Title of Invention

SYNTHESIS AND PURIFICATION OF PTEROIC ACID AND CONJUGATES THEREOF

Abstract A method for purifying , a compound having a formula selected from the group consisting of or a salt thereof; wherein m is 0 to 4, n is 1 to 4; R1, R2, R3 and R4 are each independently hydrogen, alkyl, acyl, or a suitably selected nitrogen protecting group, or R1 and R2 are taken together to form a nitrogen protecting group; and R5 is hydrogen, alkyl, or a suitably selected carboxyl protecting group; the method comprising the steps of: (a) contacting a solution comprising the compound with an ion exchange chromatographic support; (b) eluting a first fraction comprising the compound with a mobile phase having a pH of 10 or greater; (c) lowering the pH of the first fraction to 3 or less; and (d) precipitating the compound,
Full Text

SYNTHESIS AND PURIFICATION OF PTEROIC ACID AND CONJUGATES
THEREOF
CROSS REFERENCE TO RELATED APPLICATION
This application claims the benefit under 35 U.S.C. § 119(e) of U.S.
Provisional Application Serial No. 60/662,277, filed March 16, 2005, the disclosure
of which is hereby incorporated by reference.
TECHNICAL FIELD
This invention pertains to the purification of pteroic acid and
derivatives of pteroic acid, and to the purification of pteroic acid, and analogs and
derivatives of pteroic acid, conjugated to other compounds. This invention also
pertains to methods for preparing pteroic acid, and analogs and derivatives of pteroic
acid, conjugated to other compounds. This invention also pertains to methods for
treating patients with pteroic acid, and analogs and derivatives of pteroic acid,
conjugated to other compounds.
BACKGROUND
Pteroic acid is a convenient starting material for making folate
derivatives that can be conjugated to drugs for use as conjugates in therapies that
include vitamin receptor-based targeting. Vitamin-drug conjugates can be targeted,
for example, to cancer cells that uniquely express, over-express, or preferentially
express vitamin receptors. Illustratively, pteroic acid has been used as the starting
material for the preparation of a conjugate comprising a folic acid derivative linked to
fluorescein via a gamma carboxyl-linked ethylene diamine bridge. This conjugate is
described in U.S. Patent Application Serial No. 09/822,379, the disclosure of which is
incorporated herein by reference. The conjugate is used to label pathogenic cells,
such as cancer cells, with fluorescein to make the cancer cells antigenic resulting in
their recognition and elimination by the host immune system.
Pteroic acid may be prepared by a variety of conventional means
including by synthesis, microbial degradation of folic acid, enzymatic degradation of
folic acid, hydrolysis of folic acid, and other conventional methods. Generally,
pteroic acid prepared by these methods is contaminated by folic acid, often in

substantial amounts. For example, pteroic acid prepared by enzymatic degradation
can contain as much as 25% folic acid. Accordingly, efficient methods are needed to
remove folic acid contaminants and other impurities from preparations of pteroic acid.
Vitamin-drug conjugates, including conjugates of pteroic acid may be
prepared using synthetic methods. In some cases, those synthetic methods may also
lead to the formation of side products, impurities, or other contaminants.
Accordingly, synthetic and/or purification methods are needed to either avoid the
formation of these side products, impurities, or other contaminants, or to remove these
side products, impurities, or other contaminants from the vitamin-drug conjugates.
SUMMARY OF THE INVENTION
Methods for purifying pteroic acid, derivatives of pteroic acid, and
combinations thereof are described. In one illustrative embodiment for purifying
pteroic acid, derivatives of pteroic acid, and combinations thereof by chromatography,
methods are described herein that include the steps of (a) contacting a solution
comprising pteroic acid, the derivative of pteroic acid, or the combination thereof
with an ion exchange chromatographic support; (b) eluting a first fraction comprising
pteroic acid, the derivative of pteroic acid, or the combination thereof with a mobile
phase having a pH of about 10 or greater; (c) lowering the pH of the first fraction to
about 3 or less; and (d) precipitating pteroic acid, the derivative of pteroic acid, or the
combination thereof.
In another illustrative embodiment for purifying pteroic acid,
derivatives of pteroic acid, and combinations thereof by chromatography, methods are
described herein that include the steps of (a) contacting a solution comprising pteroic
acid, the derivative of pteroic acid, or the combination thereof, with an anion
exchange chromatographic support; and (b) eluting a first fraction comprising pteroic
acid, the derivative of pteroic acid, or the combination thereof.
The methods described herein may also optionally include the step of
(e) eluting a second fraction comprising folic acid, a derivative of folic acid, or a
combination thereof, where the first fraction and the second fraction are substantially
separated. Substantial separation includes separation as determined by time, by a
predetermined number of fractions, or other quantitative or qualitative assessment

indicating that the first and second fraction are not substantially overlapping during
the elution of the first and second fractions.
Chromatographic supports for the chromatography methods described
herein include but are not limited to ion-exchange resins, anion-exchange resins,
saccharide-based resins, saccharide-based ion-exchange resins, saccharide-based
anion-exchange resins, and the like. Mobile phases for the chromatography methods
described herein include but are not limited to aqueous phases having a pH of about
10 or greater, about 11 or greater, or having a pH in the range from about 11 to about
13. In one illustrative variation, the mobile phase is free of or substantially free of
ammonia or salts thereof. Mobile phases for the chromatography methods described
herein may also optionally include organic cosolvents, such as acetone,
tetrahydrofuran, acetonitrile, alcohols, including MeOH, EtOH, and the like, and
others.
In another illustrative embodiment, methods for purifying conjugates
comprising pteroic acid or a derivative thereof, and fluorescein or a derivative thereof
are described. In one aspect, those methods include the steps of (a) contacting a
solution comprising the conjugate with a first reversed phase chromatographic
support; (b) eluting a first fraction comprising a phosphate complex of the conjugate
with a mobile phase, said mobile phase comprising a phosphate salt and having a pH
in the range from about 6 to about 8; (c) contacting the first fraction with a second
reversed phase chromatographic support; and (d) eluting a second fraction comprising
the conjugate with a mobile phase comprising water, where the second fraction is
substantially free of phosphate.
Chromatographic supports for the chromatography methods described
herein include but are not limited to reverse-phase resins, such as C8 resins, C18,
resins, capped versions thereof, and the like. Mobile phases for the chromatography
methods described herein include but are not limited to aqueous phases having a pH
near neutrality, or slightly above neutrality, including a pH in the range from about
7.1 to about 7.7, and illustratively a pH of aobut 7.4. In one illustrative variation, the
mobile phase includes one or more phosphate salts. In another illustrative variation,
the mobile phase is free of or substantially free of phosphate. Mobile phases for the
chromatography methods described herein may also optionally include organic
cosolvents, such as MeOH, EtOH, acetone, tetrahydrofuran, acetonitrile, and the like.

In another illustrative embodiment, the methods described herein are
performed to give purified compounds and compositions, including pteroic acid,
derivatives of pteroic acid, and combinations thereof, and conjugates comprising
pteroic acid or a derivative thereof, and fluorescein or a derivative thereof having
predetermined purities, including purities of about 95% or greater, 98% or greater,
and 99% or greater. As used herein, purity determinations may be based on weight
percentage, mole percentage, and the like. In addition, purity determinations may be
based on the absence or substantial absence of certain predetermined components,
such as folic acid, fluorescein components, bisfluorescein components, and the like.
It is also to be understood that purity determinations are applicable to solutions of the
compounds and compositions purified by the methods described herein. In those
instances, purity measurements, including weight percentage and mole percentage
measurements, are related to the components of the solution exclusive of the solvent.
In another illustrative embodiment, processes for preparing conjugates
of pteroic acid or derivatives thereof, and fluorescein or derivatives thereof are
described.
In another illustrative embodiment, compounds and compositions
having certain predetermined purity requirements are described. In one aspect, the
compounds and/or compositions include pteroic acid, derivatives of pteroic acid, and
combinations thereof. In another aspect, the compounds and/or compositions include
conjugates of pteroic acid or derivatives thereof, and fluorescein or derivatives
thereof. In one variation, purity requirements of illustrative compounds and/or
compositions described herein include including purities of about 95% or greater,
98% or greater, and 99% or greater, and may be based on weight percentage, mole
percentage, and the like. In another variation, purity requirements of illustrative
compounds and/or compositions described herein include purity determinations based
on the absence or substantial absence of certain predetermined components, such as
folic acid, fluorescein components, bisfluorescein components, and the like.
In another illustrative embodiment, methods for treating patients,
mammals, or animals in need of relief from disease states responsive to the mediation
or elimination of pathogenic cells are described. In one aspect, methods for
enhancing an endogenous immune response-mediated elimination of a population of
pathogenic cells in a patient, mammal, or animal is described. Illustrative methods

described herein include the steps of administering to the patient, mammal, or animal
in need of relief an effective amount of a composition comprising a ligand-fluorescein
conjugate. In another illustrative aspect, methods are described herein where the
composition administered to the patient, mammal, or animal in need of relief, includes
a predetermined maximum level of one or more bisfluorescein components, such as
no more than 0.1% or 0.05%, or is free of or, substantially free of one or more
bisfluorescein components.
It is appreciated that the synthetic methods described herein may be
used alone or in combination with the purification methods described herein for
providing vitamin-drug conjugates.
BRIEF DESCRIPTION OF THE ACCOMPANYING DRAWINGS
FIG. 1A shows the UV absorption at 280 nm of fractions eluted from a
DEAE cellulose column (DE32) in the purification of pteroic acid.
FIG. 1B shows the C18 reverse phase HPLC trace of fraction 38 eluted
from a DEAE cellulose column (DE32) in the purification of pteroic acid.
FIG. 2 shows the effect of isolated folate-fluorescein conjugates on the
growth of solid tumors.
DETAILED DESCRIPTION
Methods for purifying pteroic acid, derivatives and analogs of pteroic
acid, and/or combinations thereof are described herein. In one embodiment, the
methods include the steps of (a) contacting a solution comprising pteroic acid,
derivatives or analogs of pteroic acid, and/or combinations thereof, with an ion
exchange chromatographic support; (b) eluting a first fraction comprising pteroic
acid, derivatives or analogs of pteroic acid, and/or combinations thereof, with a
mobile phase having a pH of about 10 or greater; and (c) lowering the pH of the first
fraction to about 3 or less; and (d) precipitating pteroic acid, derivatives or analogs of
pteroic acid, and/or combinations thereof.
In one variation, the methods described herein may also include the
step of (e) eluting a second fraction comprising folic acid, derivatives of folic acid, or
combinations thereof, where the first fraction and the second fraction are substantially
separated. Substantial separation may be determined by any number of objective

quantitative or qualitative criteria, including but not limited to elapsed time, fraction
number, baseline evaluation, or other method that assesses the degree of overlap
between the eluting fractions, and therefore the likelihood and degree of possible
cross-contamination of the first and/or second fractions. It has been observed that for
certain saccharide-based chromatographic supports or resins, the folic acid fraction
elutes prior in time to the pteroic acid fraction, which elutes later in time.
Illustrtively, for DEAE cellulose chromatographic supports, the folic acid fraction has
been observed to elute prior in time to the pteroic acid fraction, which elutes later in
time. However, it is to be understood that for different chromatographic supports,
including different saccharide-based chromatographic supports, it is contemplated
herein that the order of elution of the first and second fractions as described herein
may change.
In another embodiment, the methods described herein include the steps
of (a) contacting a solution comprising pteroic acid, derivatives of pteroic acid, or
combinations thereof, with an anion exchange chromatographic support; and
(b) eluting a first fraction comprising pteroic acid, derivatives of pteroic acid, or
combinations thereof.
In one variation, the eluting step includes a mobile phase having a pH
of about 11 or greater, or a pH of about 11.5 or greater. In another variation, the pH is
in the range from about 11 to about 13. The pH of the mobile phase may be adjusted
or obtained by the addition of a wide variety of bases, including but not limited to
NaOH, KOH, Na2CO3, NaHCO3, KHCO3, K2CO3, NH4OH, and the like.
In one aspect, chromatographic supports for the chromatography
methods described herein include but are not limited to ion-exchange resins, anion-
exchange resins, saccharide-based resins, saccharide-based ion-exchange resins,
saccharide-based anion-exchange resins, and the like. Saccharide-based
chromatographic supports include one or more cellulose, amylose, agarose, sepharose,
and sephadex resins, and combinations thereof. In another aspect, saccharide-based
chromatographic supports include ion-exchange resins, such as an anionic exchange
resins and cationic exchange resins. Illustrative saccharide-based ion-exchange resins
include diethylaminoethyl (DEAE) cellulose or quaternary amine (QA) cellulose solid
supports, such as DE23, DE32, DE51, DE52, DE53, and QA52, each available from
Whatman and/or Sigma. In one illustrative variation, the chromatographic support is

a pre-swollen microgranular DE52 anion exchanger (Whatman Cat. No. 4057-200).
In another illustrative variation, the chromatographic support is a pre-swollen
microgranular DE32 anion exchanger. Additional solid supports include DEAE
Sephadex, CM Sephadex, Sephadex QA, Sepharose QA, and the like.
In another embodiment, the mobile phase is a reverse phase mobile
phase comprising water. In another embodiment, the mobile phase is a reverse phase
mobile phase comprising water and a salt. In another embodiment, the mobile phase
is a reverse phase mobile phase comprising water and an organic solvent. In another
embodiment, the mobile phase is a reverse phase mobile phase comprising water, a
salt, and an organic solvent. In another aspect, the mobile phase is substantially free
or completely free of ammonia, or salts thereof.
In another embodiment, the mobile phase is a reverse phase mobile
phase comprising water at a specified pH, including a neutral or near neutral pH. In
one variation, the pH is slightly above neutrality, such as a pH in the range from about
7.1 to about 7.7. In one aspect, the pH of the mobile phase is in the range from about
7.3 to about 7.5, or at a pH of about 7.4. In another embodiment, the mobile phase is
a reverse phase mobile phase comprising water and a salt. In another embodiment,
the mobile phase is a reverse phase mobile phase comprising water and an organic
solvent. In another embodiment, the mobile phase is a reverse phase mobile phase
comprising water, a salt, and an organic solvent. In another aspect, the mobile phase
is substantially free or completely free of ammonia, or salts thereof.
The chromatography profile may use the mobile phase at a fixed
relative composition or in a varying relative composition, including, but not limited
to, isocratic profiles, step functions, simple gradients, complex gradients, linear
gradients, logarithmic gradients, combinations of such profiles, and the like.
In another embodiment, the mobile phases used in the methods
described herein may also optionally include an organic solvent as a component, such
as an acetone, tetrahydrofuran, acetonitrile, alcohols, including MeOH, EtOH, and the
like, and others. When the mobile phase includes two components, such as the
aqueous component having a basic pH and an organic solvent component, the mobile
phase may be eluted through the chromatographic support in an isocratic mode, or in
a gradient mode. It is appreciated that gradient modes may follow a wide variety of

profiles, including linear, logarithmic, hyperbolic, parabolic, exponential, step, and
combinations thereof.
In another embodiment, the eluent from the column chromatography is
monitored by any conventional technique including, but not limited to, ultraviolet
(UV) absorbance, fluorescence, refractive index (RI), liquid chromatography mass
spectrometry (LCMS), tandem mass spectrometry (MS/MS), and the like.
Illustratively, the eluent is divided into one or more fractions based on the monitoring,
and the fractions containing the desired product and having a purity at or above a
predetermined threshold are pooled. The pooled fractions are included in the
precipitating step.
In another embodiment of the precipitating step, the pteroic acid, or
analog or derivative thereof, contained in fractions or pooled fractions of the eluent is
precipitated from the solution by lowering the pH of the solution to a pH of about 3.5
or less, about 3 or less, about 2.5 or less, or about 2 or less. The pH may be lowered
by the addition of any variety of acids or any combination of acids capable of
lowering the pH to about 3.5 or less, about 3 or less, about 2.5 or less, or about 2 or
less. Illustrative acids include, but are not limited to, hydrochloric acid, hydrobromic
acid, sulfuric acid and salts thereof, phosphoric acid and salts thereof, nitric acid, and
the like.
In one aspect, the precipitated and/or purified pteroic acid or analog or
derivative thereof is purified to about 95% purity or greater, about 96% purity or
greater, about 97% purity or greater, about 98% purity or greater, about 99% purity or
greater, or about 100% purity. In another aspect, the precipitated pteroic acid or
analog or derivative thereof is substantially free of folic acid. The purity of the
precipitated pteroic acid or analog or derivative thereof may be measured using any
conventional technique, including various chromatography or spectroscopic
techniques, such as high pressure or high performance liquid chromatography
(HPLC), nuclear magnetic resonance spectroscopy, TLC, UV absorbance
spectroscopy, fluorescence spectroscopy, and the like.
In another aspect, the precipitated or purified pteroic acid, pteroic acid
analogs, and/or pteroic acid derivatives have purities understood as being
substantially pure, or substantially purified from one or more undesired or unwanted
components, impurities, or contaminants. Illustratively, the purity of these

compounds may be understood as having less than a percentage of one or more
components, such as about 5% or less of an impurity, about 4% or less of an impurity,
about 3% or less of an impurity, about 2% or less of an impurity, or about 1% or less
of an impurity. Similarly, the purity of these compounds may be understood as
having less than a percentage of a specific component, such as about 5% or less, about
4% or less, about 3% or less, about 2% or less, or about 1% or less of folic acid.
In another embodiment, pteroic acid, pteroic acid analogs, and pteroic
acid derivatives are prepared by synthetic methods described herein. These synthetic
methods result in compounds that have high overall percentage purities, such as about
95% pure or greater, about 96% pure or greater, about 97% pure or greater, about
98% pure of greater, about 99% pure or greater, or about 100% pure. Similarly, the
purity of such pteroic acid, pteroic acid analogs, and pteroic acid derivatives are
prepared by synthetic methods described herein may be understood as having less
than a percentage of a specific component, such as about 5% or less, about 4% or less,
about 3% or less, about 2% or less, or about 1% or less of folic acid, as a result of the
synthetic method used, alone or in combination with a purification method described
herein.
It is appreciated that specific components in the resulting pteroic acid,
pteroic acid analog, pteroic acid derivative, or combination thereof may be either
avoided or removed. Those components may be avoided by using the synthetic
processes described herein. In addition, those components may be removed by using
the purification methods described herein. Therefore, it is to be understood that the
invention also includes materials that are prepared by the synthetic processes
described herein, are produced from or result from use of the purification methods
described herein, or result from a combination of these synthetic processes and
purification methods.
In one embodiment, the pteroic acid or the derivative of pteroic acid is
derived from a degradation process, such as a degradation of a folic acid or a
derivative of folic acid. In one aspect, the pteroic acid or the derivative of pteroic
acid is derived from an enzymatic degradation process, such as an enzymatic
degradation of a folic acid or a derivative of folic acid. In another aspect, the pteroic
acid or the derivative of pteroic acid is derived from a microbial degradation process,
such as a microbial degradation of a folic acid or a derivative of folic acid. In another

aspect, the pteroic acid or the derivative of pteroic acid is derived from a chemical
degradation process, such as a chemical degradation of a folic acid or a derivative of
folic acid. In another embodiment, the pteroic acid or the derivative of pteroic acid is
derived from a chemical synthesis.
In one embodiment of the microbial degradation processes, folic acid
or derivatives thereof are hydrolyzed to pteroic acid by contacting a sample of the
folic acid or derivative thereof with Alcaligenes faecalis, Psuedomonad,
Psuedomonad ATCC 25301, flavobacterium, flavobacterium baccalis, and the like.
Illustrative conditions for performing microbial degradation of folic acid are
described by Houlihan et a!., Anal. Biochem., 46:1-6 (1972), Pratt et al., J. Biol.
Chem., 243:6367 (1968); Levy et al., J. Biol. Chem., 242:2933 (1967); Scott, Methods
in Enzymology, 66:657-60 (1980); Lemon et al., "Conversion of pterolyglutamic acid
to pteroic acid by bacterial degradation" Archives of Biochemistry 19:311-16 (1948),
the disclosures of which are incorporated herein by reference.
In one embodiment of the enzymatic degradation processes, folic acid
or derivatives thereof are hydrolyzed to pteroic acid by contacting a sample of the
folic acid or derivative thereof with one or more enzymes such as carboxypeptidases,
including carboxypeptidase G, carboxypeptidase A, amidases, lipases, esterases, and
proteases, and combinations thereof. In the case of carboxypeptidase G, folic acid is
contacted with the enzyme at slightly basic pH, illustratively a pH of about 7.3.
Illustrative conditions for performing enzymatic degradation of folic acid is described
by Harvison & Kalman, J. Med. Chem. 35:1227-33 (1992); Nomura et al, J. Org.
Chem., 65:5016-21 (2000); U.S. Patent No. 4,337,339, the disclosures of which are
incorporated herein by reference.
In one embodiment of the chemical degradation processes, folic acid or
derivatives thereof are hydrolyzed to pteroic acid by contacting a sample of the folic
acid or derivative thereof under acid or basic hydrolysis, or saponification conditions,
generally in an aqueous medium, optionally supplemented with a miscible organic
cosolvent.
In another embodiment, the pteroic acid, or analog or derivative of
pteroic acid that is purified using the methods described herein is one resulting from a
conventional degradation or synthetic process and is contaminated with a folic acid,
or analog or derivative thereof. Illustratively, enzymatic degradation processes that

convert folic acids, or analogs or derivatives thereof, to pteroic acids, or the
corresponding analogs or derivatives thereof, may not proceed to complete
conversion. Therefore, the resulting mixture may include the pteroic acid or
derivative thereof, the folic acid or derivative thereof, and/or one or more partially
degraded or hydrolyzed intermediate products or side products formed during the
enzymatic degradation process or hydrolysis process. Illustratively, the relative
amount of the folic acid or derivative thereof is in the range from about 1% to about
50%, or from about 1% to about 25%.
In one embodiment of a chemical synthesis of the pteroic acid or the
derivative of pteroic acid, pteroic acid or a derivative or analog of pteroic acid, is
coupled with another molecule to form a vitamin-drug conjugate. In one aspect, the
vitamin-drug conjugate is illustratively a conjugate described in U.S. Patent
Application Serial No. 10/765,336. In another aspect, the vitamin-drug conjugate is
illustratively a conjugate of pteroic acid, or an analog or derivative of pteroic acid,
and an antigenic component, and includes the conjugates described in U.S. Patent
Application Serial No. 09/822,379, the disclosure of which is incorporated herein by
reference.
In another aspect, the vitamin-drug conjugate may be described by the
formula

where V is a vitamin, or an analog or a derivative thereof, and L is an optional
bivalent linker having a length of about 1 to about 100 atoms. The atoms are selected
from carbon, nitrogen, oxygen, silicon, phosphorus, sulfur, and the like. Each of
these atoms is optionally substituted with hydrogen, halogen, and/or one or more
functional groups. Illustrative functional groups include, but are not limited to,
hydroxy, cyano, nitro, oxo, thiono, optionally substituted imino, optionally substituted
hydroxylirnino, optionally substituted hydrazino, azido, optionally substituted alkyl,
optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted
alkoxy, optionally substituted alkylthio, optionally substituted alkylsulfonyl,
optionally substituted alkylsulfonyloxy, optionally substituted alkylsulfonylamino,
optionally substituted amino, optionally substituted aldehydes and derivatives thereof,
optionally substituted ketones and derivatives thereof, carboxylic acids and
derivatives thereof, optionally substituted aryl, side chains of amino acids, peptides,

combinations thereof, and the like. Such functional groups may be taken together to
form cyclic structures attached to the atoms. Such functional groups may also be
taken together to form cyclic structures with the atoms.
In another aspect, the vitamin-drug conjugate is a conjugate of pteroic
acid or an analog or derivative thereof, and fluorescein or an analog or derivative
thereof. In another aspect, the vitamin-drug conjugate is a compound of formula I

wherein R1, R2, R3, and R4 are each independently hydrogen, alkyl, acyl, or a suitably
selected nitrogen protecting group, or R1 and R2 are taken together to form a nitrogen
protecting group; R5 is hydrogen, alkyl, or a suitably selected carboxyl protecting
group; m is an integer from 0-4; and n is an integer from 1-4. In another aspect, the
vitamin-drug conjugate is compound 8a (the compound of formula I, wherein R1, R2,
R3, R4, and R5 are hydrogen, m is 1, and n is 1).
One illustrative chemical synthesis of fluorescein conjugates of pteroic
acid, and derivatives thereof, is shown in Scheme 1.


(a) amide coupling reagent; (b) selective deprotection of α-carboxyl group;
(c) H2NCH2(CH2)nNH2, n=1-4 (5); (d) 1. FITC (7); 2. optional deprotection of any of
R1 to R5.
where R1, R2, R3, and R4 are each independently hydrogen, alkyl, acyl, or a suitably
selected nitrogen protecting group, or R1 and R2 are taken together to form a nitrogen
protecting group; R5 is hydrogen, alkyl, or a suitably selected carboxyl protecting
group; m is an integer from 0-4; and n is an integer from 1-4.
Protected pteroic acid analog 1 is reacted with protected amino acid
analog 2 to form amide 3. Suitable protecting groups R1, R2, R3, and R4 for pteroic
acid 1 include amide protecting groups, such as acetyl, trifluoroacetyl, and the like,
carbamate protecting groups, such as tert-Boc, Teoc, Cbz, Fmoc, and the like, and
others. Suitable protecting groups R5 for amino acid analog 2 include ester protecting
groups, such as methyl, trimethylsilylethyl, tert-butyl, and the like, and others. In one
aspect, where R5 is tert-butyl, resulting amide 3 is selectively deprotected with acid to
give amide 4. It is appreciated that is this aspect, the protecting groups present on
pteroic acid analog 1 and amino acid analog 2 are suitably selected to allow the
selective deprotection of the α-carboxylate protecting group in the presence of the γ-
carboxylate protecting group.
Either amide 3 or the corresponding deprotected analog 4 is treated
with an alkylene diamine of the formula H2NCH2(CH2)nNH2, where n=1-4 to give

amine 6. The terminal methyl ester is displaced to form an amide bond. Amine 6 is
treated with fluorescein isothiocyanate (FITC, 7) to form vitamin-drug conjugate 8.
A wide variety of amide coupling reagents and conditions are
applicable to the syntheses described herein, including but not limited to carboxylic
acid derivatives, such as acid chlorides and the like; activated esters, such as
pentafluorophenyl esters, hydroxybenzotriazole esters, and the like; coupling
reagents, such as (benzotriazol-l-yloxy)tripyrrolidinophosphonium
hexaflourophosphate (PyBOP), BOP, BOPCl, DCC, EDC, HBTU, TBTU, PyBrOP,
and the like. Suitable solvents for the amide coupling steps described herein include
but are not limited to N,N-dimethylformamide (DMF), dimethylsulfoxide (DMSO),
chloroform, dichloromethane (DCM), N-methylpyrrolidinone (NMP), and the like.
The amide coupling steps described herein may be performed at many temperatures,
such as temperatures in the range from about 0 °C to about 50 °C, and illustratively at
ambient temperature.
The deprotecting steps described herein may be performed in any
conventional manner, such as using the reagents and reaction conditions described in
Greene & Wuts "Protective Groups in Organic Synthesis," 2d Ed., John Wiley &
Sons, New York, 1991, the disclosure of which is incorporated herein by reference. It
is appreciated that the choice of deprotecting reagents and conditions is made to allow
the deprotecting step to proceed without unintentionally affecting other functional
groups, including other protecting groups, present on the compounds being
deprotected. For example, in Scheme 1, protecting group R5 is removed in the
presence of and without affecting protecting group R4. In one illustrative
embodiment, protecting group R5 is a tot-butyl ester, and protecting group R4 is a
trifluoroacetyl amide. Illustrative deprotecting agents for deprotecting acid sensitive
protecting groups include but are not limited to trifluoroacetic acid (TFA), HC1, HBr,
AcOH, HCO2H, and the like. The deprotecting reaction may be performed in a
variety of solvents, including but not limited to water, DCM, EtOAc, AcOH, and the
like. It is appreciated that cation scavengers may also be included in the reaction
conditions to improve the rate and/or overall yield of the deprotecting reactions,
including with the use of AcOH as a solvent. The deprotecting reactions described
herein may be performed at a variety of temperatures, such as temperatures in the
range from about 0 °C to about 50 °C, and illustratively at ambient temperature.

Step (c) in Scheme 1 may be performed in a variety of solvents,
including but not limited to THF, ether, DMF, DMSO, chloroform, DCM, NMP, and
the like, and may be performed at a variety of temperatures, such as temperatures in
the range from about 0 °C to about 50 °C, and illustratively at ambient temperature.
Similarly, step (d) in Scheme 1 may be performed in a variety of solvents, including
but not limited to THF, DMF, DMSO, chloroform, CH2Cl2, NMP, water, and the like,
and may be performed at a variety of temperatures, such as temperatures in the range
from about 0 °C to about 50 °C, and illustratively at ambient temperature. Additional
bases may be added to the reaction illustrated in step (d), including but not limited to
amine bases generally represented by R1R2R3N, Et3N, N,N-diisopropylethylamine
(DIPEA), pyridine, lutidine, collidine, 4-dimethylaminopyridine (DMAP), and the
like.
It is appreciated that certain protecting groups may be
contemporaneously and conveniently removed during step (c) upon reaction with the
diamine H2NCH2(CH2)nNH2. For example, when R4 is an amide protecting group,
such as trifluoroacetyl and the like, both the methyl ester is replaced to form the
amide of the gamma- glutamate, and the amide protecting group is removed at N(10).
In one variation, the group R4 is selected to be stable to reaction with diamine
H2NCH2(CH2)nNH2.
In another variation, the reaction of pteroic acid analog 1 and amino
acid analog 2 is accomplished by converting protected pteroic acid analog 1 to a
corresponding carboxylic acid derivative having a leaving group. The leaving group
is displaced by the amine of amino acid analog 2 to form amide 3. It is appreciated
that the synthesis shown in Scheme 1, and variations thereof, may also be used to
prepare fluorescein conjugates of pteroic acid analogs, and derivatives of pteroic acid
analogs, as described herein.
Another illustrative chemical synthesis of conjugates of pteroic acid,
and derivatives thereof, is shown in Scheme 2.


(a) amide coupling reagent; (b) selective deprotection of amino acid amine group;
(c) amide coupling reagent; (d) selective deprotection of alkylene diamine;
(e) 1. FITC (7); 2. optional deprotection of any of R1 to R5.
where R1, R2, R3, and R4 are each, independently hydrogen, allcyl, acyl, or a suitably
selected nitrogen protecting group; R5 is hydrogen, alkyl, or a suitably selected
carboxyl protecting group; m is an integer from 0-4; n is an integer from 1-4; and R ,
R7, and R8 are each independently hydrogen or a suitably selected nitrogen protecting
group.
Protected amino acid analog 9 is reacted with protected
alkylenediamine 10 to form amide 11. Illustrative protecting groups R5 for amino
acid analog 7 include Fmoc, Cbz, tert-Boc, and the like. Illustrative protecting groups
R7 for alkylenediamine 10 include tert-Boc, Fmoc, Cbz, and the like. It is appreciated
that the protecting groups are chosen to allow for the selective removal of one or more
in the presence of the remaining protecting groups, and without altering the nature of
the other functional groups remaining on the molecule being deprotected. Resulting
amide 11 is deprotected to give amino acid amine 12, which is coupled with protected
pteroic acid analog 1, where illustrative protecting groups R4 for pteroic acid analog 1
are as described herein, to form amide 13. Resulting amide 13 is deprotected to give
alkylenediamine amine 6. In some variations, depending upon the nature of the
carboxyl protecting group R5, the conditions used to remove the terminal amine
protection groups R7 and R8 may also remove the carboxyl protection group R5. For

example, when R5 is a tert-butyl group, R7 is a tert-Boc protection group, and R8 is
hydrogen, treatment with acid in a dipolar solvent may remove both protecting
groups. Amine 6 is reacted with FITC to give pteroic acid-linked FITC conjugate 8.
As described herein, a wide variety of amide coupling reagents and
conditions are also applicable to the synthesis described in Scheme 2, including but
not limited to carboxylic acid derivatives, such as acid chlorides and the like;
activated esters, such as pentafluorophenyl esters, hydroxybenzotriazole esters, and
the like; coupling reagents, such as PyBOP, BOP, BOPCl, DCC, EDC, HBTU,
TBTU, PyBrOP, and the like. Suitable solvents for the amide coupling steps
described herein include but are not limited to DMF, DMSO, chloroform, CH2CI2,
NMP, and the like. The amide coupling steps described herein may be performed at
many temperatures, such as temperatures in the range from about 0 °C to about 50 °C,
and illustratively at ambient temperature.
The deprotecting steps described herein may be performed in any
conventional manner, such as using the reagents and reaction conditions described in
Greene & Wuts. It is appreciated that the choice of deprotecting reagents and
conditions is made to allow the deprotecting step to proceed without unintentionally
affecting other functional groups, including other protecting groups, present on the
compounds being deprotected. For example, in Scheme 2, protecting group R6 is
removed in the presence of and without affecting protecting groups R5, R7, and R8. In
one illustrative embodiment, protecting group R6 is a Fmoc group, and protecting
group R5 is a tert-Bu ester, protecting group R7 is a tert-Boc, and R8 is hydrogen.
Illustrative deprotecting agents for deprotecting base sensitive protecting groups
include but are not limited to DBU, peperidine, morpholine, TBAF, and the like. The
deprotecting reaction may be performed in a variety of solvents, including but not
limited to water, THF, ether, DMF, NMP, CH2Cl2, EtOAc, and the like. The
deprotecting reactions described herein may be performed at a variety of
temperatures, such as temperatures in the range from about 0 °C to about 50 °C, and
illustratively at ambient temperature.
Coupling step (c) in Scheme 2 may be performed in similarly to that in
step (a), with the coupling agents, and reaction conditions, described herein. A
variety of solvents, including but not limited to THF, ether, DMF, DMSO,
chloroform, CH2Cl2, NMP, and the like, and may be performed at a variety of

temperatures, such as temperatures in the range from about 0 °C to about 50 °C, and
illustratively at ambient temperature. Similarly, step (d) in Scheme 1 may be
performed in a variety of solvents, including but not limited to THF, DMF, DMSO,
chloroform, CH2Cl2, NMP, water, and the like, and may be performed at a variety of
temperatures, such as temperatures in the range from about 0 °C to about 50 °C, and
illustratively at ambient temperature. Additional bases may be added to the reaction
illustrated in step (d), including but not limited to amine bases generally represented
by R1R2R3N, Et3N, DIPEA, pyridine, lutidine, colliding DMAP, and the like.
Deprotecting step (d) may be performed in any conventional manner.
In one illustrative embodiment, protecting group R7 is a tert-Hoc group, which is
chemically sensitive to acid, whereas the other protecting groups are not, such as R
as a trifluoroacetyl amide, or R5 as a methyl ester, hi another illustrative embodiment,
protecting group R5 is a tert-butyl ester and protecting group R7 is a tert-Boc group,
which are both chemically sensitive to acid, whereas the other protecting groups are
not. Illustrative deprotecting agents for deprotecting such acid sensitive protecting
groups include but are not limited to TFA, HC1, HBr, AcOH, HCO2H, and the like.
The deprotecting reaction may be performed in a variety of solvents, including but not
limited to water, CH2Cl2, EtOAc, AcOH, and the like. It is appreciated that cation
scavengers may also be included in the reaction conditions to improve the rate and/or
overall yield of the deprotecting reactions, including with the use of AcOH as a
solvent. The deprotecting reactions described herein may be performed at a variety of
temperatures, such as temperatures in the range from about 0 °C to about 50 °C, and
illustratively at ambient temperature.
Optional deprotecting step (e) may be included in the synthesis
described in Scheme 2 to remove any remaining protecting groups on the compounds
8. For example, when R4 is an amide protecting group and R5 is a carboxylic acid
protecting group, such groups may be removed to prepare the free amino acid
derivative illustrated by compound 8. In one illustrative embodiment, coupling step
(e) in Scheme 2 gives a protected form of compound 8, where R1, R2, R3, and R5 are
hydrogen, and R4 is trifluoroacetyl. Protecting group R5 may be contemporaneously
removed by contacting the protected compound 8 with a base, including but not
limited to NH4OH, including 0.5 M NH4OH, LiOH, NaOH, KOH, K2CO3, NaHCO3,
and the like, in a variety of solvents, including but not limited to water, alcohols,

triphasic THF/water, and the like. Illustratively, the pH of the reaction conditions for
removing such base sensitive protecting groups is greater than about 9. The reaction
is illustratively performed at ambient temperature.
Another illustrative chemical synthesis of fluorescein conjugates of
pteroic acid, and derivatives thereof, is shown in Scheme 3.

(a) FITC (7); (b) fluorescein-NH2 (15); (c) deprotection of amine group; (d) amide
coupling reagent; (e) selective deprotection of carboxylic acid group; (f) 1. amide
coupling reagent; 2. optional deprotection of any of R1 to R5.
where R1,R2,R3, and R4 are each independently hydrogen, alkyl, acyl, or a suitably
selected nitrogen protecting group; R5 is hydrogen, alkyl, or a suitably selected
carboxyl protecting group; R9 is hydrogen, alkyl, or a suitably selected carboxyl
protecting group; m is an integer from 0-4; n is an integer from 1-4; and R6, R7, and

R8 are each independently hydrogen or a suitably selected nitrogen protecting group.
Protected allcylene diamine 16 may be prepared by either (i) reacting
alkylene diamine 5 with FITC (7); (ii) reacting protected alkylene diamine 10 with
FITC (7); or (iii) reacting protected aminoalkyl isothiocyanate 14 with

fluoresceinamine (15). The amine is deprotected to give 17. Pteroic acid derivative 1
is coupled with triply protected amino acid 18 to give folic acid derivative 19. The
protecting groups R5 and R9 are selected so that each may be chemically removed
independent of the other. Protecting group R9 is removed to give carboxylic acid 20,
which is coupled to amine 17 to give conjugate 8.
The reaction of isothiocyanates with amines, as illustrated in Scheme 3
for the reaction of compounds 5,10,14 with compounds 7 and 15, as appropriate,
may be performed in a variety of solvents, including but not limited to EtOH, MeOH,
THF, CH2Cl2, DMF, CHCl3, and the like. The reactions may be performed at a
variety of temperatures, such as temperatures in the range from about 0 °C to about
100 °C, and illustratively at reflux for the solvent sued in the reaction.
Similarly to the deprotecting reactions described herein, deprotecting
step (c) may be performed in any conventional manner. In one illustrative
embodiment, protecting group R7 is a tert-Boc group, which is chemically sensitive to
acid. Illustrative deprotecting agents for deprotecting such acid sensitive protecting
groups include but are not limited to TFA, HCl, HBr, AcOH, HCO2H, and the like.
The deprotecting reaction may be performed in a variety of solvents, including but not
limited to water, CH2Cl2, EtOAc, AcOH, and the like. It is appreciated mat cation
scavengers may also be included in the reaction conditions to improve the rate and/or
overall yield of the deprotecting reactions, including with the use of AcOH as a
solvent. The deprotecting reactions described herein may be performed at a variety of
temperatures, such as temperatures in the range from about 0 °C to about 50 °C, and
illustratively at ambient temperature.
The coupling steps (d) and (f) in Scheme 3 may be performed in
similarly to that described herein, with conventional coupling agents, and reaction
conditions. A variety of solvents, including but not limited to THF, ether, DMF,
DMSO, chloroform, CH2Cl2, NMP, and the like, and may be performed at a variety of
temperatures, such as temperatures in the range from about 0 °C to about 50 °C, and
illustratively at ambient temperature.
Similarly to the deprotecting reactions described herein, deprotecting
step (e) may be performed in any conventional manner. In one illustrative
embodiment, protecting group R9 is a tert-Bu ester, which is chemically sensitive to
acid. Illustrative deprotecting agents for deprotecting such acid sensitive protecting

groups include but are not limited to TFA, HC1, HBr, AcOH, HCO2H, and the like.
The deprotecting reaction may be performed in a variety of solvents, including but not
limited to water, CH2Cl2, EtOAc, AcOH, and the like. It is appreciated that cation
scavengers may also be included in the reaction conditions to improve the rate and/or
overall yield of the deprotecting reactions, including with the use of AcOH as a
solvent. The deprotecting reactions described herein may be performed at a variety of
temperatures, such as temperatures in the range from about 0 °C to about 50 °C, and
illustratively at ambient temperature.
Optional deprotecting step (f) may be included in the synthesis
described in Scheme 3 to remove any remaining protecting groups on the compounds
8. For example, when R4 is an amide protecting group and R5 is a carboxylic acid
protecting group, such groups may be removed to prepare the free amino acid
derivative illustrated by compound 8. In one illustrative embodiment, coupling step
(f) in Scheme 3 gives a protected form of compound 8, where R1, R2, and R3 are
hydrogen, R4 is trifluoroacetyl, and R5 is methyl. Protecting groups R4 and R5 may be
contemporaneously removed by contacting the protected compound 8 with a base,
including but not limited to NH4OH, including 0.5 M NH4OH, LiOH, NaOH, KOH,
K2CO3, and the like, in a variety of solvents, including but not limited to water,
alcohols, biphasic THF/water, and the like. Illustratively, the pH of the reaction
conditions for removing such base sensitive protecting groups is greater than about 9.
The reaction is illustratively performed at ambient temperature.
Alternatively, illustrative chemical synthesis of fluorescein conjugates
of pteroic acid, and derivatives thereof, is shown in Scheme 3a.


(a) amide coupling reagent; (b) selective deprotection of amino acid amine group;
(c) amide coupling reagent.
Amine 17 is coupled with protected amino acid analog 9 to give amide 21, as shown
Amide 21 is deprotected to give amine 22, which is coupled with protected pteroic
acid analog 1 to give vitamin-fluorescein conjugate 8.
It is appreciated that the syntheses shown in Schemes 1, 2, and 3, and
variations thereof, may also be used to prepare fluorescein conjugates of pteroic acid
analogs, and derivatives of pteroic acid analogs, as described herein. Pteroic acid
analogs, and derivatives of pteroic acid analogs, include but are not limited to folinic
acid, pteropolyglutamic acid, tetrahydropterins, dihydrofolates, tetrahydrofolates,
aminopterin, amethopterin, N10-methylfolate, 2-deaminohydroxyfolate, 3',5'-dichloro-
4-amino-4-deoxy-N10-methylpteroylglutamic acid, and the like, as well as deaza and
dideaza analogs of these compounds, such as 1-deazamethopterin, 3-
deazamethopterin, and other deaza and dideaza analogs, such as 1-deaza, 3-deaza, 5-
deaza, 8-deaza, and 10-deaza analogs, and 1,5-dideaza, 5,10-dideaza, 8,10-dideaza,
and 5,8-dideaza analogs. For example, other analogs of folate that include one or
more amino acids in addition to or in place of glutamate may be prepared according to
the processes and procedures described herein. Illustratively, in Schemes 1, 2, and 3,
protected forms of tyrosine, cysteine, cysteic acid, phenylalanine, lysine, and many
other natural and non-natural amino acids may be substituted for the protected
glutamate compounds specifically described in those Schemes. Thus, folic acid

analogs that differ from folate by being pteroyl amides of amino acids other than
glutamate are contemplated herein. Further, it is to be understood that such amides
may also be prepared from pteroic acid analogs and derivatives using the syntheses
and processes described herein.
It is also appreciated that side products, contaminants, impurities,
and/or other components may form during the preparation of the pteroic acid, folic
acid, the analogs and derivatives of pteroic acid and folic acid, and conjugates of any
of these compounds. These side products, contaminants, impurities, and/or other
components may be removed by the purification methods described herein. In one
embodiment, the other component is folic acid. In another embodiment, the other
component is a bisfluorescein derivative, such as the bisfluorescein derivative. One
illustrative bisfluorescein derivative is a compound of formula II

It is also appreciated that side products, contaminants, or impurities
may be avoided by selecting a suitable synthetic route, or modifying a synthetic route.
In one illustrative aspect, the compound of formula II may be substantially or
completely avoided by the careful elimination of water from the various synthetic
methods and processes described herein. In another illustrative aspect, the compound
of formula II may be avoided by using the FITC reagent in exactly one or slightly less
than one molar equivalent.

In another illustrative aspect, the compound of formula III may be
substantially or completely avoided by using the alkylene diamine reagent 5, in
exactly one or slightly less than one molar equivalent, as shown in Scheme 1. In
another illustrative aspect, the compound of formula III may be avoided by purifying
the reaction products following the introduction of the alkylene diamine reagent 5 to
substantially remove any remaining alkylene diamine reagent 5 prior to the addition
of FITC, such as purifying the intermediate amine 6 shown in Scheme 1 to
substantially or completely remove the alkylene diamine reagent 5.
In another illustrative aspect, the compound of formula III may be
avoided by using a synthetic equivalent of the alkylene diamine, such as the
monoprotected alkylene diamine 10, as shown in Scheme 2. In another illustrative
aspect, the compound of formula III may be avoided by preparing the FITC
intermediate 16, as shown in Scheme 3, prior to conjugation with the pteroic acid,
folic acid, or analog or derivative of pteroic acid or folic acid. In this latter aspect, it
is appreciated that the compound of formula III may be avoided by using the alkylene
diamine reagent, illustratively compound 5, in exactly at least a slight excess, or
illustratively a substantial excess above one molar equivalent. It is also appreciated in
this latter aspect, that the product compound 16, or subsequent products, such as 17,
21, or 22, when they are prepared from alkylene diamine reagent 5 may be purified to
substantially or completely remove the compound of formula III.
Illustratively, a conjugate of pteroic acid, or a derivative thereof, can
be synthesized by any of the methods described herein in combination with
purification by any of the methods described herein employing an ion-exchange
chromatographic support, such as those described herein.
In another embodiment, methods for purifying conjugates comprising
pteroic acid or derivatives thereof, and fluorescein or derivatives thereof. In one
aspect, the methods include the steps of (a) contacting a solution that includes the
conjugate with a first reversed phase chromatographic support; (b) eluting a first
fraction that includes a phosphate complex of the conjugate with a mobile phase,
where the mobile phase includes water at a predetermined pH; (c) contacting the first
fraction with a second reversed phase chromatographic support; and (d) eluting a
second fraction that includes the conjugate with a mobile phase comprising water,
where the second fraction is substantially free or completely free of phosphate.

Eluting step (b) may be performed with an aqueous mobile phase prepared from water
and one or more phosphate salts. The predetermined pH may be in the range from
about 6 to about 8; in the range from about 7 to about 8; or in the range from about
7.1 to about 7.5, or illustratively at apH of about 7.4. It is appreciated that eluting
step (d) includes a mobile phase that is advantageously substantially or completely
free of phosphate salts.
In one aspect, the reversed-phase chromatographic support is a
modified silica support including, but not limited to, a C8 silica, a C18, silica, and
modified C8 and/or C18 silicas, including capped or deactivated silicas, and the like,
and combinations thereof.
It is appreciated that the chromatography column or columns described
for use in the methods described herein may be regenerated using conventional
techniques and then reused for the purification or separation of additional mixtures of
pteroic acid, or analogs or derivatives thereof. Regeneration includes washing the
chromatographic solid support with a solvent having a higher eluotropic index or
eluotropic power than the mobile phase used for the separation. For example, a
purification may include a reversed phase solid support and a mobile phase
comprising water, such as pure water or an inorganic salt solution in water. The
mobile phase may also include an organic solvent, such as acetonitrile (ACN),
methanol, tetrahydrofuran (THF), and the like. In such an illustrative
chromatographic separation, the mobile phase may be a fixed or variable mixture of
water and acetonitrile, such as 90:10 water/acetonitrile, a linear gradient of 99:1 to
90:10 water/acetonitrile, and the like. Subsequently, the column may be illustratively
regenerated by washing with a mobile phase having a higher eluotropic index that
includes a higher percentage of the organic solvent relative to the percentage of water,
such as 60:40 or 50:50 water/acetonitrile. These illustrative embodiments are not
limiting and any suitable mobile phase mixture for chromatographic separation and
any suitable method for column regeneration may be used.
In another illustrative embodiment, methods are described herein for
purifying conjugates comprising pteroic acid or analogs or derivatives thereof, and
fluorescein or derivatives thereof may be purified by complexation with a polyvalent
cation, such as an alkaline earth metal cation. Illustrative cations include but are not
limited to magnesium, calcium, beryllium, strontium, barium, and the like.

Conventional methods are used to prepare salts such as sodium and/or potassium salts
of the conjugates. Cation exchange is illustratively accomplished by mixing the
sodium or potassium salt form with a polyvalent cation salt solution in a polar solvent,
such as water. The polyvalent cation salt solution is prepared from conventional salts
such as magnesium chloride, calcium chloride, and the like. The resulting complex is
precipitated or crystallized from the polar solvent. It is appreciated that co-solvents
may also be added to the polar solvent to facilitate precipitation of the polyvalent
cation salts of the conjugates.
Polyvalent cation salts of the conjugates may be converted back to
neutral forms or other salts forms, such as sodium and potassium salts by ion
exchange chromatography on a suitable conventional resin.
In another illustrative embodiment, a method is provided for the
therapeutic treatment of a host harboring a pathogenic cell population, such as cancer
cells or pathogenic organisms. Illustratively, the method employs an isolated ligand-
fluorescein conjugate capable of high affinity binding to cancer cells or other
pathogenic agents. The method results in enhancement of the immune response-
mediated elimination of pathogenic cell populations by rendering the pathogenic cells
antigenic resulting in their recognition and elimination by the host immune system.
In this method, the ligand-fluorescein conjugate is synthesized as described herein to
avoid the formation of at least one bisfluorescein derivative and/or may be purified as
described above to remove at least one bisfluorescein derivative.
In accordance with the methods and compositions described herein, the
term "isolated ligand-fluorescein conjugate" refers to a ligand-fluorescein conjugate
that has been purified or manipulated to remove at least one bisfluorescein derivative,
or to a ligand-fluorescein conjugate that has been synthesized to avoid the formation
of at least one bisfluorescein derivative, or to both.
In another illustrative embodiment, the method can utilize combination
therapy by employing the isolated ligand-fluorescein conjugate, and an additional
therapeutic factor capable of stimulating an endogenous immune response, a cell
killing agent, a chemotherapeutic agent, a tumor penetration enhancer, a cytotoxic
immune cell, or an antimicrobial agent to enhance immune response-mediated
elimination of the pathogenic cell populations.

Illustratively, the method is utilized to enhance an endogenous immune
response-mediated elimination of a population of pathogenic cells in a host animal
harboring the population of pathogenic cells. The method is applicable to populations
of pathogenic cells that cause a variety of pathologies such as cancer and infectious
diseases. Thus, the population of pathogenic cells can be a cancer cell population that
is tumorigenic, including benign tumors and malignant tumors, or it can be non-
tumorigenic. The cancer cell population can arise spontaneously or by such processes
as mutations present in the germline of the host animal or somatic mutations, or it can
be chemically-, virally-, or radiation-induced. The method can be utilized to treat
such cancers as carcinomas, sarcomas, lymphomas, Hodgekin's disease, melanomas,
mesotheliomas, Burkitt's lymphoma, nasopharyngeal carcinomas, leukemias, and
myelomas. The cancer cell population can include, but is not limited to, oral, thyroid,
endocrine, skin, gastric, esophageal, laryngeal, pancreatic, colon, bladder, bone,
ovarian, cervical, uterine, breast, testicular, prostate, rectal, kidney, liver, and lung
cancers.
Illustratively, the population of pathogenic cells can also be an
exogenous pathogen or a cell population harboring an exogenous pathogen, e.g., a
virus. The method is applicable to such exogenous pathogens as bacteria, fungi,
viruses, mycoplasma, and parasites. Infectious agents that can be treated with the
method are any art-recognized infectious organisms that cause pathogenesis in an
animal, including such organisms as bacteria that are gram-negative or gram-positive
cocci or bacilli, DNA and RNA viruses, including, but not limited to, DNA viruses
such as papilloma viruses, parvoviruses, adenoviruses, herpesviruses and vaccinia
viruses, and RNA viruses, such as arenaviruses, coronaviruses, rhinoviruses,
respiratory syncytial viruses, influenza viruses, picornaviruses, paramyxoviruses,
reoviruses, retroviruses, and rhabdoviruses. Folate receptors have previously been
identified on bacterial cells (Kumar et al., J. Biol. Chem.. 262, 7171-79 (1987)).
Of interest are bacteria that are resistant to antibiotics such as
antibiotic-resistant Streptococcus species and Staphlococcus species, or bacteria that
are susceptible to antibiotics, but cause recurrent infections treated with antibiotics so
that resistant organisms eventually develop. Such organisms can be treated with the
isolated ligand-fluorescein conjugates in combination with lower doses of antibiotics
than would normally be administered to a patient to avoid the development of these

antibiotic-resistant bacterial strains. The method is also applicable to any fungi,
mycoplasma species, parasites, or other infectious organisms that cause disease in
animals. Examples of fungi that can be treated with the method of the present
invention include fungi that grow as molds or are yeastlike, including, for example,
fungi that cause diseases such as ringworm, histoplasmosis, blastomycosis,
aspergillosis, cryptococcosis, sporotrichosis, coccidioidomycosis, paracoccidio-
idomycosis, and candidiasis.
The method can also be utilized to treat parasitic infections including,
but not limited to, infections caused by somatic tapeworms, blood flukes, tissue
roundworms, ameba, and Plasmodium, Trypanosoma, Leishmania, and Toxoplasma
species. Parasites of interest are those that express folate receptors and bind folate or
pteroic acid, or derivatives of folate or pteroic acid.
Penicillins and cephalosporins known for their antibiotic activity and
specific binding to bacterial cell wall precursors can also be used as ligands for
preparing the isolated ligand-fluorescein conjugates for use in accordance with this
method. The isolated ligand-fluorescein conjugates can be directed to a cell
population harboring endogenous pathogens wherein pathogen-specific antigens are
preferentially expressed on the surface of cells harboring the pathogens, and act as
receptors for the ligand with the ligand specifically binding to the antigen.
Illustratively, the method can be used for both human clinical medicine
and veterinary applications. Thus, the host animals harboring the population of
pathogenic organisms and treated with the isolated ligand-fluorescein conjugates can
be humans or, in the case of veterinary applications, can be a laboratory, agricultural,
domestic, or wild animals. The method can be applied to host animals including, but
not limited to, humans, laboratory animals such rodents (e.g., mice, rats, hamsters,
etc.), rabbits, monkeys, chimpanzees, domestic animals such as dogs, cats, and
rabbits, agricultural animals such as cows, horses, pigs, sheep, goats, and wild
animals in captivity such as bears, pandas, lions, tigers, leopards, elephants, zebras,
giraffes, gorillas, dolphins, and whales.
Illustratively, the isolated ligand-fluorescein conjugate is administered
to the host animal parenterally, e.g., intradermally, subcutaneously, intramuscularly,
intraperitoneally, or intravenously. In another embodiment, the conjugate can be
administered to the host animal by other medically useful processes, and any effective

dose and suitable therapeutic dosage form, including prolonged release dosage forms,
can be used. The method can be used in combination with surgical removal of a
tumor, radiation therapy, chemotherapy, or biological therapies such as other
immunotherapies including, but not limited to, monoclonal antibody therapy,
treatment with immunomodulatory agents, adoptive transfer of immune effector cells,
treatment with hematopoietic growth factors, cytokines and vaccination.
Illustratively, suitable ligands include folic acid, analogs and
derivatives of folic acid, and other folate receptor-binding molecules, including
pteroic acid, and derivatives thereof, and other vitamins. Folate and pteroic acid
derivatives include folate receptor-binding pteridines such as tetrahydropterins,
dihydrofolates, tetrahydrofolates, and their deaza and dideaza analogs. The terms
"deaza" and "dideaza" analogs refers to the art recognized analogs having a carbon
atom substituted for one or two nitrogen atoms in the naturally occurring folic acid
structure. For example, the deaza analogs include the 1-deaza, 3-deaza, 5-deaza, 8-
deaza, and 10-deaza analogs. The dideaza analogs include, for example, 1,5 dideaza,
5,10-dideaza, 8,10-dideaza, and 5,8-dideaza analogs. The foregoing derivatives bind
to folate-receptors. Other derivatives useful in the method described herein are the
folate receptor-binding analogs aminopterin, amethopterin (methotrexate), N10-
methylfolate, 2-deamino-hydroxyfolate, deaza analogs such as l-deazamethopterin or
3-deazamethopterin, and 3',5'-dichloro-4-amino-4-deoxy-N10-methylpteroylglutamic
acid (dichloromethotrexate).
Other suitable vitamins that can be used as ligands include niacin,
pantothenic acid, riboflavin, thiamine, biotin, vitamin B12, and the lipid soluble
vitamins A, D, E and K. (See U.S. Patent Nos. 5,108,921, 5,416,016, 5,635,382, and
5,688,488 incorporated herein by reference.) These vitamins, and their receptor-
binding analogs and derivatives, constitute the ligand that can be coupled with
fluorescein according to the procedures described herein.
Other suitable ligands include peptide ligands identified from library
screens, tumor-specific peptides, tumor-specific aptamers, tumor-specific
carbohydrates, tumor-specific monoclonal or polyclonal antibodies, Fab or scFv (i.e.,
a single chain variable region) fragments of antibodies such as, for example, an Fab
fragment of an antibody directed to EphA2 or other proteins specifically expressed or
uniquely accessible on metastatic cancer cells, small organic molecules derived from

combinatorial libraries, growth factors, such as EGF, FGF, insulin, and insulin-like
growth factors, and homologous polypeptides, somatostatin and its analogs,
transferrin, lipoprotein complexes, bile salts, selectins, steroid hormones, Arg-Gly-
Asp containing peptides, retinoids, various Galectins, γ-opioid receptor ligands,
cholecystokinin A receptor ligands, ligands specific for angiotensin AT1 or AT2
receptors, peroxisome proliferator-activated receptor γ ligands, ß-lactam antibiotics,
small organic molecules including antimicrobial drugs, and other molecules that bind
specifically to a receptor preferentially expressed on the surface of tumor cells or on
an infectious organism, or fragments of any of these molecules.
Of interest in the case of ligands that bind to infectious organisms, are
any molecules, such as antibiotics or other drugs, that are known in the art to
preferentially bind to the microorganism. The method also applies to ligands which
are molecules, such as antimicrobial drugs, designed to fit into the binding pocket of a
particular receptor, based on the crystal structure of the receptor, or other cell surface
protein, and wherein such receptors are preferentially expressed on the surface of
tumors, bacteria, viruses, mycoplasma, fungi, parasites, or other pathogens. It is also
contemplated that ligands binding to any tumor antigens or other molecules
preferentially expressed on the surface of tumor cells can be utilized. The ligands
should be capable of specifically eliminating a population of pathogenic cells in the
host animal due to preferential expression of a receptor for the ligand, accessible for
ligand binding, on the pathogenic cells. The use of combinations of isolated ligand-
fluorescein conjugates to maximize elimination of the pathogenic cells is also
contemplated.
Illustratively, the method described herein employs fluorescein, or
derivatives thereof, as the immunogen. Fluorescein, and derivatives thereof, should
be capable of eliciting antibody production in the host animal or should be capable of
binding to passively administered antibodies. In one illustrative embodiment, the host
animal can develop a novel immunity through immunization against the unnatural
antigen (i.e., fluorescein). Active immunization involves multiple injections of the
unnatural antigen scheduled outside of a normal vaccination regimen to induce the
novel immunity. Thus, the isolated ligand-fluorescein conjugates can be used to
direct a previously acquired humoral or cellular immunity to a population of

pathogenic cells in the host animal for elimination of the foreign cells or pathogenic
organisms.
In embodiments where the host animal develops a novel immunity
through immunization against the unnatural antigen (i.e., fluorescein), the host animal
can be preimmunized, to establish the novel immunity, with fluorescein linked to a
carrier that renders fluorescein, a hapten, immunogenic. Any adjuvants known to the
skilled artisan, such as Freund's adjuvant, saponin adjuvants, Alum™ (Pierce
Chemical Co.), and the like, can also be administered with the carrier-fluorescein
conjugate to enhance the novel immunity to fluorescein. Illustratively, carriers that
can be used include keyhole limpet hemocyanin (KLH), haliotis tuberculata
hemocyanin (HtH), inactivated diptheria toxin, inactivated tetanus toxoid, purified
protein derivative (PPD) of Mycobacterium tuberculosis, bovine serum albumin
(BSA), ovalbumin (OVA), g-globulins, myroglobulin, peptide antigens, and synthetic
carriers, such as poly-L-lysine, dendrimer, and liposomes.
The carrier (e.g., KLH or BSA) can be conjugated to fluorescein by
using any art-recognized method of forming a complex. This can include covalent,
ionic, or hydrogen bonding of the carrier to the fluorescein, either directly or
indirectly via a linking group such as a divalent linker. The fluorescein-carrier
conjugates are illustratively formed by covalent bonding through the formation of
amide, ester or imino bonds between acid, aldehyde, hydroxy, amino, or hydrazo
groups on the respective components of the conjugates. In embodiments where a
linker is used, the linker can comprise about 1 to about 30 carbon atoms or about 2 to
about 20 carbon atoms. Lower molecular weight linkers (i.e., those having an
approximate molecular weight of about 20 to about 500) can be employed. Also, the
linker can comprise an indirect means for associating the carrier with the fluorescein,
such as by connection through intermediary linkers, spacer arms, or bridging
molecules.
The carrier-fluorescein conjugates can be purified to remove at least
one bisfluorescein contaminant by any method known to the skilled artisan.
Illustratively, an ultrafiltration step can be used to remove bisfluorescein
contaminants or impurities from the carrier-fluorescein conjugates. A pharmaceutical
composition comprising these carriers-fluorescein conjugates purified from
bisfluorescein contaminants is contemplated.

In another illustrative embodiment, antibodies directed against
fluorescein can be administered to the host animal to establish a passive immunity.
The antibodies can be natural antibodies collected from serum or monoclonal
antibodies that may or may not be genetically engineered antibodies, including
humanized antibodies. The utilization of a particular amount of an antibody reagent
to develop a passive immunity, and the use of an isolated ligand-fluorescein conjugate
wherein the passively administered antibodies are directed to fluorescein, provides the
advantage of a standard set of reagents to be used in cases where a patient's induced
antibody titer is not therapeutically useful. The passively administered antibodies can
be "co-administered" with the isolated ligand-fluorescein conjugate and co-
administration is defined as administration of antibodies at a time prior to, at the same
time as, or at a time following administration of the isolated ligand-fluorescein
conjugate.
The isolated ligand-fluorescein conjugates enhance an endogenous
immune response-mediated elimination of a population of pathogenic cells. The
endogenous immune response can include a humoral response, a cell-mediated
immune response, and any other immune response endogenous to the host animal,
including complement-mediated cell lysis, antibody-dependent cell-mediated
cytoxicity (ADCC), antibody opsonization leading to phagocytosis, clustering of
receptors upon antibody binding resulting in signaling of apoptosis, antiproliferation,
or differentiation, and direct immune cell recognition of the delivered hapten. It is
also contemplated that the endogenous immune response will employ the secretion of
cytokines that regulate such processes as the multiplication and migration of immune
cells. The endogenous immune response can include the participation of such
immune cell types as B cells, T cells, including helper and cytotoxic T cells,
macrophages, natural killer cells, neutrophils, LAK cells and the like.
It is contemplated that the induced antibodies, or passively
administered antibodies will be redirected to the tumor cells or infectious organisms
by preferential binding of the isolated ligand-fluorescein conjugates to these invading
cells or organisms and that the pathogenic cells will be killed by complement-
mediated lysis, ADCC, antibody-dependent phagocytosis, or antibody clustering of
receptors. The cytotoxic process can also involve other types of immune responses,
such as cell-mediated immunity, as well as secondary responses that arise when the

attracted antigen-presenting cells phagocytose the unwanted cells and present natural
tumor antigens or antigens of foreign pathogens to the immune system for elimination
of the cells or organisms bearing the antigens.
At least one additional composition comprising a therapeutic factor can
be administered to the host in combination with the above-detailed methodology, to
enhance the endogenous immune response-mediated elimination of the population of
pathogenic cells, or more than one additional therapeutic factor can be administered.
The therapeutic factor can be selected from a compound capable of stimulating an
endogenous immune response, a chemotherapeutic agent, an antimicrobial agent, or
other therapeutic factor capable of complementing the efficacy of the administered
isolated ligand-fluorescein conjugate. The method described herein can be performed
by administering to the host, in addition to the above-described conjugates,
compounds or compositions capable of stimulating an endogenous imnrune response
including, but not limited to, cytokines or immune cell growth factors such as
interleukins 1-18, stem cell factor, basic FGF, EGF, G-CSF, GM-CSF, FLK-2 ligand,
HILDA, MTP-1α, TGF-α, TGF-β M-CSF, IFN-α, IFN-β IFN-γ, soluble CD23, LIF,
and combinations thereof.
In one illustrative embodiment, therapeutically effective combinations
of these cytokines can be used. Therapeutically effective combinations of these
cytokines can also be used. In one embodiment, for example, therapeutically
effective amounts of IL-2, for example, in amounts ranging from about 0.1
MIU/m2/dose/day to about 60 MIU/m2/dose/day in a multiple dose daily regimen, and
IFN-a, for example, in amounts ranging from about 0.1 MIU/m2/dose/day to about 10
MIU/m2/dose/day in a multiple dose daily regimen, can be used (MIU = million
international units; m2 = approximate body surface area of an average human). In
another embodiment IL-12 and IFN-a are used in therapeutically effective amounts,
and in yet another embodiment IL-15 and IFN-a are used in therapeutically effective
amounts. In another embodiment, IL-2, IFN-a or IFN-7, and GM-CSF are used in
combination. The therapeutic factor(s) used, such as IL-2, IL-12, IL-15, IFN-α, IFN-
γ, and GM-CSF, including combinations thereof, can activate natural killer cells
and/or T cells. Alternatively, the therapeutic factor or combinations thereof,
including an interleukin in combination with an interferon and GM-CSF, can activate
other immune effector cells such as macrophages, B cells, neutrophils, NK cells, NKT

cells, T cells, LAK cells, or the like. The use of any other effective combination of
cytokines including combinations of other interleukins and interferons and colony
stimulating factors is also contemplated.
Chemotherapeutic agents, which are cytotoxic themselves and can
work to enhance tumor permeability, suitable for use in the method include
adrenocorticoids, alkylating agents, antiandrogens, antiestrogens, androgens,
estrogens, antimetabolites such as cytosine arabinoside, purine analogs, pyrimidine
analogs, and methotrexate, busulfan, carboplatin, chlorambucil, cisplatin and other
platinum compounds, tamoxiphen, taxol, cyclophosphamide, plant alkaloids,
prednisone,, hydroxyurea, teniposide, antibiotics such as mitomycin C and bleomycin,
nitrogen mustards, nitrosureas, vincristine, vinblastine, inflammatory and
proinflammatory agents, and any other art-recognized chemotherapeutic agent. Other
therapeutic agents that can be administered adjuvant to the administration of the
conjugates described herein, include penicillins, cephalosporins, vancomycin,
erythromycin, clindamycin, rifampin, chloramphenicol, aminoglycosides, gentamicin,
amphotericin B, acyclovir, trifluridine, ganciclovir, zidovudine, amantadine, ribavirin,
and any other art-recognized antimicrobial compound.
In one illustrative embodiment, the elimination of the population of
pathogenic cells comprises a reduction or elimination of tumor mass or of pathogenic
organisms resulting in a therapeutic response. In the case of a tumor, the elimination
can be an elimination of cells of the primary tumor or of cells that have metastasized
or are in the process of dissociating from the primary tumor. A prophylactic
treatment to prevent return of a tumor after its removal by any therapeutic approach
including surgical removal of the tumor, radiation therapy, chemotherapy, or
biological therapy is also contemplated. The prophylactic treatment can be an initial
treatment with the isolated ligand-fluorescein conjugate, such as treatment in a
multiple dose daily regimen, and/or can be an additional treatment or series of
treatments after an interval of days or months following the initial treatments(s).
In another illustrative embodiment, pharmaceutical compositions are
provided comprising an amount of an isolated ligand-fluorescein conjugate effective
to "label" a population of pathogenic cells in a host animal for specific elimination by
an endogenous immune response or by co-administered antibodies. In another
embodiment, the composition further comprises an amount of an additional factor,

effective to enhance the elimination of the pathogenic cells, selected from the group
consisting of a cell killing agent, a tumor penetration enhancer, a chemotherapeutic
agent, an antimicrobial agent, a cytotoxic immune cell, and a compound capable of
stimulating an endogenous immune response. The pharmaceutical composition
contains therapeutically effective amounts of the isolated ligand-fiuorescein conjugate
and the therapeutic factor and the factor can comprise a cytokine such as IL-2, IL-12,
or IL-15, or combinations of cytokines, including IL-2, IL-12, or IL-15 and
interferons such as IFN-α; or IFN-γ and combinations of interferons, interleukins, and
colony stimulating factors, such as GM-CSF.
The unitary daily dosage of the isolated ligand-fiuorescein conjugate
can vary significantly depending on the host condition, the disease state being treated,
its route of administration and tissue distribution, and the possibility of co-usage of
other therapeutic treatments such as radiation therapy. The effective amount to be
administered to a patient is based on body surface area, patient weight, and physician
assessment of patient condition. An effective dose can range from about 1 ng/kg to
about 1 mg/kg, from about 1 µg/kg to about 500 µg/kg, or from about 1 µg/kg to
about 100 µg/kg.
Any effective regimen for administering the isolated ligand-fiuorescein
conjugate and the therapeutic factor to redirect induced antibodies to the tumor cells
or infectious organisms or to induce a humoral response to the fluorescein can be
used. For example, the isolated ligand-fiuorescein conjugate and therapeutic factor
can be administered as single doses, or they can be divided and administered as a
multiple-dose daily regimen. Further, a staggered regimen, for example, one to three
days per week can be used as an alternative to daily treatment, and such intermittent
or staggered daily regimen is considered to be equivalent to every day treatment. In
one embodiment, the host is treated with multiple injections of the isolated ligand-
fiuorescein conjugate and the therapeutic factor to eliminate the population of
pathogenic cells. In another embodiment, the host is injected multiple times
(preferably about 2 up to about 50 times) with the isolated ligand-fiuorescein
conjugate, for example, at 12-72 hour intervals or at 48-72 hour intervals. Additional
injections of the isolated ligand-fiuorescein conjugate can be administered to the
patient at an interval of days or months after the initial injections(s) and the additional

injections can prevent recurrence of disease. Alternatively, the initial injection(s) of
the isolated ligand-fluorescein conjugate may prevent recurrence of disease.
Illustratively, the therapeutic factor can be administered to the host
animal prior to, after, or at the same time as the isolated ligand-fluorescein conjugate
and the therapeutic factor can be administered as part of the same composition
containing the conjugate or as part of a different composition than the isolated ligand-
fluorescein conjugate. Any such therapeutic composition containing the therapeutic
factor at a therapeutically effective dose can be used in the present method.
Additionally, more than one type of isolated ligand-fluorescein conjugate can be used.
For example, a pteroic acid-fluorescein conjugate and a riboflavin-fluorescein
conjugate can be used in combination. In the case of chemotherapeutic and
antimicrobial agents, the therapeutic factor can be administered at a suboptimal dose
along with the isolated ligand-fluorescein conjugate in a combination therapy to avoid
development of resistance to the chemotherapeutic or antimicrobial agent by the host
animal.
Illustratively, the isolated ligand-fluorescein conjugate and the
therapeutic factor can be injected parenterally and such injections can be
intraperitoneal injections, subcutaneous injections, intramuscular injections,
intravenous injections or intrathecal injections. The isolated ligand-fluorescein
conjugate and the therapeutic factor can also be delivered using a slow pump.
Examples of parenteral dosage forms include aqueous solutions of the active agent, in
an isotonic saline, 5% glucose or other well-known pharmaceutically acceptable
liquid carriers such as liquid alcohols, glycols, esters, and amides. The parenteral
dosage form can be in the form of a reconstitutable lyophilizate comprising the dose
of isolated ligand-fluorescein conjugate and therapeutic factor. In one aspect of the
present embodiment, any of a number of prolonged release dosage forms known in
the art can be administered such as, for example, the biodegradable carbohydrate
matrices described in U.S. Patent Nos. 4,713,249; 5,266,333; and 5,417,982, the
disclosures of which are incorporated herein by reference.
In another illustrative embodiment, pharmaceutical compositions are
provided comprising an amount of an isolated carrier-fluorescein conjugate effective
to establish a novel immunity to the fluorescein moiety in the conjugate when the host
animal is preimmunized with the carrier-fluorescein conjugate. The carrier-

fluorescein conjugate can be used in any of the dosages or dosage forms described
above and can be administered according to any of the regimens described above.
EXAMPLES
Unless otherwise noted, all reactions were performed at ambient
temperature; all evaporations were performed under reduced pressure or in vacuo; and
Example compounds were analyzed by 1H NMR, 13C NMR, elemental analysis,
analytical HPLC, UV absorption, and/or fluorescence, as appropriate.
EXAMPLE 1. Synthesis of compound 8a from a pteroylglutamate.

Step (a). A solution of N10-protected pteroic acid la (119 g, 0.25 mol)
and the a-tert-butyl, γ-methyl diester of glutamate (2a, 76 g, 0.30 mol) in DMF (4 L)
was treated with PyBop (171 g, 0.325 mol) and DEPEA (109 mL, 0.60 mol). After 18
h, the mixture was evaporated giving diester 3a as a precipitate from 1:1 ACN/methyl
tert-butyl ether (MTBE).
Step (b). The tert-butyl protecting group of diester 3 a was
chemoselectively removed with 1:1 TFA/anhydrous DCM in the presence of poly(4-
vinylpyridine) to give the α-acid, γ-methyl ester analog 4 a as a precipitate from 1:1
petroleum ether/MTBE.

Step (c). A mixture of the α-acid, γ-methyl ester analog 4a and
ethylene diamine (5a) was stirred for 2 h to form EDA-folate analog 6a. The N10-
trifluoroacetamide protecting group was simultaneously removed during the reaction.
Compound 6a may be optionally purified to remove remaining ethylene diamine (5 a)
by column chromatography using a DEAE-cellulose solid support, such as DE52
(Whatman Cat. No. 4057-200).
Step (d). EDA-folate analog 6a was condensed with fluorescein
isothiocyanate (FITC, 7) in the presence of DEPEA and 1,1,3,3-tetramethylguanidine
(TMG) in DMSO, giving 8a (218 g), which was collected as a precipitate from 1:1
ACN/MTBE. Folate-FITC 8a was purified by reverse phase column chromatography
(Biotage C18 cartridge, 100 mM sodium phosphate buffer/acetonitrile as mobile
phase). Fractions containing 8a were detected by UV absorption (280 nm) and
pooled. Volatile solvents were evaporated, and the residue was desalted by reverse
phase column chromatography (Biotage C18 cartridge, water/acetonitrile as mobile
phase). Volatile solvents were evaporated, and the residue was lyophilized to give 47
g (22% overall) of 8a. HPLC (Nova-Pale C18 column, 10 mM ammonium
acetate/acetonitrile as mobile phase) indicated that the material was greater than 98%
pure, and bisfluorescein derivative IIIa (n=1) was not detectable by UV or
fluorescence.


Step (a). A mixture of protected glutamic acid 9a and protected
ethylenediamine 10a in THF was treated with PyBOP and diisopropylethylamine
(DIPEA). Amide 11a was isolated by extracting the reaction mixture with EtOAc.
The combined organic phase was evaporated to give amide 11a.
Step (b). Amide 11a was treated with diazabicycloundecane (DBU) in
methylene chloride at ambient temperature to remove the Frnoc protecting group.
The mixture was evaporated to give amine 12a, which may be optionally purified.
Alternatively as indicated below, steps (b)-(d) may be performed in a single operation
without purification in a one-pot process.
Step (c). The residue from step (b), or optionally the purified form
containing amine 12a, was dissolved in DMF and coupled with N10-
trifluoroacetylpteroic acid (1a) using PyBOP and DIPEA. The reaction mixture was
evaporated to give folate analog 13a, which may be optionally purified. Alternatively
as indicated below, steps (c)-(d) may be performed in a single operation without
purification in a one-pot process.
Step (d). The residue from step (c), or optionally the purified form
containing folate analog 13a, was dissolved in methylene chloride and treated with
trifluoroacetic acid (TFA) and poly(4-vinylpyridine) as a cation scavenger to
simultaneously remove the Boc and tert-hutyl protecting groups. Double

precipitation (butyl t-butyl ether, then 1:1 methyl t-butyl ether/CH3CN) gave amine
6b as a light yellow solid.
Step (e). Condensation of amine 6b with fluorescein isothiocyanate
(7) gave the corresponding N10-trifluoroacetamide protected analog of 8a, which was
collected as a precipitate. The precipitate was dissolved in water and the pH was
raised to about 10 or greater resulting in hydrolysis of the N10-trifluoroacetyl-
protecting group, giving 8a.
Folate-FITC 8a was purified by reverse phase HPLC (XTerra column,
90:10 10 mM sodium phosphate buffer/acetonitrile as mobile phase). Fractions
containing 8a were detected by UV absorption (280 nm) and pooled. Volatile
solvents were evaporated. The residue was desalted by reverse phase HPLC (XTerra
column, 50:50 water/acetonitrile as mobile phase). Volatile solvents were evaporated,
and the residue was lyophilized to give of 8a as an orange solid.
EXAMPLE 3. Synthesis of 8a from a ethylenediamineisothiocyanate.

Step (a). A mixture of Boc-protected aminoethylisothiocyanate (14a,
1.5 mmol) and fluoresceinamine (IS, Isomer-I, 0.3 mmol) in EtOH was heated at
reflux for 24 h. The EtOH solvent was evaporated, the residue was dissolved in
water, resulting in a pH of about 10. The aqueous layer was washed with EtOAc, and

EXAMPLE 4. Pretreatment of DEAE cellulose anion exchange solid
support.
Prior to loading the DEAE cellulose anion exchange solid support (for
example DE32) onto a column, the solid support was slurried into 15 volumes of a 0.5
M HC1 solution. After about 0.5 hours, the supernatant was decanted away, and the
solid support was washed with water until the wash had a pH of about 4. The solid
support was slurried into 15 volumes of a 0.5 M NaOH solution. After about 0.5
hours, the supernatant was decanted away, and the solid support was washed with
water until the wash had a pH of about 8.
EXAMPLE 5. Purification of pteroic acid from folic acid with DE32.
Dry microgranular DE32 anion exchange resin (DEAE cellulose,
Whatman Cat. No. 6055-010) was pretreated as described in Example 4. A slurry of
the pretreated resin in deionized water was degassed for at least 1 hour under vacuum,
uniformly packed into a glass column (25 X 900 mm), and the column was checked to
minimize trapped bubbles. The column was equilibrated with the mobile phase (1.0
M NaCl/0.01 M NaOH, pH 11.5). A mixture containing pteroic acid and folic acid
(1.0 g) was partially dissolved in 1.0 M NaCl (1 mL) at about pH 6. The mixture
completely dissolved after adjusting the pH to 11.5. The resulting solution was
loaded onto the column and eluted with the mobile phase (1.0 M NaCl/0.01 M
NaOH). Referring to FIG. 1 A, elution was monitored by UV absorption (280 nm). It
was determined that folic acid eluted in fractions 13-31, and pteroic acid eluted in
fractions 35-81. Referring to FIG. 1B, each of fractions 35-75 contained pteroic acid
(greater than 99% pure) as determined by reversed phase HPLC on a Nova-Pak C18,
3.9 X 150 mm column running a 99:1 to 1:1 A/B gradient at 1 mL/min where A is a 0
1% TFA-H2O solution and B is a 0.1% TFA-CH3CN solution, with detection at 280
nm. Fractions 35-75 were combined, and the pH of the combined fraction was
adjusted to about 2 by adding 1.0 M HC1. The resulting precipitate slurry was
centrifuged, and the supernatant was decanted. The residue was resupended in water,
centrifuged, and the supernatant decanted (3 times). The residue was lyophilized to
give 0.40 g of pteroic acid.
EXAMPLE 6. Purification of pteroic acid from folic acid with DE52.
Pre-swollen microgranular DE52 anion exchange resin (DEAE
cellulose, Whatman Cat. No. 4057-200, 6 kg) was mixed with deionized water (12 L).

The resulting slurry was degassed for at least 1 hour under vacuum, uniformly packed
into a glass column (100 X 1200 mm), and the column was checked to minimize
trapped bubbles. The column was equilibrated with the mobile phase (1.0 M NaCl,
0.01 M NaOH, pH 11.5). A sample of crude pteroic acid (40 g) containing about 25%
folic acid was dissolved in water (500 mL), and the pH was adjusted to 11.5 by
adding a NaOH solution. The solution was filtered, loaded onto the column, and
eluted with the mobile phase. Each fraction was monitored by reversed phase HPLC.
The fractions containing pteroic acid in greater than about 95% purity were combined,
and the pteroic acid was precipitated from the combined fractions by adjusting the pH
to about 3 by adding a 1.0M HCl solution. The precipitate was lyophilized to give
pteroic acid (20 g, > 98% purity as determined by analytical reverse phase HPLC).
The column was regenerated by eluting 2 bed volumes of the mobile
phase. Columns that were stored for about a week or longer were treated with a
preservative, such as a 0.2% benzalkonium chloride solution.
EXAMPLE 7. Purification of a folate-fluorescein conjugate from
fluorescein.
Pre-swollen microgranular DE52 anion resin (DEAE cellulose,
Whatman Cat. No. 4057-200,1.8 kg) was pretreated as described in. Example 6. A
slurry of the pretreated resin in deionized water (4 L) was degassed for at least 1 hour
under vacuum, uniformly packed into a glass column (75 X 600 mm), and the column
was checked to minimize trapped bubbles. The column was equilibrated with the
mobile phase (1.0 M NaCl, NaOH to pH 9.0). A sample of crude folate-fluorescein
conjugate (47.9 g) containing about 10% fluorescein and other impurities was
dissolved in water (600 mL), and the pH was adjusted to 9.0 by adding a 1.0 M NaOH
solution. The solution was filtered, loaded onto the column, and eluted with the
mobile phase. Each fraction was monitored by reversed phase HPLC. The fractions
containing folate-fluorescein conjugate in greater than about 95 % purity were
combined, and the folate-fluorescein conjugate was precipitated from the combined
fractions by adjusting the pH to about 3 by adding a 1.0M HCl solution. The
precipitates was lyophilized to give 8a (41.8 g).
EXAMPLE 8. Purification of 8a by HPLC.
A sample of impure 8a (4 g) was prepared as described in Example 1
and purified by preparative HPLC using an XTERRA RP18, 30 x 300 mm 10 µm

column (Waters) running a 100:0 to 91:9 A/B gradient over 30 min at 35 ml/min
(where A was a 100 mM sodium phosphate (pH 7.4) solution and B was ACN).
Compound 8a eluted and was collected in fractions, while the bisfluorescein-
derivative did not elute under these conditions and was not detected. Each eluted
fraction was monitored by analytical reverse phase HPLC with both a UV detector
and a fluorescence detector. Fractions that were greater than 98% purity by UV, did
not contain any EDA-bisfluorescein or bisfluorescein impurities by UV or by
fluorescence (threshold of less than 0.1%) were combined. The ACN was evaporated
at a temperature less than about 35 °C. The column was regenerated by eluting 1:1
A/B for two or more bed volumes.
The resulting solution of 8a containing phosphate salts was purified by
reverse phase HPLC on a column equilibrated with 100% water for injection (WFI)
by eluting with WFI for 30 min to wash out the phosphate salts, followed by a 100:0
to 91:9 WF17ACN gradient over 30 min at 35 mL/min to elute 8a. Each fraction was
also monitored by analytical reverse phase HPLC with both a UV detector and a
fluorescence detector. Fractions with greater than 98% purity by UV and less than
0.05% EDA-bisfluorescein or bisfluorescein impurities by fluorescence were pooled
and lyophilized to obtain 8a as a powder.
EXAMPLE 9. Effect of isolated folate-fluorescein conjugates on
growth of solid tumors.
Six to eight-week old (~20-22 grams) female Balb/c mice (8
mice/group) were immunized subcutaneously at multiple sites with fluorescein-
labeled keyhole limpet hemocyanin (KLH) using a commercial saponin adjuvant
(GPI-0100; Galenica). After assuring that anti-fluorescein antibody titers were high
in all mice (as evidenced by the results of ELISA assays of serum samples of the
mice), each animal was injected subcutaneously in the shoulder with 1 x 106 M109
cells (a syngeneic lung cancer cell line that expresses high levels of the folate
receptor; day 0) following prior immunization with KLH-fluorescein. The
immunizations with folate-fluorescein after tumor cell implantation consisted of 500,
2000, or 5000 nmol/lcg of folate-fluorescein, conjugated via a gamma carboxyl-linked
ethylene diamine bridge, given in 19 intraperitoneal doses at 24 hour intervals (days
1-19). Control animals were injected with phosphate buffered saline (PBS). A series
of 5 daily injections (five times a week) for three weeks of 20,000 IU/day of

recombinant human IL-2 were administered to all mice in order to stimulate the
immune system. A series of 3 injections for three weeks of 25,000 U/day of
recombinant human IFN-a were also administered to all mice. The efficacy of this
immunotherapy was then evaluated by monitoring tumor volume (mm3) using a
caliper. The tumor growth curves depicted in FIG. 2 show that the growth of solid
tumors was significantly inhibited when animals were treated with folate-fluorescein
in combination with IL-2 and IFN-a
EXAMPLE 10. Purification of EDA-folate (6a) with DE52.
Pre-swollen microgranular DE52 anion exchange resin (DEAE
cellulose, SIGMA) was mixed with deionized water (12 L). The slurry was degassed
for at least 1 h under vacuum, uniformly packed into a glass column (100 X 1200
mm), and the column was checked to minimize trapped bubbles. The column was
equilibrated with a NaOH solution at pH 10.5. A sample of EDA-folate 6a
contaminated with ethylene diamine 5a was partially dissolved in water at neutral pH,
and completely dissolved after adjusting the solution to pH 10.5 by adding a NaOH
solution. After loading the pH adjusted solution, the column was first eluted with 3
bed volumes of NaOH solution at pH 10.5, and then eluted with 2 bed volumes of 1.0
M NaCl/NaOH solution (pH 10.5). The yellow colored fractions obtained while
eluting with 1.0 M NaCl/NaOH (pH 10.5) solution were collected and combined.
EDA-folate 6a was precipitated from the pooled fractions by adjusting the pH to
about 7 by adding an HCl solution. After freeze drying, a small portion of 6a was
coupled with fluorescein and analyzed by HPLC with a fluorescence detector. EDA-
bisfluorescein compounds of formulae II and III were not detected.
EXAMPLE 11. Purification of compound 8a as a calcium or
magnesium salt.
Treatment of 8a as a sodium salt (84% purity) with 10-50 mol
equivalents of magnesium chloride or calcium chloride in water resulted in
precipitation. After heating the mixture to 90-100 °C, the precipitate dissolved to
give a yellow solution, which was filtered, and slowly cooled to room temperature.
The resulting yellow solids were filtered, washed with water, and freeze dried to give
8a in 93-97% purity. The calcium or magnesium salt may be converted to the sodium
salt by ion exchange.

We Claim:
1. A method for purifying , a compound having a formula selected from the group
consisting of

or a salt thereof; wherein m is 0 to 4, n is 1 to 4;
R1, R2, R3 and R4 are each independently hydrogen, alkyl, acyl, or a suitably selected
nitrogen protecting group, or R1 and R2 are taken together to form a nitrogen protecting
group; and
R5 is hydrogen, alkyl, or a suitably selected carboxyl protecting group; the method
comprising the steps of:

(a) contacting a solution comprising the compound with an ion exchange
chromatographic support;
(b) eluting a first fraction comprising the compound with a mobile phase having a
pH of 10 or greater;
(c) lowering the pH of the first fraction to 3 or less; and
(d) precipitating the compound,
2. The method as claimed in claim 1 wherein the solution further comprises folic acid, a
derivative of folic acid, or a combination thereof.
3. The method as claimed in claim 1 wherein the compound is of the formula

4. The method as claimed in claim 2 further comprising the step of (e) eluting a second
fraction comprising folic acid or the derivative of folic acid, where the first fraction and
the second fraction are substantially separated.
5. The method as claimed in any one of claims 1-4 wherein the ion exchange
chromatographic support comprises a saccharide-based ion exchange resin.

6. The method as claimed in any one of claims 1-4 wherein the ion exchange
chromatographic support comprises a saccharide-based anion exchange resin.
7. The method as claimed in any one of claims 1-4 wherein the ion exchange
chromatographic support comprises a saccharide-based anion exchange resin comprising
cellulose, amylase, or a combination thereof.
8. The method as claimed in any one of claims 1-4 wherein the ion exchange
chromatographic support comprises a saccharide-based anion exchange resin selected
from the group consisting of sephadex DEAE, sephadex QA, PEI cellulose, QA cellulose,
DEAE cellulose, and combinations thereof.

9. The method as claimed in any one of claims 1-4 wherein the mobile phase has a pH
of 11 or greater.
10. The method as claimed in any one of claims 1-4 wherein the mobile phase has a pH
in the range from 11 to 14.
11. The method as claimed in any one of claims 1-4 wherein the mobile phase is
substantially free of ammonia or salts thereof.
12. The method as claimed in any one of claims 1-4 wherein the precipitating step
results in a precipitate having a purity of 95% by weight or greater.

13. The method as claimed in any one of claims 1-4 wherein the precipitating step
results in a precipitate having a purity of 98% by weight or greater.
14. The method as claimed in any one of claims 1-4 wherein the precipitating step
results in a precipitate having a purity of 99% by weight or greater.
15. The method as claimed in any one of claims 1-4 wherein the precipitating step
results in a precipitate that is substantially free of folic acid.
16. The method as claimed in any one of claims 1-4 wherein the compound is of the
formula

17. The method as claimed in any one of claims 1-4 wherein the compound is of the
formula


18. The method as claimed in any one of claims 1-4 wherein the compound is of the
formula


ABSTRACT

Title: SYNTHESIS AND PURIFICATION FO PTEROIC ACID AND CONJUGATES
THEREOF
A method for purifying , a compound having a formula selected from the group
consisting of

or a salt thereof; wherein m is 0 to 4, n is 1 to 4;
R1, R2, R3 and R4 are each independently hydrogen, alkyl, acyl, or a suitably selected
nitrogen protecting group, or R1 and R2 are taken together to form a nitrogen protecting
group; and
R5 is hydrogen, alkyl, or a suitably selected carboxyl protecting group; the method
comprising the steps of:
(a) contacting a solution comprising the compound with an ion exchange
chromatographic support;
(b) eluting a first fraction comprising the compound with a mobile phase having a pH
of 10 or greater;
(c) lowering the pH of the first fraction to 3 or less; and
(d) precipitating the compound,

Documents:

03860-kolnp-2007-abstract.pdf

03860-kolnp-2007-assignment.pdf

03860-kolnp-2007-claims-1.1.pdf

03860-kolnp-2007-claims.pdf

03860-kolnp-2007-correspondence 1.3.pdf

03860-kolnp-2007-correspondence others 1.1.pdf

03860-kolnp-2007-correspondence others 1.2.pdf

03860-kolnp-2007-correspondence others 1.3.pdf

03860-kolnp-2007-correspondence others.pdf

03860-kolnp-2007-description complete.pdf

03860-kolnp-2007-drawings.pdf

03860-kolnp-2007-form 1.pdf

03860-kolnp-2007-form 13.pdf

03860-kolnp-2007-form 2.pdf

03860-kolnp-2007-form 26.pdf

03860-kolnp-2007-form 3.pdf

03860-kolnp-2007-form 5.pdf

03860-kolnp-2007-international exm report.pdf

03860-kolnp-2007-international publication.pdf

03860-kolnp-2007-international search report 1.1.pdf

03860-kolnp-2007-international search report.pdf

3860-KOLNP-2007-(04-03-2013)-CORRESPONDENCE.pdf

3860-KOLNP-2007-(12-10-2011)-CORRESPONDENCE.pdf

3860-KOLNP-2007-(21-08-2012)-ABSTRACT.pdf

3860-KOLNP-2007-(21-08-2012)-AMANDED CLAIMS.pdf

3860-KOLNP-2007-(21-08-2012)-ANNEXURE TO FORM 3.pdf

3860-KOLNP-2007-(21-08-2012)-DESCRIPTION (COMPLETE).pdf

3860-KOLNP-2007-(21-08-2012)-DRAWINGS.pdf

3860-KOLNP-2007-(21-08-2012)-EXAMINATION REPORT REPLY RECEIVED.pdf

3860-KOLNP-2007-(21-08-2012)-FORM-1.pdf

3860-KOLNP-2007-(21-08-2012)-FORM-13.pdf

3860-KOLNP-2007-(21-08-2012)-FORM-2.pdf

3860-KOLNP-2007-(21-08-2012)-OTHERS PCT FORM.pdf

3860-KOLNP-2007-(21-08-2012)-OTHERS.pdf

3860-KOLNP-2007-ASSIGNMENT-1.1.pdf

3860-KOLNP-2007-ASSIGNMENT.pdf

3860-KOLNP-2007-CANCELLED PAGES.pdf

3860-kolnp-2007-claims1.1.pdf

3860-KOLNP-2007-CORRESPONDENCE 1.1.pdf

3860-KOLNP-2007-CORRESPONDENCE-1.2.pdf

3860-kolnp-2007-correspondence.pdf

3860-KOLNP-2007-EXAMINATION REPORT-1.1.pdf

3860-KOLNP-2007-EXAMINATION REPORT.pdf

3860-KOLNP-2007-FORM 13 1.1.pdf

3860-KOLNP-2007-FORM 13-1.2.pdf

3860-kolnp-2007-form 13.pdf

3860-KOLNP-2007-FORM 18 1.1.pdf

3860-KOLNP-2007-FORM 18-1.2.pdf

3860-kolnp-2007-form 18.pdf

3860-KOLNP-2007-FORM 26-1.1.pdf

3860-KOLNP-2007-FORM 26.pdf

3860-KOLNP-2007-FORM 3.pdf

3860-KOLNP-2007-FORM 5.pdf

3860-KOLNP-2007-GRANTED-ABSTRACT.pdf

3860-KOLNP-2007-GRANTED-CLAIMS.pdf

3860-KOLNP-2007-GRANTED-DESCRIPTION (COMPLETE).pdf

3860-KOLNP-2007-GRANTED-DRAWINGS.pdf

3860-KOLNP-2007-GRANTED-FORM 1.pdf

3860-KOLNP-2007-GRANTED-FORM 3.pdf

3860-KOLNP-2007-GRANTED-FORM 5.pdf

3860-KOLNP-2007-GRANTED-LETTER PATENT.pdf

3860-KOLNP-2007-GRANTED-SPECIFICATION-COMPLETE.pdf

3860-KOLNP-2007-INTERNATIONAL PUBLICATION.pdf

3860-KOLNP-2007-INTERNATIONAL SEARCH REPORT & OTHERS-1.1.pdf

3860-KOLNP-2007-INTERNATIONAL SEARCH REPORT & OTHERS.pdf

3860-KOLNP-2007-OTHERS.pdf

3860-KOLNP-2007-REPLY TO EXAMINATION REPORT-1.1.pdf

3860-KOLNP-2007-REPLY TO EXAMINATION REPORT.pdf

abstract-03860-kolnp-2007.jpg


Patent Number 255886
Indian Patent Application Number 3860/KOLNP/2007
PG Journal Number 14/2013
Publication Date 05-Apr-2013
Grant Date 28-Mar-2013
Date of Filing 10-Oct-2007
Name of Patentee ENDOCYTE, INC
Applicant Address 3000 KENT AVENUE WEST LAFAYETTE, IN
Inventors:
# Inventor's Name Inventor's Address
1 VLAHOV, IONTCHO,RADOSLAVOV 1041 SHOOTING STAR COURT, WEST LAFAYETTE, IN 47906
2 XU, LE-CUN 2845 ASHLAND STREET, WEST LAFAYETTE, IN 47906
3 LEAMON, CHRISTOPHER, PAUL 5830 FARM RIDGE ROAD WEST LAFAYETTE, IN 47906
4 SANTHAPURAM, HARI, KRISHNA 1704 SANDPIPER DRIVE SOUTH WEST LAFAYETTE, IN 47906
5 LI CHUNHONG 15, CRIMSON KING DRIVE BEAR, DE 19701
PCT International Classification Number C07D 475/08
PCT International Application Number PCT/US2006/009153
PCT International Filing date 2006-03-14
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/662,277 2006-03-16 U.S.A.