Developing
site-specific conjugation technologies for antibody–drug
conjugates (ADCs) aims to produce more homogeneous and controlled
drug-loaded ADCs to reduce variability and thereby improve the therapeutic
index. This article presents a technology that uses cysteine mutant
antibodies and mild phosphine-based reductants to prepare site-specific
ADCs. The two types of cysteine mutant antibodies, designated C6v1
and C6v2, have one of the interchain disulfide-forming cysteines in
the Fab region in the light chain (LC214) or in the heavy chain (HC220)
substituted by alanine (or other amino acids), respectively. Certain
phosphine-based reductants were found to selectively reduce the “unpaired”
cysteines, at the heavy chain (HC220) for C6v1 or at the light chain
(LC214) for C6v2 while keeping the interchain disulfide bonds in the
hinge region intact, resulting in 90% of DAR2 species and more than
95% of the desired specific conjugation at HC or LC following conjugation
to maleimide moieties. The reduction method shows consistent selectivity
toward various C6v1 or C6v2 antibody backbones. Sensitivity toward
buffer pH for some reductants can be used to optimize reductant reactivity
and selectivity. The technology can be further expanded to generate
site-specific DAR4 or dual-payload ADCs based on C6v1 or C6v2 antibodies.
This technology offers a method to control drug-loading and conjugation
sites using a mild one-pot process, as compared to the reduction–oxidation
methods used in technologies such as THIOMAB, and shows superior DAR
profiles and process simplification as compared to other selective
reduction methods