID NO: 2, and
(b) a light chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence set forth as SEQ ID NO: 8.
9. The antibody-drug conjugate of claim 7, wherein the second antibody comprises:
(a) a heavy chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence set forth as SEQ ID NO: 3, and
(b) a light chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence set forth as SEQ ID NO: 9.
10. The antibody-drug conjugate of claim 1, wherein the antibody is encoded by a
nucleic acid molecule comprising a nucleotide sequence that is at least 90% identical to a
nucleotide sequence encoding an antibody selected from the group consisting of: AB-PG1-
XG1-006, AB-PG1-XG1-026 and antibodies comprising:
(a) a heavy chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ID NOs: 2 and 3, and
(b) a light chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ID NOs: 8 and 9.

11. The antibody-drug conjugate of claim 10, wherein the antibody is encoded by a
nucleic acid molecule comprising a nucleotide sequence that is at least 95% identical.
12. The antibody-drug conjugate of claim 11, wherein the antibody is encoded by a
nucleic acid molecule comprising a nucleotide sequence that is at least 97% identical.
13. The antibody-drag conjugate of claim 12, wherein the antibody is encoded by a
nucleic acid molecule comprising a nucleotide sequence that is at least 98% identical.

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14. The antibody-drug conjugate of claim 13, wherein the antibody is encoded by a
nucleic acid molecule comprising a nucleotide sequence that is at least 99% identical.
15. The antibody-drug conjugate of claim 1, wherein the antibody or antigen-binding
fragment thereof is AB-PG1-XG1-006, AB-PG1-XG1-026 or an antigen-binding fragment
thereof.
16. The antibody-drug conjugate of claim 1, wherein the antibody or antigen-binding
fragment thereof is selected from the group consisting of antibodies comprising:

(a) a heavy chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ID NOs: 2 and 3, and
(b) a light chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence selected from the group consisting of nucleotide sequences
set forth as SEQ ID NOs: 8 and 9, and
antigen-binding fragments thereof.
17. The antibody-drug conjugate of claim 16, wherein the antibody or antigen-
binding fragment thereof comprises:
(a) a heavy chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence set forth as SEQ ID NO: 2, and
(b) a light chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence set forth as SEQ ID NO: 8, and
antigen-binding fragments thereof.
18. The antibody-drug conjugate of claim 16, wherein the antibody or antigen-
binding fragment thereof comprises:
(a) a heavy chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence set forth as SEQ ID NO: 3, and
(b) a light chain encoded by a nucleic acid molecule comprising a coding region or
regions of a nucleotide sequence set forth as SEQ ID NO: 9, and
antigen-binding fragments thereof.

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19. The antibody-drug conjugate of claim 1, wherein the antibody or antigen-binding
fragment thereof is IgGl, IgG2, IgG3, IgG4, IgM, IgAl, IgA2, IgAsec, IgD, IgE or has
immunoglobulin constant and/or variable domain of IgG1, IgG2, IgG3, IgG4, IgM, IgA1,
IgA2, IgAsec, IgD or IgE.
20. The antibody-drug conjugate of claim 1, wherein the antibody is a monoclonal
antibody.
21. The antibody-drug conjugate of claim 1, wherein the antibody is a humanized
antibody.
22. The antibody-drug conjugate of claim 1, wherein the antibody is a human
antibody.
23. The antibody-drug conjugate of claim 1, wherein the antibody is a recombinant
antibody.
24. The antibody-drug conjugate of claim 1, wherein the antibody is a chimeric
antibody.
25. The antibody-drug conjugate of claim 1, wherein the antibody is a bispecific or
multispecific antibody.
26. The antibody-drug conjugate of claim 1, wherein the antigen-binding fragment is
a Fab fragment, a F(ab')2 fragment or a Fv fragment.
27. The antibody-drug conjugate of claim 1, wherein the antigen-binding fragment is
a CDR3-containing fragment.
28. The antibody-drug conjugate of claim 1, wherein the PC-3™ cell to C4-2 or
LNCaP™ cell selectivity is at least 500,1000,2500,6000 or 13,000.

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29. The antibody-drug conjugate of claim 1, wherein the antibody or antigen-binding
fragment thereof is conjugated to at least 3 monomethylauristatin norephedrine or
monomethylauristatin phenylalanine molecules.
30. The antibody-drug conjugate of claim 29, wherein the antibody or antigen-
binding fragment thereof is conjugated to at least 4 monomethylauristatin norephedrine or
monomethylauristatin phenylalanine molecules.
31. The antibody-drug conjugate of claim 1, wherein the monomethylauristatin
norephedrine or monomethylauristatin phenylalanine is conjugated to the antibody or
antigen-binding fragment thereof with a compound of the formula:
-An-Ym-Zm-Xn-Wn-
wherein, A is a carboxylic acyl unit;
Y is an amino acid;
Z is an amino acid;
X and W are each a self-immolative spacer;
n is an integer of 0 or 1; and
m is an integer of 0 or 1, 2, 3, 4, 5 or 6.
32. The antibody-drug conjugate of claim 31, wherein A is

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33. The antibody-drug conjugate of claim 31, wherein A is 4-(N-
succinimidomethyl)cyclohexane-l-carbonyl, m-succinimidobenzoyl, 4-(p-
succinimidophenyl) -butyryl, 4-(2-acetamido)benzoyl, 3-thiopropionyl, 4-(1-thioethyl)-
benzoyl, 6-(3-thiopropionylamido)-hexanoyl or maleimide caproyl.
34. The antibody-drug conjugate of claim 33, wherein A is maleimide caproyl.
35. The antibody-drug conjugate of claim 31, wherein Y is alanine, valine, leucine,
isoleucine, methionine, phenylalanine, tryptophan or proline.
36. The antibody-drug conjugate of claim 35, wherein Y is valine.
37. The antibody-drug conjugate of claim 31, wherein Z is lysine, lysine protected
with acetyl or formyl, arginine, arginine protected with tosyl or nitro groups, histidine,
ornithine, ornithine protected with acetyl or formyl, or citrulline.
38. The antibody-drug conjugate of claim 37, wherein Z is citrulline.
39. The antibody-drug conjugate of claim 31, wherein Ym-Zm is valine-citrulline.

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40. The antibody-drug conjugate of claim 31, wherein Ym-Zm is a protein sequence
which is selectively cleavable by a protease.
41. The antibody-drug conjugate of claim 31, wherein X is a compound having the
formula

42. The antibody-drug conjugate of claim 31, wherein X is a compound having the
formula
-HN-R1 -COT
in which R1 is C1 -C5 alkyl, T is O, N or S.
43. The antibody-drug conjugate of claim 31, wherein X is a compound having the
formula

44. The antibody-drug conjugate of claim 31, wherein X is p-
aminobenzylcarbamoyloxy.

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45. The antibody-drug conjugate of claim 31, wherein X is p-aminobenzylalcohol.
46. The antibody-drug conjugate of claim 31, wherein X is p-aminobenzylcarbamate.
47. The antibody-drug conjugate of claim 31, wherein X is p-
aminobenzyloxycarbonyl.
48. The antibody-drug conjugate of claim 31, wherein X is y-aminobutyric acid; α,α-
dimethyl y-aminobutyric acid or β,β-dimethyl y-aminobutyric acid.
49. The antibody-drug conjugate of claim 31, wherein W is

50. The antibody-drug conjugate of any of claims 31-49, wherein m and n are 0.
51. The antibody-drug conjugate of claim 31, which is AB-PGl-XGl-006-maleimide
caproyl-valme-citrulline-p-aminobenzyloxycarbonyl-monomethylauristatinnorephedrine.
52. The antibody-drug conjugate of claim 31, which is AB-PGl-XGl-006-maleimide
caproyl-valme-citrulline-p-aminobenzyloxycarbonyl-monomethylauristatin phenylalanine.

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53. The antibody-drug conjugate of claim 31, which is AB-PGl-XGl-006-maleimide
caproyl-monomethylauristatin phenylalanine.
54. The antibody-drug conjugate of claim 31, which is AB-PGl-XGl-026-maleimide
caproyl-valine-citrulline-p-aminobenzyloxycarbonyl-monomethylauristatinnorephedrine.
55. The antibody-drug conjugate of claim 31, which is AB-PGl-XGl-026-maleimide
caproyl-valine-citmllbe-p-aminobenzyloxycarbonyl-monomethylauristatinphenylalanine.
56. The antibody-drug conjugate of claim 31, which is AB-PGl-XGl-026-maleimide
caproyl-monomethylauristatin phenylalanine.
57. The antibody-drug conjugate of claim 1, wherein the antibody-drug conjugate
binds live cells.
58. The antibody-drug conjugate of claim 57, wherein the cell is a tumor cell.
59. The antibody-drug conjugate of claim 58, wherein the tumor cell is a prostate
tumor cell.
60. The antibody-drug conjugate of claim 1, wherein the antibody-drug conjugate
binds endothelial cells of the neovasculature of a tumor.
61. The antibody-drug conjugate of claim 1, wherein the antibody-drug conjugate
does not require cell lysis to bind PSMA.

61. The antibody-drug conjugate of claim 1, wherein the antibody-drug conjugate
leads to cell-cycle arrest.
62. The antibody-drug conjugate of claim 1, wherein the antibody-drug conjugate
inhibits the growth of PSMA-expressing cells.

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63. The antibody-drag conjugate of claim 1, wherein the antibody-drug conjugate
mediates specific cell killing of PSMA-expressing cells with an IC50 of less than 1X10-10M.
64. The antibody-drug conjugate of claim 63, wherein the IC50 is less than 1X10-11M.
65. The antibody-drug conjugate of claim 64, wherein the IC50 is less than 1X10-12M.
66. The antibody-drug conjugate of claim 1, wherein the antibody-drug conjugate
mediates specific cell killing of PSMA-expressing cells with an IC50 of 11 to 208 X10-12M.
67. The antibody-drug conjugate of claim 66, wherein the antibody-drug conjugate
mediates specific cell killing of PSMA-expressing cells with an IC50 of 42 to 208 X10-12M.
68. The antibody-drug conjugate of claim 67, wherein the antibody-drug conjugate
mediates specific cell killing of PSMA-expressing cells with an IC50 of 60 to 208 X10-12M.
69. The antibody-drug conjugate of claim 68, wherein the antibody-drug conjugate
mediates specific cell killing of PSMA-expressing cells with an IC50 of 65 to 208 X10-12M.
70. The antibody-drug conjugate of claim 1, wherein the antibody-drug conjugate
mediates specific cell killing of PSMA-expressing cells with an IC50 of 11 X10-12M.
71. The antibody-drug conjugate of claim 1, wherein the antibody-drug conjugate
mediates specific cell killing of PSMA-expressing cells with an IC50 of 42 X10-12M.
72. The antibody-drug conjugate of claim 1, wherein the antibody-drug conjugate
mediates specific cell killing of PSMA-expressing cells with an IC50 of 60 X10-12M.
73. The antibody-drug conjugate of claim 1, wherein the antibody-drug conjugate
mediates specific cell killing of PSMA-expressing cells with an IC50 of 83 X10-12M.

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74. The antibody-drug conjugate of claim 1, wherein the antibody-drug conjugate
when administered to mice with a regimen of q4d x 6 at a dose of 6 mg/kg effects a cure rate
of at least 20%, 30%, 40% or 50%.
75. The antibody-drug conjugate of claim 1, bound to a label.
76. The antibody-drug conjugate of claim 75, wherein the label is a fluorescent label,
an enzyme label, a radioactive label, a nuclear magnetic resonance active label, a luminescent
label or a chromophore label.
77. The antibody-drug conjugate of claim 1, packaged in lyophilized form.
78. The antibody-drug conjugate of claim 1, packaged in an aqueous medium.
79. The antibody-drug conjugate of claim 1, in a sterile form.
80. A composition comprising:
the antibody-drug conjugate of claim 1 and a pharmaceutically acceptable carrier,
excipient or stabilizer.
81. A composition comprising:
a combination of two or more different antibody-drug conjugates according to claim 1
and a pharmaceutically acceptable carrier, excipient or stabilizer.
82. The composition of claim 80 or 81, further comprising an antitumor agent, an
immunostimulatory agent, an immunomodulator, corticosteroid or a combination thereof.
83. The composition of claim 82, wherein the antitumor agent is a cytotoxic agent, an
agent that acts on tumor neovasculature or a combination thereof.
84. The composition of claim 83, wherein the antitumor agent is docetaxel.

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85. The composition of claim 82, wherein the immunomodulator is a cytokine,
chemokine, adjuvant or a combination thereof.
86. The composition of claim 82, wherein the immunostimulatory agent is
interleukin-2, α-interferon, γ-interferon, tumor necrosis factor-α, immunostimulatory
oligonucleotides or a combination thereof.
87. The composition of claim 82, wherein the corticosteroid is prednisone or
hydrocortisone.
88. A composition comprising:
one or more antibody-drug conjugates of claim 1 and one or more unconjugated anti-
PSMA antibodies.
89. A method for inhibiting the growth of a PSMA-expressing cell comprising:
contacting the PSMA-expressing cell with an amount of the antibody-drug conjugate
of any of claims 1-74 effective to inhibit the growth of the PSMA-expressing cell.
90. The method of claim 89, wherein the PSMA-expressing cell is a prostate tumor
cell.
91. The method of claim 89, wherein the PSMA-expressing cell is a cell of the
neovasculature of a non-prostate tumor.
92. The method of claim 89, wherein the PSMA-expressing cell is an androgen-
dependent cell or an androgen-independent cell.
93. The method of claim 89, further comprising contacting the PSMA-expressing cell
with an antitumor agent, an immunostimulatory agent, an immunomodulator, corticosteroid
or a combination thereof.

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94. The method of claim 93, wherein the antitumor agent is a cytotoxic agent, an
agent that acts on tumor neovasculature or a combination thereof.
95. The method of claim 94, wherein the antitumor agent is docetaxel.
96. The method of claim 93, wherein the immunomodulator is a cytolcine,
chemokine, adjuvant or a combination thereof.
97. The method of claim 93, wherein the immunostimulatory agent is interleukin-2,
a-interferon, γ-interferon, tumor necrosis factor-α, immunostimulatory oligonucleotides or a
combination thereof.
98. The method of claim 93, wherein the corticosteroid is prednisone or
hydrocortisone.
99. A method for effecting cell-cycle arrest in a PSMA-expressing cell comprising:
contacting the PSMA-expressing cell with an amount of the antibody-drug conjugate
of any of claims 1-74 effective to lead to cell-cycle arrest in the PSMA-expressing cell.
100. A method for treating a PSMA-mediated disease comprising:
administering to a subject having a PSMA-mediated disease an amount of the
antibody-drug conjugate of any of claims 1-74 effective to treat the PSMA-mediated disease.
101. The method of claim 100, wherein the PSMA-mediated disease is cancer.
102. The method of claim 101, wherein the cancer is prostate cancer.
103. The method of claim 101, wherein the cancer is a non-prostate cancer.
104. The method of claim 103, wherein the non-prostate cancer is bladder cancer,
pancreatic cancer, lung cancer, kidney cancer, sarcoma, breast cancer, brain cancer,
neuroendocrine carcinoma, colon cancer, testicular cancer or melanoma.

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105. The method of claim 100, further comprising co-administering another
therapeutic agent to treat the PSMA-mediated disease, wherein the co-administration is
before, during or after the administration of the antibody-drug conjugate.
106. The method of claim 105, wherein the other therapeutic agent is an antitumor
agent, an immunostimulatory agent, an immunomodulator, corticosteroid or a combination
thereof.
107. The method of claim 106, wherein the antitumor agent is a cytotoxic agent, an
agent that acts on tumor neovasculature or a combination thereof.
108. The method of claim 107, wherein the antitumor agent is docetaxel.
109. The method of claim 106, wherein the immunomodulator is a cytokine,
chemokine, adjuvant or a combination thereof.
110. The method of claim 106, wherein the immunostimulatory agent is
interleukin-2, α-interferon, γ-interferon, tumor necrosis factor-α, immunostimulatory
oligonucleotides or a combination thereof.
111. The method of claim 106, wherein the corticosteroid is prednisone or
hydrocortisone.
112. The method of claim 105, wherein the therapeutic agent is a vaccine.
113. The method of claim 112, wherein the vaccine immunizes the subject against
PSMA.
114. The method of any of claims 105-108, wherein the method further comprises
administering still another therapeutic agent.

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115. The method of claim 114, wherein the still another therapeutic agent is
prednisone.
116. A method for inhibiting the growth of a tumor comprising:
contacting the PSMA-expressing cells of the neovasculature of the tumor with an
amount of the antibody-drug conjugate of any of claims 1-74 effective to inhibit the growth
of the tumor.
117. The method of claim 116, further comprising contacting the PSMA-expressing
cells with an antitumor agent, an immunostimulatory agent, an immunomodulator,
corticosteroid or a combination thereof.
118. The method of claim 117, wherein the antitumor agent is a cytotoxic agent, an
agent that acts on tumor neovasculature or a combination thereof.
119. The method of claim 117, wherein the immunomodulator is a cytokine,
chemokine, adjuvant or a combination thereof.
120. The method of claim 117, wherein the immunostimulatory agent is
interleukin-2, a-interferon, y-interferon, tumor necrosis factor-a, immunostimulatory
oligonucleotides or a combination thereof.

This invention relates generally to antibody-drag conjugates (ADCs). In
particular the invention relates to ADCs which comprise an antibody or antigen-binding
fragmentthereof which binds to prostate-specific membrane antigen (PSMA) and is conjugated
tomonomethylauristatin norephedrine or monomethylauristatin phenylalanine.
The antibody- drug conjugate has a PC-3™ cell to C4-2 or LNCaP™ cell selectivity of at
least 250. Theinvention also relates, in part, to compositions of and methods of using the
ADCs. Themethods provided include, for example, methods for treating a PSMA-mediated
disease.

Documents:

05063-kolnp-2007-abstract.pdf

05063-kolnp-2007-claims.pdf

05063-kolnp-2007-correspondence others.pdf

05063-kolnp-2007-description complete.pdf

05063-kolnp-2007-drawings.pdf

05063-kolnp-2007-form 1.pdf

05063-kolnp-2007-form 3.pdf

05063-kolnp-2007-form 5.pdf

05063-kolnp-2007-international publication.pdf

05063-kolnp-2007-international search report.pdf

05063-kolnp-2007-pct priority document notification.pdf

05063-kolnp-2007-pct request form.pdf

05063-kolnp-2007-sequence listing.pdf

5063-KOLNP-2007-(07-11-2012)-CORRESPONDENCE.pdf

5063-KOLNP-2007-(14-02-2014)-ABSTRACT.pdf

5063-KOLNP-2007-(14-02-2014)-ASSIGNMENT.pdf

5063-KOLNP-2007-(14-02-2014)-CLAIMS.pdf

5063-KOLNP-2007-(14-02-2014)-CORRESPONDENCE.pdf

5063-KOLNP-2007-(14-02-2014)-DESCRIPTION (COMPLETE).pdf

5063-KOLNP-2007-(14-02-2014)-DRAWINGS.pdf

5063-KOLNP-2007-(14-02-2014)-FORM-1.pdf

5063-KOLNP-2007-(14-02-2014)-FORM-13.pdf

5063-KOLNP-2007-(14-02-2014)-FORM-2.pdf

5063-KOLNP-2007-(14-02-2014)-FORM-3.pdf

5063-KOLNP-2007-(14-02-2014)-FORM-5.pdf

5063-KOLNP-2007-(14-02-2014)-OTHERS.pdf

5063-KOLNP-2007-(14-02-2014)-PA.pdf

5063-KOLNP-2007-(14-02-2014)-PETITION UNDER RULE 137-1.pdf

5063-KOLNP-2007-(14-02-2014)-PETITION UNDER RULE 137-2.pdf

5063-KOLNP-2007-(14-02-2014)-PETITION UNDER RULE 137.pdf

5063-KOLNP-2007-(28-11-2014)-ANNEXURE TO FORM 3.pdf

5063-KOLNP-2007-(28-11-2014)-CORRESPONDENCE.pdf

5063-KOLNP-2007-ASSIGNMENT.pdf

5063-KOLNP-2007-CLAIMS.pdf

5063-KOLNP-2007-CORRESPONDENCE OTHERS 1.1.pdf

5063-KOLNP-2007-CORRESPONDENCE-1.2.pdf

5063-KOLNP-2007-FORM 13.pdf

5063-kolnp-2007-form 18.pdf

5063-KOLNP-2007-FORM 3-1.1.pdf

5063-KOLNP-2007-PA.pdf

5063-KOLNP-2007-REPLY TO EXAMINATION REPORT.pdf

abstract-05063-kolnp-2007.jpg


Patent Number 265026
Indian Patent Application Number 5063/KOLNP/2007
PG Journal Number 06/2015
Publication Date 06-Feb-2015
Grant Date 02-Feb-2015
Date of Filing 27-Dec-2007
Name of Patentee PSMA DEVELOPMENT COMPANY, LLC.
Applicant Address 777 OLD SAW MILL RIVER ROAD TARRYTOWN, NY
Inventors:
# Inventor's Name Inventor's Address
1 MADDON PAUL J 191 FOX MEADOW ROAD, SCARSDALE, NY 10583
2 MA DANGSHE 49 GLENWOOD ROAD, MILL WOOD, NY 10546
3 OLSON WILLIAM C 21 FAWN COURT, OSSINING, NY 10562
4 DORONINA SVETLANA O 10910 198TH PLACE SE, SNOHOMISH, WA 98296
5 TOKI BRIAN E 15841 27TH AVENUE NE, SHORELINE, WA 98155
6 SENTER PETER D 9000 40TH AVENUE NE, SEATTLE, WA 98115
PCT International Classification Number A61K 47/48
PCT International Application Number PCT/US2006/024182
PCT International Filing date 2006-06-20
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/792360 2006-04-14 U.S.A.
2 60/692399 2005-06-20 U.S.A.