CONJUGATE OF MONOMETHYL AURISTATIN F AND TRASTUZUMAB AND ITS USE FOR THE TREATMENT OF CANCER

The present invention relates to an antibody-drug-conjugate. From one aspect, the invention relates to an antibody-drug-conjugate comprising an antibody consisting of the Trastuzumab, said antibody being conjugated to at least one drug consisting of a monomethyl auristatin F derivative. The invention also comprises method of treatment and the use of said antibody-drug-conjugate for the treatment of cancer.

Background of the invention

The invention relates to an antibody-drug-conjugate (ADC) or conjugate and its use for the treatment of cancer.

ADCs combine the binding specificity of an antibody with the potency of drugs such as, for example, cytotoxic agents. The technology associated with the development of monoclonal antibodies, the use of more effective drugs and the design of chemical linkers to covalently bind these components, has progressed rapidly in recent years .

The use of ADCs allows the local delivery of drugs which, if administered as unconjugated drugs, may result in unacceptable levels of toxicity to normal cells. In other words, maximal efficacy with minimal toxicity is sought thereby.

At this day, an ADC on the market, known as TDM1, consists of the antibody

Trastuzumab (Herceptin™) which targets HER2-expressing cancer cells, linked to the antimicrotubule agent DM1 (which is a maytansinoid).

The present invention proposes a new ADC combining Trastuzumab with a new drug moiety, said ADC representing an improvement compared to TDM1 in terms of activity, thus resulting in an advatangeous alternative for the treatment of patient suffering from cancers. Summary of the invention

The invention relates to an antibody-drug-conjugate of the following formula (I):

Ab-(L-D) _n

(I) or a pharmaceutically acceptable salt thereof,

wherein

Ab is Trastuzumab;

L is a linker;

D is a drug moiety of the following formula (Ila):

(Ila) wherein:

R ₂ is COOH, COOCH3 or thiazolyl;

R ₃ is H or (Ci-C ₆ )alkyl;

R ₉ is H or (Ci-C ₆ )alkyl;

m is an integer comprised between 1 and 8;

the wavy line indicates the point of attachment to L; and

n is 1 to 12.

In an embodiment of the antibody-drug-conjugate, D is a drug moiety of the following formula (lib):

In an embodiment of the antibody-drug-conjugate, L is a linker of the following formula (III):

(III)

wherein

L ₂ is (C4-Cio)cycloalkyl-carbonyl, (C ₂ -C6)alkyl, (C ₂ -C6)alkyl-carbonyl,

W is an amino acid unit; w is an integer comprised between 0 and 5;

Y is PAB-carbonyl with PAB being y is 0 or 1 ; the asterisk indicates the point of attachment to D; and

the wavy line indicates the point of attachment to Ab.

In an embodiment of the antibody-drug-conjugate, (L-D) is selected from:

(G-13) wherein the wavy line indicates the point of attachment to Ab.

In an embodiment, the antibody-drug-conjugate has a formula selected from:

-E-13)

(Ab-G-13) and the pharmaceutically acceptable salts thereof,

wherein Ab is Trastuzumab; and

n is 1 to 12. In an embodiment, the invention relates to the antibody-drug-conjugate as descibed for use as a medicament.

In an embodiment, the invention relates to the antibody-drug-conjugate as descibed for use in treating a cancer that express Her2.

In an embodiment, the invention relates to the antibody-drug-conjugate as descibed for use in treating large tumors that express Her2.

In an embodiment, the invention relates to the antibody-drug-conjugate as descibed for use in treating tumors that express Her2 and that are resistant to Trastuzumab.

In an embodiment, said cancer is selected from breast cancer, gastric cancer and lung cancer.

In an embodiment, the invention relates to a composition comprising at least one antibody-drug-conjugate as described.

In an embodiment, the composition is for use in the treatment of a cancer that express Her2.

In an embodiment, the composition is for use in the treatment of large tumors that express Her2.

In an embodiment, the composition is for use in the treatment of tumors that express Her2 and are resistant to Trastuzumab.

In an embodiment, said cancer is selected from breast cancer, gastric cancer and lung cancer.

In an embodiment, the invention relates to a method for the treatment of a cancer that express Her2 in a subject in need thereof, said method comprising administering to the subject an effective amount of at least one antibody-drug-conjugate or of a composition as described.

Detailed description of the invention

I - The Antibody (Ab)

The antibody can consist of any antibody capable of binding to HER2 such as, without limitation, TrasGEX (Glycotope), Trastuzumab ar any biosimilar. Among these biosimilars, we can cited for example the biosimilar trastuzumab candidates which are in phase III development selected from ABP-980 (Actavis/Amgen/Synthon), BCD-022 (Biocad), CANMAb/Hertaz (Biocon/Mylan)bio similars and PF-05280014 (Pfizer) biosimilars.

In a preferred embodiment, the antibody is the Trastuzumab (Herceptin™; 4D5; Genentech, San Francisco, CA).

II - The drug (D)

The drug moiety according to the invention has the following formula (Ila)

where:

- P 2 is COOH, COOCH ₃ or thiazolyl (such as thiazol-2-yl),

- P 3 is H or a (Ci-C ₆ )alkyl (such as methyl), in particular a (Ci-C ₆ )alkyl group,

- P 9 is H or (Ci-C6)alkyl (such as methyl),

- m is an integer comprised between 1 and 8, and

- the wavy line indicates the point of attachment to L.

By "alkyl" in the present invention is meant a straight-chain or branched, saturated hydrocarbon chain. For example, mention can be made of methyl, ethyl, propyl, isopropyl, butyl, isobutyl, sec-butyl, tert-butyl, pentyl or hexyl groups.

By "(C _x -C _y )alkyl" in the present invention is meant an alkyl chain such as defined above comprising x to y carbon atoms. Therefore, a (Ci-C ₆ )alkyl group is an alkyl chain having 1 to 6 carbon atoms.

The (Ci-C ₆ )alkyl is advantageously a (Ci-C4)alkyl, peferably a (Ci-C2)alkyl. Among the compounds of the invention, one particularly appreciated class of drug moieties corresponds to the formula (II) drug moieties in which R ₂ represents a COOH group.

Another particularly appreciated class of moieties corresponds to the formula (II) moieties in which R ₂ is a thiazole (in particular a thiazol-2-yl group).

Another class of particularly appreciated moieties corresponds to the formula (II) moieties in which R ₂ is COOMe.

According to one particular embodiment of the present invention, R ₂ is more particularly a COOH, COOMe or thiazol-2-yl group.

According to a first preferred embodiment, R ₂ is COOH.

According to a second preferred embodiment, R ₂ is COOMe.

R ₃ particularly represents a (Ci-C6)alkyl, advantageously a methyl group, m is an integer comprised between 1 and 8, in particular between 1 and 6, advantageously between 1 and 4, preferably is 1 or 2.

In a preferred embodiment, R ₂ is COOH, R ₃ is a methyl group and m is 1 or 2.

Among the drug moieties of the invention, one particularly appreciated class of drug moieties corresponds to the formula (II) drug moieties in which Rg is a methyl group or a hydrogen.

In a preferred embodiment:

- R ₂ is COOH, R ₃ is a methyl group, Rg is a methyl group and m is 1 or 2, or

- R ₂ is COOH, R ₃ is a methyl group, Rg is a hydrogen and m is 1 or 2.

According to a preferred embodiment, the NR ₉ group is located on the phenyl ring in a para position in relation to the (CH ₂ ) _m group.

Advantageously, the drug moiety is chosen from among the following moieties:

Preparation of the drug (of formula DH):

The drug can be prepared using the general methods described in the following synthesis schemes, optionally supplemented by any standard operation when needed that is described in the literature or well known to persons skilled in the art, or described in the examples in the experimental part hereof.

Scheme 1

Scheme 1 illustrates the first general method which can be used to prepare the drug. In the above e such as previously defined

for formula II, R4 , R4 _a represents a R4 group such as previously defined optionally in protected form and G is a protective group.

The first step consists of the condensing of compound (II), protected on its amine function by a protective group G, with compound (III). X may represent a leaving group such as a chlorine. In this case the first step consists of the reaction between an acid chloride and an amine. This reaction can be conducted using methods and techniques well known to those skilled in the art. In one particularly appreciated method, the two entities are caused to react in the presence of an organic or inorganic base e.g. Et ₃ N, iPr ₂ NEt, pyridine, NaH, Cs ₂ C0 ₃ , K ₂ C0 ₃ in a solvent such as THF, dichloromethane, DMF, DMSO, at a temperature notably between -20°C and 100°C. X may also be a hydroxyl (OH). In this case, the first step is a condensation reaction between the carboxylic acid (II) and the amine (III). This reaction can be performed following methods and techniques well known to skilled persons. In one particularly appreciated method, these two entities are caused to react in the presence of a coupling agent such as l-(3-dimethylaminopropyl)-3-ethyl-carbodiimide (EDC), 3-hydroxy- l,2,3-benzotriazin-4(3H)-one, a tertiary amine such as diisopropylethylamine, in a polar aprotic solvent such as dichloromethane or DMF, at a temperature notably between -15°C and 40°C. In another particularly appreciated method, these two entities are caused to react in the presence of diethyl phosphorocyanidate (DEPC), a tertiary amine such as triethylamine, in a polar aprotic solvent such as dichloromethane or DMF, at a temperature of between -15°C and 40°C. Another particularly appreciated method consists of causing these two entities to react in the presence of 0-(7- azabenzotriazol-l-yl)-l , 1 ,3,3-tetramethyl-uroniumhexafluorophosphate (HATU),a tertiary amine such as diisopropylethylamine, in a polar aprotic solvent such as dichloromethane or DMF, at a temperature of between-15°C and 100°C.

After deprotection of the intermediate using techniques well known to those skilled in the art (« Protective Groups in Organic Synthesis », T.W. Greene, John Wiley & Sons, 2006 and « Protecting Groups », P.J. Kocienski, Thieme Verlag, 1994), compound (IV) can be condensed with compound (V) following the methods and techniques described above to lead to compound (VI) after a deprotection step. This compound can then, after condensation with the intermediate (VII) and optional deprotection, lead to the formation of the drug. Compound (VI) can also be coupled with a compound (VIF) in whichR' ₃ is a precursor of R ₃ , in particular an R ₃ group protected by a protective group. Coupling followed by deprotection of group R' ₃ to lead to R ₃ can be carried out following the same procedures as described previously.

Scheme 2 Scheme 2 illustrates the second general method which can be used to prepare the . In the above general formulas, G is a pro and R4 _a are

such as previously defined, and R _4b represents

At the first step, compound (IX) protected on its amine function by a protective group G is condensed with compound (VI). X may represent a leaving group e.g. a chlorine. In this case, the first step consists of the reaction between an acid chloride and an amine. This reaction can be performed using methods and techniques well known to persons skilled in the art. In one particularly appreciated method the two entities are caused to react in the presence of an organic or inorganic base such as Et ₃ N, iPr ₂ NEt, pyridine, NaH, Cs ₂ C0 ₃ , K ₂ C0 ₃ in a solvent such as THF, dichloromethane, DMF, DMSO at a temperature notably between -20° and 100°C. X may also represent a hydroxyl. In this case, the first step is a condensation reaction between the carboxylic acid (IX) and the amine (VI). This reaction can be conducted following methods and techniques well known to skilled persons. In one particularly appreciated method, the two entities are caused to react in the presence of l-(3-dimethylaminopropyl)-3-ethyl- carbodiimide (EDC), 3-hydroxy-l,2,3-benzotriazin-4(3H)-one, a tertiary amine such as diisopropylethylamine, in a polar aprotic solvent such as dichloromethane or DMF, at a temperature notably between -15°C and 40°C. In another particularly appreciated method, these two entities are caused to react in the presence of diethyl phosphorocyanidate (DEPC), a tertiary amine such as triethylamine, in a polar aprotic solvent such as dichloromethane or DMF, at a temperature notably between -15°C and 40°C.

After deprotection of the intermediate, using techniques well known to skilled persons, the obtained compound (VIII) can lead to the drug after reaction with R ₄ Y. In this case, Y is a leaving group such as CI, Br, I, OS0 ₂ CH ₃ , OS0 ₂ CF ₃ or O-Tosyl. The reaction is conducted in the presence of an organic or inorganic base such as Et ₃ N, iPr ₂ NEt, NaH, Cs ₂ C0 ₃ , K ₂ C0 ₃ , in a polar anhydrous solvent such as dichloromethane, THF, DMF, DMSO at a temperature notably between -20° and 100°C. In another particularly appreciated method, compound (VIII) is caused to react with an aldehyde of formula R4b-CHO where R4b corresponds to a precursor of R4. In this case, the reaction is a reductive amination in the presence of a reducing agent such as NaBH ₄ , NaBH ₃ CN, NaBH(OAc) ₃ , in a polar solvent such as 1,2-dichloroethane, dichloromethane, THF, DMF, MeOH, in the optional presence of titanium isopropoxide (IV), at a pH which can be controlled by the addition of an acid such as acetic acid at a temperature notably between-20°C and 100°C.

In the foregoing synthesis schemes, a drug may lead to another drug after an additional reaction step such as saponification for example using methods well known to skilled persons whereby an R ₂ group representing an ester (COOMe), is changed to an R ₂ group representing a carboxylic acid (COOH).

If it is desired to isolate a drug containing at least one base function in the state of an acid addition salt, this is possible by treating the free base of the drug (containing at least one base function) with a suitable acid, preferably in equivalent quantity. The suitable acid may in particular be trifluoroacetic acid.

III - The linker (L)

"Linker", "Linker Unit", "L" or "link" means, in the present invention, a chemical moiety comprising a covalent bond or a chain of atoms that covalently attaches an antibody to at least one drug.

Linkers may be made using a variety of bifunctional protein coupling agents such as N-succinimidyl-3-(2-pyridyldithio) propionate (SPDP), succinimidyl-4-(N- maleimidomethyl)cyclohexane-l-carboxylate (SMCC), iminothiolane (IT), bifunctional derivatives of imidoesters (such as dimethyl adipimidate HC1), active esters (such as disuccinimidyl suberate), aldehydes (such as glutaraldehyde), bis-azido compounds (such as bis (p-azidobenzoyl) hexanediamine), bis-diazonium derivatives (such as bis-

(p-diazoniumbenzoyl)-ethylenediamine), diisocyanates (such as toluene 2,6- diisocyanate), and bis-active fluorine compounds (such as l,5-difluoro-2,4- dinitrobenzene). Carbon- 14-labeled l-isothiocyanatobenzyl-3-methyldiethylene triaminepentaacetic acid (MX-DTPA) is an exemplary chelating agent for conjugation of cyctotoxic agents to the addressing system. Other cross-linker reagents may be

BMPS, EMCS, GMBS, HBVS, LC-SMCC, MBS, MPBH, SBAP, SIA, SIAB, SMCC, SMPB, SMPH, sulfo-EMCS, sulfo-GMBS, sulfo-KMUS, sulfo-MBS, sulfo-SIAB, sulfo-SMCC, and sulfo-SMPB, and SVSB (succinimidyl-(4-vinylsulfone)benzoate) which are commercially available (e.g., from Pierce Biotechnology, Inc., Rockford, 111., U.S. A).

The linker may be a "non cleavable" or "cleavable".

In a preferred embodiment, it consists in a "cleavable linker" facilitating release of the drug in the cell. For example, an acid-labile linker, peptidase-sensitive linker, photolabile linker, dimethyl linker or disulfide- containing linker may be used. The linker is, in a preferred embodiment, cleavable under intracellular conditions, such that cleavage of the linker releases the drug from the antibody in the intracellular environment.

For example, in some embodiments, the linker is cleavable by a cleaving agent that is present in the intracellular environment (e.g., within a lysosome or endosome or caveolea). The linker can be, for example, a peptidyl linker that is cleaved by an intracellular peptidase or protease enzyme, including, but not limited to, a lysosomal or endosomal protease. Typically, the peptidyl linker comprises at least two successive amino acids or at least three successive amino acids or is at least two amino acids long or at least three amino acids long. Cleaving agents can include cathepsins B and D and plasmin, all of which are known to hydrolyze dipeptide drug derivatives resulting in the release of active drug inside target cells. For example, a peptidyl linker that is cleavable by the thiol-dependent protease cathepsin-B, which is highly expressed in cancerous tissue, can be used (e.g., a linker comprising or being Phe-Leu or Gly-Phe-Leu-Gly). In specific embodiments, the peptidyl linker cleavable by an intracellular protease comprises or is Val-Cit or Phe-Lys. One advantage of using intracellular proteolytic release of the drug is that the drug is typically attenuated when conjugated and the serum stabilities of the conjugates are typically high.

In other embodiments, the cleavable linker is pH-sensitive, i.e., sensitive to hydrolysis at certain pH values. Typically, the pH-sensitive linker is hydrolyzable under acidic conditions. For example, an acid-labile linker that is hydrolyzable in the lysosome (e.g., a hydrazone, semicarbazone, thiosemicarbazone, cis-aconitic amide, orthoester, acetal, ketal, or the like) can be used. Such linkers are relatively stable under neutral pH conditions, such as those in the blood, but are unstable at below pH 5.5 or 5.0, the approximate pH of the lysosome. In certain embodiments, the hydrolyzable linker is a thioether linker (such as, e.g., a thioether attached to the drug via an acylhydrazone bond).

In yet other embodiments, the linker is cleavable under reducing conditions (e.g., a disulfide linker). A variety of disulfide linkers are known in the art, including, for example, those that can be formed using SATA (N-succinimidyl-S-acetylthioacetate), SPDP (N-succinimidyl-3-(2-pyridyldithio)propionate), SPDB (N-succinimidyl-3-(2- pyridyldithio)butyrate) and SMPT (N-succinimidyl-oxycarbonyl-alpha-methyl-alpha- (2-pyridyl-dithio)toluene).

In certain preferred embodiments, the linker unit may have the following general formula:

-(T) _a -(W) _w -(Y) _y - wherein:

T is a stretcher unit;

a is 0 or 1 ;

W is an amino acid unit;

w is an integer ranging from 0 to 12;

Y is a spacer unit;

y is 0, 1 or 2. The stretcher unit (T), when present, links the antibody to an amino acid unit

(W) when present, or to the spacer unit when present, or directly to the drug. Useful functional groups that can be present on the antibody, either naturally or via chemical manipulation, include sulfhydryl, amino, hydroxyl, the anomeric hydroxyl group of a carbohydrate, and carboxyl. Suitable functional groups are sulfhydryl and amino. Sulfhydryl groups can be generated by reduction of the intramolecular disulfide bonds of the antibody, if present. Alternatively, sulfhydryl groups can be generated by reaction of an amino group of a lysine moiety of the antibody with 2-iminothiolane or other sulfhydryl generating reagents. In specific embodiments, the antibody is engineered to carry one or more lysines. More preferably, the antibody can be engineered to carry one or more Cysteines (cf. ThioMabs). In certain specific embodiments, the stretcher unit forms a bond with a sulfur atom of the antibody. The sulfur atom can be derived from a sulfhydryl (-SH) group of a reduced antibody.

In certain other specific embodiments, the stretcher unit is linked to the antibody via a disulfide bond between a sulfur atom of the antibody and a sulfur atom of the stretcher unit.

In other specific embodiments, the reactive group of the stretcher contains a reactive site that can be reactive to an amino group of the antibody. The amino group can be that of an arginine or a lysine. Suitable amine reactive sites include, but are not limited to, activated esters (such as succinimide esters, 4-nitrophenyl esters, pentafluorophenyl esters), anhydrides, acid chlorides, sulfonyl chlorides, isocyanates and isothiocyanates.

In yet another aspect, the reactive function of the stretcher contains a reactive site that is reactive to a modified carbohydrate group that can be present on the antibody. In a specific embodiment, the antibody is glycosylated enzymatically to provide a carbohydrate moiety or is naturally glycosylated. The carbohydrate may be mildly oxidized with a reagent such as sodium periodate and the resulting carbonyl unit of the oxidized carbohydrate can be condensed with a stretcher that contains a functionality such as a hydrazide, an oxime, a reactive amine, a hydrazine, a thiosemicarbazide, a hydrazine carboxylate, or an arylhydrazide.

According to a particular embodiment, the stretcher unit has the following formula:

wherein

L ₂ is (C4-Cio)cycloalkyl-carbonyl, (C ₂ -C ₆ )alkyl or (C ₂ -C ₆ )alkyl-carbonyl (the cycloalkyl or alkyl moieties being linked to the nitrogen atom of the maleimide moiety), the asterisk indicates the point of attachment to the amino acid unit, if present, to the spacer unit, if present, or to the drug D, and

the wavy line indicates the point of attachment to the antibody Ab.

By "(C4-Cio)cycloalkyl" in the present invention is meant a hydrocarbon cycle having 4 to 10 carbon atoms including, but not limited to, cyclopentyl, cyclohexyl and the like.

L ₂ can be advantageously (C ₂ -C6)alkyl-carbonyl such as a pentyl-carbonyl of the following formula:

wherein

the asterisk indicates the point of attachment to the amino acid unit, if present, to the spacer unit, if present, or to the drug D; and

the wavy line indicates the point of attachment to the nitrogen atom of the maleimide moiety.

The amino acid unit (W), when present, links the stretcher unit (T) if present, or otherwise the antibody to the spacer unit (Y) if the spacer unit is present, or to the drug if the spacer unit is absent.

As above mentioned, (W) _w is absent (w = 0) or may be a dipeptide, tripeptide, tetrapeptide, pentapeptide, hexapeptide, heptapeptide, octapeptide, nonapeptide, decapeptide, undecapeptide or dodecapeptide unit, wherein the amino acids forming the peptides can be different from one another.

Thus (W) _w can be represented by the following formula: (Wl) _w i(W2) _w2 (W3) _W 3(W4) _w4 (W5) _W 5, wherein each Wl to W5 represents, independently from one another, an amino acid unit and each wl to w5 is 0 or 1.

In some embodiments, the amino acid unit (W) _w may comprise amino acid residues such as those occurring naturally, as well as minor amino acids and non- naturally occurring amino acid analogs, such as citrulline.

The amino acid residues of the amino acid unit (W) _w include, without limitation, alanine, valine, leucine, isoleucine, methionine, phenylalanine, tryptophan, proline, lysine protected or not with acetyl or formyl, arginine, arginine protected or not with tosyl or nitro groups, histidine, ornithine, ornithine protected with acetyl or formyl, and citrulline. Exemplary amino acid linker components include preferably a dipeptide, a tripeptide, a tetrapeptide or a pentapeptide, notably a dipeptide or a tripeptide.

Exemplary dipeptides include: Val-Cit, Ala-Val, Ala- Ala, Val-Ala, Lys-Lys, Cit-Cit, Val-Lys, Ala-Phe, Phe-Lys, Ala-Lys, Phe-Cit, Leu-Cit, lle-Cit, Trp-Cit, Phe- Ala, Phe-N ⁹ -tosyl-Arg, Phe-N ⁹ -Nitro-Arg.

Exemplary tripeptides include: Val-Ala- Val, Ala-Asn-Val, Val-Leu-Lys, Ala- Ala- Asn, Phe-Phe-Lys, Gly-Gly-Gly, D-Phe-Phe-Lys, Gly-Phe-Lys.

Exemplary tetrapeptide include: Gly-Phe-Leu-Gly (SEQ ID NO. 53), Ala-Leu- Ala-Leu (SEQ ID NO. 54).

Exemplary pentapeptide include: Pro-Val-Gly-Val-Val (SEQ ID NO. 55).

According to a particular embodiment, (W) _w can be a dipeptide (i.e. w = 2) such as Val-Cit, or the linker lacks an amino acid unit (w=0). When the linker lacks an amino acid unit, preferably it lacks also a spacer unit.

According to a preferred embodiment, w = 0 (i.e. (W) _w is a single bond) or w =

2 (i.e. (W) _w is a dipeptide) and (W) _w can thus be selected from:

Ala- Ala),

and in particular is Val-Cit,

wherein the asterisk indicates the point of attachment to the spacer unit if present, or to the drug D; and

the wavy line indicates the point of attachment to L ₂ .

Amino acid linker components can be designed and optimized in their selectivity for enzymatic cleavage by a particular enzyme, for example, a tumor-associated protease, cathepsin B, C and D, or a plasmin protease.

The amino acid unit of the linker can be enzymatically cleaved by an enzyme including, but not limited to, a tumor-associated protease to liberate the drug.

The amino acid unit can be designed and optimized in its selectivity for enzymatic cleavage by a particular tumor-associated protease. The suitable units are those whose cleavage is catalyzed by the proteases, cathepsin B, C and D, and plasmin.

The spacer unit (Y), when present, links an amino acid unit if present, or the stretcher unit if present, or otherwise the antibody to the drug. Spacer units are of two general types: self-immolative and non self-immolative. A non self-immolative spacer unit is one in which part or all of the spacer unit remains bound to the drug after enzymatic cleavage of an amino acid unit from the antibody-drug conjugate. Examples of a non self-immolative spacer unit include, but are not limited to a (glycine-glycine) spacer unit and a glycine spacer unit. To liberate the drug, an independent hydrolysis reaction should take place within the target cell to cleave the glycine-drug unit bond.

In a particular embodiment, a non self-immolative the spacer unit (Y) is Gly.

Alternatively, an antibody-drug conjugate containing a self-immolative spacer unit can release the drug without the need for a separate hydrolysis step. In these embodiments, (Y) is a residue of p-aminobenzyl alcohol (PAB) unit that is linked to (W) _w via the nitrogen atom of the PAB group, and connected directly to the drug via a ester, carbonate, carbamate or ether group.

Other examples of self-immolative spacers include, but are not limited to, aromatic compounds that are electronically equivalent to the PAB group such as residues of 2-aminoimidazol-5-methanol derivatives and ortho or para- aminobenzylacetals. Spacers can be used that undergo facile cyclization upon amide bond hydrolysis, such as substituted and unsubstituted 4-amino butyric acid amides, appropriately substituted bicyclo[2.2.1] and bicyclo[2.2.2] ring systems and 2- aminophenylpropionic acid amides. In an alternate embodiment, the spacer unit is a branched bis(hydroxymethyl)styrene (BHMS) unit, which can be used to incorporate additional drugs.

In a particular embodiment, the spacer unit (Y) is PAB-carbonyl with PAB being (the oxygen of the PAB unit being linked to the carbonyl), 1 or the linker lacks a spacer unit (y=0).

In a particular embodiment, the linker has the following formula (III):

(III)

wherein

L ₂ is (C4-Cio)cycloalkyl-carbonyl, (C ₂ -C ₆ )alkyl or (C ₂ -C ₆ )alkyl-carbonyl (the carbonyl of these moieties, when present, being linked to (W) _w ),

W represents an amino acid unit, with w representing an integer comprised between 0 and 5,

Y is PAB-carbonyl, with PAB being (the oxygen of the PAB unit being linked to the carbonyl), and y is 0 or 1 (preferably y is 0 when w is 0 and y is 0 or 1 when w is comprised between 1 and 5),

the asterisk indicates the point of attachment to the drug D, and

the wavy line indicates the point of attachment to the antibody Ab.

Advantageously, L ₂ is (C ₂ -C ₆ )alkyl-carbonyl such as a pentyl-carbonyl of the following formula: wherein

the asterisk indicates the point of attachment to (W) _w ; and

the wavy line indicates the point of attachment to the nitrogen atom of the maleimide moiety.

Accordin to a preferred embodiment, the linker L is selected from:

wherein the asterisk indicates the point of attachment to the drug D, and the wavy line indicates the point of attachment to the antibody Ab. IV - The Antibodv-Drug-Conjugate (ADC)

In a preferred embodiment, the antibody-drug conjugate of the invention may be prepared by any method known by the person skilled in the art such as, without limitation, i) reaction of a nucleophilic group of the antibody with a bivalent linker reagent followed by reaction with a nucleophilic group of the drug or ii) reaction of a nucleophilic group of the drug with a bivalent linker reagent followed by reaction with a nucleophilic group of the antibody.

Nucleophilic groups on antibody include, without limitation, N-terminal amine groups, side chain amine groups (e.g. lysine), side chain thiol groups, and sugar hydroxyl or amino groups when the antibody is glycosylated.

Nucleophilic groups on the drug include, without limitation, amine, thiol, and hydroxyl groups, and preferably amine groups.

Amine, thiol, and hydroxyl groups are nucleophilic and capable of reacting to form covalent bonds with electrophilic groups on linker moieties and linker reagents including, without limitation, active esters such as NHS esters, HOBt esters, halo formates, and acid halides; alkyl and benzyl halides such as haloacetamides; aldehydes; ketones; carboxyl; and maleimide groups. The antibody may have reducible interchain disulfides, i.e. cysteine bridges. The antibody may be made reactive for conjugation with linker reagents by treatment with a reducing agent such as DTT (dithiothreitol). Each cysteine bridge will thus form, theoretically, two reactive thiol nucleophiles. Additional nucleophilic groups can be introduced into the antibody through any reaction known by the person skilled in the art. As non limitative example, reactive thiol groups may be introduced into the antibody by introducing one or more cysteine residues.

Antibody-drug conjugates may also be produced by modification of the antibody to introduce electrophilic moieties, which can react with nucleophilic substituents on the linker reagent. The sugars of glycosylated antibody may be oxidized to form aldehyde or ketone groups which may react with the amine group of linker reagents or drug. The resulting imine Schiff base groups may form a stable linkage, or may be reduced to form stable amine linkages. In one embodiment, reaction of the carbohydrate portion of a glycosylated antibody with either galactose oxidase or sodium meta-periodate may yield carbonyl (aldehyde and ketone) groups in the protein that can react with appropriate groups on the drug. In another embodiment, proteins containing N-terminal serine or threonine residues can react with sodium meta-periodate, resulting in production of an aldehyde in place of the first amino acid.

In a preferred embodiment, the antibody-drug conjugate of the invention is prepared by preparation of the drug-linker moiety followed by coupling between a nucleophilic group of the antibody (for ex. the SH group of a cysteine moiety) and an electrophilic group of the drug-linker moiety (for ex. a maleimide). 1. Drug-Linker

The Drug-Linker moiety can be prepared by coupling:

- the linker with the drug,

- a part of the linker with the drug before completing the synthesis of the linker,

- the linker with a part or a precursor of the drug before completing the synthesis of the drug, or

- a part of the linker with a part or a precursor of the drug before completing the synthesis of the linker and the drug.

The coupling reactions are well known reactions for the one skilled in the art between a nucleopilic group and an electrophilic group.

The nucleophilic group can be in particular an amine, thiol or hydroxyl group, and notably an amine or hydroxyl group. In a preferred embodiment it is a primary or secondary amine group.

The electrophilic group can be a carboxylic acid group (COOH) optionally in an activated form or an activated carbonate ester moiety.

By "activated form" of a carboxylic acid is meant a carboxylic acid in which the

OH moiety of the COOH function has been replaced with an activated leaving group (LG) enabling coupling of the activated carboxylic acid group with an amino group in order to form an amide bond and release the compound LG-H. Activated forms may be activated esters, activated amides, anhydrides or acyl halides such as acyl chlorides. Activated esters include derivatives formed by reaction of the carboxylic acid group with N-hydroxybenzotriazole or N-hydroxysuccinimide. By "activated carbonate ester" is meant a carbonate ester comprising a -OC(0)OR moiety in which OR represents a good leaving group enabling coupling of the activated carbonate ester with an amino group in order to form a carbamate moiety and release the compound ROH. The R group of the activated carbonate ester includes, without limitation, the p-nitro-phenyl, pentafluorophenyl, 2,5-dioxo-2,5-dihydro-lH- pyrrol-l-yl and benzyl groups, preferably the p-nitro-phenyl and pentafluorophenyl groups.

When the linker has the following formula (III):

(III)

the Drug-Linker moiety has the following formula (IV):

(IV)

and the last step of the synthesis of the Drug-Linker moiety is generally the coupling between a compound of the following formula (V):

(V)

where L ₂ is as defined previously and LG represents a leaving group notably a halide such as a chloride or a group derived from N-hydroxysuccinimide,

and a compound of the following formula (VI):

Η (W) _w -(Y) _y — D

(VI). When y = 1 and Y = PAB-carbonyl, the compound of formula (VI) can be prepared by the coupling between the drug (DH) and a compound of the following formula (VII) or a protected form thereof:

H-(W) _W -PAB— CO— OR

(VII)

where W and w are as defined previously and R is as defined in the definition of the "activated carbonate ester".

When the compound of formula (VII) is in a protected form, final step of deprotection is necessary.

When y = 0, the compound (VI) has the formula H-(W) _W -D, wherein (W) _w and D are composed of amino acid units. Consequently, the compound (VI) can be prepared in this case by a conventional peptide synthesis method well known to the one skilled in the art.

2. Ab-Linker-Drug

A preferred embodiment according to the invention consists of a coupling between a cysteine present on the antibody and an electrophilic group of the Drug- Linker moiety, preferably with a maleimide moiety present on the Drug-Linker moiety.

The maleimide-cysteine coupling can be performed by methods well known to the person skilled in the art.

Generally, antibodies do not contain many, if any, free and reactive cysteine thiol groups which can be linked to a drug moiety. Most cysteine thiol residues in antibodies exist as disulfide bridges and must be reduced with a reducing agent such as dithiothreitol (DTT) or TCEP, under partial or total reducing conditions. The loading (drug/antibody ratio) of an ADC may be controlled in several different manners, including: (i) limiting the molar excess of drug-linker intermediate (D-L) or linker reagent relative to antibody, (ii) limiting the conjugation reaction time or temperature, and (iii) partial or limited reducing conditions for cysteine thiol modification.

The disulfide bond structure of human IgGs is now well established (reviewed in Liu and May, mAbs 4 (2012): 17-23). There are in fact many similarities and some differences with regard to the disulfide bond structures of the 4 human IgG subclasses, namely IgGl, IgG2, IgG3 and IgG4. All IgG subclasses contain invariably 12 intra- chain disulfide bridges and the differences reside in their inter-chain disulfide bonds formed between heavy and light chains. Each intra-chain disulfide bond is associated with an individual IgG domain, i.e. variable (VL and VH) and constant (CL, CHI, CH2 and CH3) domains. The 2 heavy chains of IgGl are linked in their hinge region by 2 disulfide bridges. The heavy and light chains are connected by a disulfide bond between the last cysteine residue of the light chain and the fifth residue of the heavy chain. Interchain disulfide bonds are highly solvent exposed and are consequently much more reactive than the intra-chain disulfide bonds, which are buried in anti-parallel beta-sheet structures within each domain and are not solvent exposed. For these reasons, whatever the antibody isotype, coupling will take place on inter-chain exposed cysteine residues after mild reduction. Each inter-chain disulfide bridge can thus form, theoretically, two sites of conjugation.

Additional nucleophilic groups can be introduced into antibodies through the reaction of lysines with 2-iminothiolane (Traut's reagent) resulting in the conversion of an amine into a thiol. Reactive thiol groups may also be introduced into the antibody (or fragment thereof) by engineering one, two, three, four, or more cysteine residues (e.g., preparing mutant antibodies comprising one or more non-native cysteine amino acid residues). US 7521541 teaches engineering antibodies by introduction of reactive cysteine amino acids.

Cysteine amino acids may be engineered at reactive sites in an antibody and which do not form intrachain or intermolecular disulfide linkages (Junutula, et al, 2008b Nature Biotech., 26(8):925-932; Dornan et al (2009) Blood 114(13):2721-2729; US 7521541; US 7723485; WO2009/052249). The engineered cysteine thiols may react with linker reagents or the drug-linker reagents of the present invention which have thiol-reactive, electrophilic groups such as maleimide or alpha- halo amides to form

ADC with cysteine engineered antibodies and the drug moieties. The location of the drug moiety can thus be designed, controlled, and known. The drug loading can be controlled since the engineered cysteine thiol groups typically react with thiol-reactive linker reagents or drug-linker reagents in high yield. Engineering an IgG antibody to introduce a cysteine amino acid by substitution at a single site on the heavy or light chain gives two new cysteines on the symmetrical antibody. A drug loading near 2 can be achieved with near homogeneity of the conjugation product ADC. Where more than one nucleophilic or electrophilic group of the antibody reacts with a drug-linker intermediate, or linker reagent followed by drug moiety reagent, then the resulting product is a mixture of ADC compounds with a distribution of drug moieties attached to an antibody, e.g. 1, 2, 3, etc. Liquid chromatography methods such as polymeric reverse phase (PLRP) and hydrophobic interaction (HIC) may separate compounds in the mixture by drug loading value. Preparations of ADC with a single drug loading value (p) may be isolated, however, these single loading value ADCs may still be heterogeneous mixtures because the drug moieties may be attached, via the linker, at different sites on the antibody.

For some antibody-drug conjugates, drug ratio may be limited by the number of attachment sites on the antibody. High drug loading, e.g. drug ratio >5, may cause aggregation, insolubility, toxicity, or loss of cellular permeability of certain antibody- drug conjugates. Typically, less drug moieties than the theoretical maximum are conjugated to an antibody during a conjugation reaction.

The drug loading also referred as the Drug-Antibody ratio (DA ) is the average number of drugs per cell binding agent.

In the case of IgGl isotype, where the drugs are bound to cysteines after partial antibody reduction, drug loading may range from 1 to 8 drugs (D) per antibody, i.e. where 1, 2, 3, 4, 5, 6, 7, and 8 drug moieties are covalently attached to the antibody.

Compositions of ADC include collections of cell binding agents, e.g. antibodies, conjugated with a range of drugs, from 1 to 8 or 1 to 12.

The average number of drugs per antibody in preparations of ADC from conjugation reactions may be characterized by conventional means such as UV, reverse phase HPLC, HIC, mass spectrometry, ELISA assay, and electrophoresis.

An alternative consists of lysine coupling. An antibody may contain, for example, many lysine residues that do not react with the drug-linker intermediate (D-L) or linker reagent. Only the most reactive lysine groups may react with an amine- reactive linker reagent. Also, only the most reactive cysteine thiol groups may react with a thiol-reactive linker reagent.

Where the compounds of the invention are bound to lysines, drug loading may range from 1 to 80 drugs (D) per cell antibody, although an upper limit of 40, 20, 10 or 8 may be preferred. Compositions of ADC include collections of cell binding agents, e.g. antibodies, conjugated with a range of drugs, from 1 to 80, 1 to 40, 1 to 20, 1 to 10 or 1 to 8.

The ADC of formula (I) according to the invention can be in the form of a pharmaceutically acceptable salt.

In the present invention by "pharmaceutically acceptable" is meant that which can be used in the preparation of a pharmaceutical composition which is generally, safe non-toxic and neither biologically nor otherwise undesirable, and which is acceptable for veterinary use as well as for human pharmaceutical use.

By "pharmaceutically acceptable salt" of a compound is meant a salt which is pharmaceutically acceptable as defined herein and which has the desired pharmacological activity of the parent compound.

Pharmaceutically acceptable salts notably comprise:

(1) the addition salts of a pharmaceutically acceptable acid formed with pharmaceutically acceptable inorganic acids such as hydrochloric, hydrobromic, phosphoric, sulfuric and similar acids; or formed with pharmaceutically acceptable organic acids such as acetic, trifluoroacetic, propionic, succinic, fumaric, malic, tartaric, citric, ascorbic, maleic, glutamic, benzoic, salicylic, toluenesulfonic, methanesulfonic, stearic, lactic and similar acids; and

(2) the addition salts of a pharmaceutically acceptable base formed when an acid proton present in the parent compound is either replaced by a metallic ion e.g. an alkaline metal ion, an alkaline-earth metal ion or an aluminium ion; or coordinated with a pharmaceutically acceptable organic base such as lysine, arginine and similar; or with a pharmaceutically acceptable inorganic base such as sodium hydroxide, potash, calcium hydroxide and similar.

These salts can be prepared from the compounds of the invention containing a base or acid function, and the corresponding acids or bases using conventional chemical methods.

V - Treatment

Finally, the invention relates to an ADC as above described for use as a medicament, in particular in the treatment of cancer. A further subject of the present invention is a formal (I) compound such as defined above for use as medicinal product, in particular for the treatment of cancer.

The present invention also concerns the use of a formula (I) compound such as defined above for producing a medicinal product, particularly intended for the treatment of cancer.

The present invention also concerns a method for treating cancer comprising the administration to a person in need thereof of an effective mount of a formula (I) compound such as defined above.

Cancers can be preferably selected through HER2 -related cancers including tumoral cells expressing or over-expressing whole or part of HER2 at their surface.

More particularly, said cancers are breast cancer, colon cancer, esophageal carcinoma, hepatocellular cancer, gastric cancer, glioma, lung cancer, melanoma, osteosarcoma, ovarian cancer, prostate cancer, rhabdomyosarcoma, renal cancer, thyroid cancer, uterine endometrial cancer, schwannoma, neuroblastoma, oral squamous cancer, mesothelioma, leiomyosarcoma, Kaposi sarcoma, acute leukemia, colorectal carcinoma, melanoma, pancreatic ductal adenocarcinoma and any drug resistance phenomena or cancers. Preferred cancers are breast cancer, gastric cancer and lung cancer.

For the avoidance of doubt, by drug resistance HER2-expressing cancers, it must be understood not only resistant cancers which initially express HER2 but also cancers which initially do not express or overexpress HER2 but which express HER2 once they have become resistant to a previous treatment.

As it will be apparent from the following examples, a particular advantage of the ADC of the invention is that it is efficient in the treatment of large and/or established tumors contrary to known ADC. This aspect represents a real improvement for the patient as it will allow the treatment of advanced cancers, resistant cancers or both. This aspect seems also promising for the patient as it will allow the decrease of the necessary doses of ADC to be injected to the patient in order to show a real efficacy.

In an embodiment, the composition is for use in the treatment of a cancer that express Her2.

In an embodiment, the composition is for use in the treatment of large tumors that express Her2. By "large tumors" it is intended to designate tumors satisfying at least a predefined size in volume which is well known by a skill person and which depends on the cancer and the tissue or organ concerned by the tumor (wording opposite to the term "small tumors"). In a preferred embodiment, by "large tumors" it is intended to designate tumors having a size volume > 150 mm ³ , more preferably > 200, 250, 300, 350, 400, 450 and 500 mm ³ .

Another object of the invention is a pharmaceutical composition comprising the ADC as described in the specification.

More particularly, the invention relates to a pharmaceutical composition comprising the ADC of the invention with at least an excipient and/or a pharmaceutical acceptable vehicle.

In the present description, the expression "pharmaceutically acceptable vehicle" or "excipient" is intended to indicate a compound or a combination of compounds entering into a pharmaceutical composition not provoking secondary reactions and which allows, for example, facilitation of the administration of the active compound(s), an increase in its lifespan and/or in its efficacy in the body, an increase in its solubility in solution or else an improvement in its conservation. These pharmaceutically acceptable vehicles and excipients are well known and will be adapted by the person skilled in the art as a function of the nature and of the mode of administration of the active compound(s) chosen.

The active ingredient can be administered in unit forms of administration, in a mixture with conventional pharmaceutical carriers, to animals or to human beings. Suitable unit forms of administration comprise forms via oral route and forms for administration via parenteral route (subcutaneous, intradermal, intramuscular or intravenous).

As solid compositions, for oral administration, use can be made of tablets, pills, powders (hard or soft gelatine capsules) or granules. In these compositions, the active ingredient of the invention is mixed with one or more inert diluents such as starch, cellulose, sucrose, lactose or silica, in a stream of argon. These compositions may also comprise substances other than diluents, for example one or more lubricants such as magnesium stearate or talc, a colouring agent, a coating (coated tablets) or a varnish. The sterile compositions for parenteral administration may preferably be aqueous or non-aqueous solutions, suspensions or emulsions. As solvent or vehicle, use can be made of water, propylene glycol, a polyethylene glycol, vegetable oils, in particular olive oil, injectable organic esters e.g. ethyl oleate or other suitable organic solvents. These compositions may also contain adjuvants, in particular wetting, isotonic, emulsifying, dispersing and stabilising agents. Sterilisation can be performed in several manners, for example by sanitising filtration, by incorporating sterilising agents into the composition, by radiation or by heating. They can also be prepared in the form of solid sterile compositions which can be dissolved at the time of use in sterile water or any other injectable sterile medium.

Preferably, these ADCs will be administered by the systemic route, in particular by the intravenous route, by the intramuscular, intradermal, intraperitoneal or subcutaneous route, or by the oral route. In a more preferred manner, the composition comprising the ADCs according to the invention will be administered several times, in a sequential manner.

The invention concerns thus also a kit comprising at least i) an antibody-drug- conjugate according to the invention and/or a pharmaceutical composition according to the invention and ii) a syringe or vial or ampoule in which the said antibody-drug- conjugate and/or pharmaceutical composition is disposed.

Their modes of administration, dosages and optimum pharmaceutical forms can be determined according to the criteria generally taken into account in the establishment of a treatment adapted to a patient such as, for example, the age or the body weight of the patient, the seriousness of his/her general condition, the tolerance to the treatment and the secondary effects noted.

Other characteristics and advantages of the invention appear in the continuation of the description with the examples and the figures whose legends are represented below.

FIGURE LEGENDS

Figure 1 : In vivo activity of the tratuzumab antibody conjugated to E-13 compound in the Calu-3 xenograft model. Figure 2: In vivo activity of the tratuzumab antibody conjugated to G-13 compound in the Calu-3 xenograft model.

Figure 3: In vivo activity of the tratuzumab antibody conjugated to E-13 compound in the JIMT-1 xenograft model.

Figure 4: In vivo activity of the tratuzumab antibody conjugated to G-13 compound in the JIMT-1 xenograft model.

Figure 5: In vivo activity of the tratuzumab alone in the JIMT-1 xenograft model.

Figure 6: In vivo activity of Trastuzumab antibody conjugated to G-13 compound in the JIMT-1 xenograft model when tumor volume reached 350 mm ³

Figure 7: In vivo activity of Trastuzumab antibody conjugated to G-13 compound in the JIMT-1 xenograft model when tumor volume reached 650 mm ³

EXAMPLES

Example 1: Synthesis of the drugs of the invention

The following abbreviations are used in the following examples:

aq. aqueous

ee enantiomeric excess

equiv equivalent

ESI Electrospray ionisation

LC/MS Liquid Chromatography coupled with Mass Spectrometry

HPLC High Performance Liquid Chromatography

NMR Nuclear Magnetic Resonance

sat. saturated

UV ultraviolet Reference Compound 1

(S)-2-((S)-2-((3-aminopropyl)(methyl)amino)-3-methylbutanami do)- V- ((3R,4S,5S)-3-methoxy-l-((S)-2-((lR,2R)-l-methoxy-2-methyl-3 -oxo-3-(((S)- 2-phenyl-l-(thiazol-2-yl)ethyl)amino)propyl)pyrrolidin-l-yl) -5-methyl-l- oxoheptan-4-yl)- V,3-dimethylbutanamide, bis trifluoroacetic acid

Compound 1A: (4R, 5S)-4-methyl-5-phenyl-3-propanoyl-l,3-oxazolidin-2- one

(4R, 5S)-4-methyl-5-phenyl-l,3-oxazolidin-2-one (5.8 g, 32.7 mmol, 1.00 equiv) was dissolved in tetrahydrofuran (THF, 120 mL) in an inert atmosphere. The mixture was cooled to -78°C and n-butyllithium (14.4 mL) was added drop-wise. After agitation for 30 minutes at -78°C, propanoyl chloride (5.7 mL) was added. Agitation was continued for 30 minutes at -78°C then overnight at ambient temperature. The reaction mixture was concentrated then re-dissolved in 200 mL of water. The pH of the solution was adjusted to 7 with sodium bicarbonate saturated aqueous solution. This aqueous phase was extracted 3 times with 100 mL of ethyl acetate (EtOAc). The organic phases were combined, dried over sodium sulfate, filtered and concentrated to yield 6.8 g (89 %) of compound 1A in the form of a yellow oil.

Compound IB: tert-butyl (2S)-2-[(lR,2R)-l-hydroxy-2-methyl-3-[(4R,5S)-

4-methyl-2-oxo-5-phenyl- 1 ,3-oxazo lidin-3-yl]-3-oxopropyl]pyrrolidine- 1 - carboxylate

Compound 1A (17.6 g, 75.45 mmol, 1.00 equiv) was dissolved in dichloromethane (DCM, 286 mL) in an inert atmosphere. This solution was cooled with an ice bath. Triethylamine (TEA, 12.1 mL, 1.15 equiv) and Bu ₂ BOTf (78.3 mL, 1.04 equiv) were added drop-wise whilst holding the temperature of the reaction mixture below 2°C. Agitation was continued at 0°C for 45 minutes, after which the reaction was cooled to -78°C. A solution of tert-butyl (2S)-2-formylpyrrolidine-l- carboxylate (8.5 g, 42.66 mmol, 0.57 equiv) in DCM (42 mL) was added drop-wise. Agitation was continued for 2 hours at -78°C, then for 1 hour at 0°C and finally 1 hour at ambient temperature. The reaction was neutralised with 72 mL of phosphate buffer (pH = 7.2 - 7.4) and 214 mL methanol, and cooled to 0°C. A solution of 30 % hydrogen peroxide in methanol (257 mL) was added drop-wise whilst maintaining the temperature below 10°C. Agitation was continued for 1 hour at 0°C. The reaction was neutralised with 142 mL of water, then concentrated under reduced pressure. The resulting aqueous solution was extracted 3 times with 200 mL EtOAc. The organic phases were combined, dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of EtOAc and petroleum ether (EtOAc:PE = 1 :8) to yield 13.16 g (40 %) of compound IB in the form of a colourless oil.

Compound 1C: (2R,3R)-3-[(2S)-l-[(tert-butoxy)carbonyl]pyrrolidin-2-yl]- 3-hydroxy-2-methylpropanoic acid

Compound IB (13.16 g, 30.43 mmol, 1.00 equiv) was dissolved in THF (460 mL) in the presence of hydrogen peroxide (30 % in water, 15.7 mL), then cooled with an ice bath. An aqueous solution of lithium hydroxide (0.4 mol/L, 152.1 mL) was added drop-wise whilst holding the reaction temperature below 4°C. The reaction mixture was agitated 2.5 hours at 0°C. An aqueous solution of Na ₂ S0 ₃ (1 mol/L, 167.3 mL) was added drop-wise whist holding the temperature at 0°C. The reaction mixture was agitated 14 hours at ambient temperature, then neutralised with 150 mL of cold sodium bicarbonate saturated solution and washed 3 times with 50 mL of DCM. The pH of the aqueous solution was adjusted to 2-3 with a 1M aqueous solution of KHS0 ₄ . This aqueous solution was extracted 3 times with 100 mL of EtOAc. The organic phases were combined, washed once with saturated NaCl solution, dried over sodium sulfate, filtered and concentrated to yield 7.31 g (88 %) of compound 1C in the form of a colourless oil.

Compound ID: (2R,3R)-3-[(2S)-l-[(tert-butoxy)carbonyl]pyrrolidin-2-yl]- 3-methoxy- -methylpropanoic acid

Compound 1C (7.31 g, 26.74 mmol, 1.00 equiv) was dissolved in an inert atmosphere in THF (135 mL) in the presence of iodomethane (25.3 mL). The reaction medium was cooled with an ice bath after which NaH (60 % in oil, 4.28 g) was added in portions. The reaction was left under agitation 3 days at 0°C and then neutralised with 100 mL of sodium bicarbonate saturated aqueous solution and washed 3 times with 50 mL ether. The pH of the aqueous solution was adjusted to 3 with 1M aqueous KHSO ₄ solution. This aqueous solution was extracted 3 times with 100 mL of EtOAc. The organic phases were combined, washed once with 100 mL of Na ₂ S ₂ C>3 (5 % in water), once with NaCl-saturated solution, then dried over sodium sulfate, filtered and concentrated to yield 5.5 g (72 %) of compound ID in the form of a colourless oil.

Compoun -methoxy-N-methyl-2-phenylacetamide

2-phenylacetic acid (16.2 g, 118.99 mmol, 1.00 equiv) was dissolved in dimethylformamide (DMF, 130 mL) then cooled to -10°C. Diethyl phosphorocyanidate (DEPC, 19.2 mL), methoxy(methyl)amine hydrochloride (12.92 g, 133.20 mmol, 1.12 equiv) and triethylamine (33.6 mL) were added. The reaction mixture was agitated 30 minutes at -10°C then 2.5 hours at ambient temperature. It was then extracted twice with 1 litre of EtOAc. The organic phases were combined, washed twice with 500 mL of NaHCC"3 (sat.), once with 400 mL of water, then dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with an EtOAc and PE mixture (1 : 100 to 1 :3) to yield 20.2 g (95 %) of compound IE in the form of a yellow oil.

Compound IF: 2-phenyl-l-(l ,3-thiazol-2-yl)ethan-l-one

Tetramethylethylenediamine (TMEDA, 27.2 mL) was dissolved in THF 300 mL) in an inert atmosphere, then cooled to -78°C before the drop-wise addition of n- BuLi (67.6 mL, 2.5 M). 2-bromo-l,3-thiazole (15.2 mL) was added drop-wise and agitation was continued 30 minutes at -78°C. Compound IE (25 g, 139.50 mmol, 1.00 equiv) dissolved in THF (100 mL) was added drop-wise. Agitation was continued for 30 minutes at -78°C then 2 hours at -10°C. The reaction was neutralised with 500 mL of KHSO ₄ (sat.), then extracted 3 times with 1 litre of EtOAc. The organic phases were combined, washed twice with 400 mL water and twice with 700 mL of NaCl (sat.), then dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of EtOAc and PE (1 : 100 to 1 : 10) to yield 25 g (88 %) of compound IF in the form of a yellow oil.

Compound 1G: lR)-2-phenyl-l-(l ,3-thiazol-2-yl)ethan-l-ol

In an inert atmosphere, a solution of compound IF (15 g, 73.8 mmol, 1.00 equiv.) in ether (300 mL) was added drop-wise to (+)-B- chlorodiisopinocampheylborane ((+)-Ipc ₂ BCl, 110.8 mL). The reaction mixture was agitated 24 hours at 0°C, then neutralised with 300 mL of a (1 : 1) mixture of NaOH (10 % in water) and H ₂ 0 ₂ (30 % in water), and finally extracted three times with 500 mL of EtOAc. The organic phases were combined, washed twice with 300 mL of K ₂ CO ₃ (sat.) and once with 500 mL of NaCl (sat.), then dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of EtOAc and PE (1 :20 to 1 :2) to yield 6.3 g (42 %) of compound 1G in the form of a white solid.

Compound -[(l S)-l-azido-2-phenyleth l]-l ,3-thiazole

Compound 1G (6 g, 29.23 mmol, 1.00 equiv.) was dissolved in an inert atmosphere in THF (150 mL) in the presence of triphenylphosphine (13 g, 49.56 mmol, 1.70 equiv.), then cooled to 0°C. Diethylazodicarboxylate (DEAD, 7.6 mL) was added drop-wise, followed by diphenylphosphorylazide (DPPA, 1 1 mL), the cold bath was then removed and the solution was left under agitation 48 hours at ambient temperature. The medium was concentrated under reduced pressure. The residue was purified on a silica column with a mixture of EtOAc and PE (1 : 100 to 1 :30) to yield 8 g of partly purified compound 1H in the form of a yellow oil. Compound 1H was used as such in the following step.

Compound II: tert-butyl N-[(l S)-2-phenyl-l-(l ,3-thiazol-2-yl)ethyl] carbamate.

Compound 1H (6.5 g, 28.2 mmol, 1.00 equiv) was dissolved in an inert atmosphere in THF (100 mL) in the presence of triphenylphosphine (6.5 g, 33.9 mmol, 1.20 equiv.), and heated to 50°C for 2 hours. Ammonia (70 mL) was then added and heating was continued for 3 hours. The reaction was cooled, neutralised with 500 mL water, then extracted 3 times with 500 mL of EtOAc. The organic phases were combined and extracted twice with 500 mL of IN HC1. The aqueous phases were combined, brought to pH 8-9 by adding a sodium hydroxide solution (10 % in water), then extracted 3 times with 500 mL of DCM. The organic phases were combined, dried over sodium sulfate, filtered and concentrated to yield 4.8 g (83 %) of (l S)-2-phenyl- l-(l ,3-thiazol-2-yl)ethan-l-amine in the form of a yellow oil. This compound was then protected with a Boc group ((tert-butoxy)carbonyl) so that it could be purified. It was dissolved in an inert atmosphere in 1 ,4-dioxane (40 mL), then cooled to 0°C. (Boc) ₂ 0 (10.26 g, 47.01 mmol, 2.00 equiv) diluted in 20 mL of 1 ,4-dioxane was added drop-wise. The cold bath was removed and the solution left under agitation overnight at ambient temperature before being neutralised with 300 mL of water and extracted twice with 500 mL of EtOAc. The organic phases were combined, dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of EtOAc and PE (1 : 100 to 1 :20, ee = 93 %). It was then recrystallized in a hexane/acetone mixture (~ 5-10 / 1 , lg / 10 mL) to yield 6 g (84 %) of compound II in the form of a white solid (ee > 99 %).

Compound 1J: tert-butyl (2S)-2-[(lR,2R)-l-methoxy-2-methyl-2-[[(l S)-2- phen - 1 -( 1 ,3-thiazo l-2-yl)ethyl]carbamoyl]ethyl]pyrro lidine- 1 -carboxylate

Compound II (3 g, 9.86 mmol, 1.00 equiv) was dissolved in an inert atmosphere in 10 mL DCM. Trifluoroacetic acid (TFA, 10 mL) was added and the solution left under agitation overnight at ambient temperature, then concentrated under reduced pressure to yield 2.0 g (64 %) of (l S)-2-phenyl-l-(l ,3-thiazol-2-yl)ethan-l-amine; trifluoroacetic acid in the form of a yellow oil. This intermediate was re-dissolved in 20 mL of DCM after which compound ID (1.8 g, 6.26 mmol, 1.05 equiv), DEPC (1.1 g, 6.75 mmol, 1.13 equiv) and diisopropylethylamine (DIEA, 1.64 g, 12.71 mmol, 2.13 equiv) were added. The reaction mixture was left under agitation overnight at ambient temperature, then concentrated under reduced pressure. The residue was purified on a silica column with a mixture of EtOAc and PE (1 : 100 to 1 :3) to yield 2.3 g (81 %) of compound 1 J in the form of a pale yellow solid.

Compound IK: (2R,3R)-3-methoxy-2-methyl-N-[(l S)-2-phenyl-l-(l ,3- thiazol-2-yl)ethyl]-3-[(2S)-pyrrolidin-2-yl]propanamide; trifluoroacetic acid

Compound 1J (2.25 g, 4.75 mmol, 1.00 equiv) was dissolved in an inert atmosphere in 10 mL of DCM. TFA (10 mL) was added and the solution left under agitation overnight at ambient temperature, then concentrated under reduced pressure to yield 2.18 g (94 %) of compound IK in the form of a yellow oil.

Compound 1L: (2S,3S)-2-(benzylamino)-3-methylpentanoic acid

(2S,3S)-2-amino-3-methylpentanoic acid (98.4 g, 750 mmol, 1.00 equiv) was added at ambient temperature and in portions to a 2N sodium hydroxide solution (375 mL). Benzaldehyde (79.7 g, 751.02 mmol, 1.00 equiv) was quickly added and the resulting solution was agitated 30 minutes. Sodium borohydride (10.9 g, 288.17 mmol, 0.38 equiv) was added in small portions, whilst holding the temperature at between 5 and 15°C. Agitation was continued for 4 hours at ambient temperature. The reaction mixture was diluted with 200 mL of water, then washed twice with 200 mL of EtOAc. The pH of the aqueous solution was adjusted to 7 with a 2N hydrochloric acid solution. The formed precipitate was collected by filtering and gave 149.2 g (90 %) of compound 1L in the form of a white solid.

S)-2-[benzyl(methyl)amino -3-methylpentanoic acid

Compound 1L (25 g, 112.97 mmol, 1.00 equiv) was dissolved in an inert atmosphere in formic acid (31.2 g) in the presence of formaldehyde (36.5 % in water, 22.3 g). The solution was agitated 3 hours at 90°C then concentrated under reduced pressure. The residue was triturated in 250 mL of acetone, then concentrated. This trituration/evaporation operation was repeated twice with 500 mL of acetone to yield 21.6 g (81 %) of compound 1M in the form of a white solid.

Comp nd IN: (2S ,3 S)-2-[benzyl(methyl)amino ]-3-methylpentan- 1 -o 1

L1AIH ₄ (0.36 g) was suspended in 10 mL of THF in an inert atmosphere at 0°C. Compound 1M (1.5 g, 6.37 mmol, 1.00 equiv) was added in small portions whilst holding the temperature at between 0 and 10°C. The reaction mixture was agitated 2 hours at 65°C, then again cooled to 0°C before being neutralised with successive additions of 360 of water, 1 mL of 15 % sodium hydroxide and 360 of water. The aluminium salts which precipitated were removed by filtering. The filtrate was dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of EtOAc and PE (1 :50) to yield 820 mg (58 %) of compound IN in the form of a pale yellow oil.

Compound IO: (2S,3S)-2-[benzyl(methyl)amino]-3-methylpentanal

Oxalyl chloride (0.4 mL) was dissolved in DCM (15 mL) in an inert atmosphere. The solution was cooled to -70°C and a solution of dimethylsulfoxide (DMSO (0.5 mL) in DCM (10 mL) was added drop-wise for 15 minutes. The reaction mixture was agitated 30 minutes after which a solution of compound IN (820 mg, 3.70 mmol, 1.00 equiv) in DCM (10 mL) was added drop-wise for 15 minutes. The reaction mixture was agitated a further 30 minutes at low temperature, then triethylamine (2.5 mL) was slowly added. The reaction mixture was agitated 1 hour at -50°C, the cold bath was then removed and the reaction neutralised with 25 mL of water whilst allowing the temperature to return to normal. The solution was washed once with 30 mL of NaCl- saturated aqueous solution, then dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of EtOAc and PE (1 :200) to yield 0.42 g (52 %) of compound IO in the form of a yellow oil. Compound IP: (2S,3S)-N-benzyl-l , l-dimethoxy-N,3-dimethylpentan-2 amine

Compound lO (4.7 g, 21.43 mmol, 1.00 equiv) was dissolved in 20 mL of methanol at 0°C. Concentrated sulfuric acid (4.3 mL) was added drop-wise and agitation was continued for 30 minutes at 0°C. Trimethyl ortho formate (21.4 mL) was added, the cold bath removed and the reaction medium left under agitation for 3 hours at ambient temperature. The reaction medium was diluted with 200 mL of EtOAc, successively washed with 100 mL of 10 % Na ₂ C03 and 200 mL of saturated NaCl, then dried over sodium sulfate, filtered and concentrated under reduced pressure to yield 3.4 g (60 %) of compound IP in the form of a pale yellow oil.

Compound I : [ [ 1 -(tert-butoxy)ethenyl]oxy] (tert-butyl)dimethylsilane

Diisopropylamine (20 g, 186.71 m mol, 1.08 equiv) was dissolved in 170 mL of THF in an inert atmosphere and cooled to -78°C. nBuLi (2.4 M, 78.8 mL) was added drop-wise and the solution agitated 30 minutes at low temperature (to give LDA- lithium diisopropylamide) before adding tert-butyl acetate (20 g, 172.18 mmol, 1.00 equiv). The reaction mixture was agitated 20 minutes at -78°C before adding hexamethylphosphoramide (HMPA, 25.8 mL) and a solution of tertbutyldimethylchlorosilane (TBDMSCl, 28 g, 185.80 mmol, 1.08 equiv) in 35 mL of THF. Agitation was continued for 20 additional minutes at low temperature, and the cold bath was then removed. The solution was concentrated under reduced pressure. The residue was re-dissolved in 100 mL of water and extracted 3 times with 100 mL of PE. The organic phases were combined, washed once with 500 mL of NaCl-saturated aqueous solution, dried over sodium sulfate, filtered and concentrated. The residue was purified by distillation to yield 16.6 g (83 %) of compound 1Q in the form of a colourless oil. Compound 1R: tert-butyl (3R,4S,5S)-4-[benzyl(methyl)amino]-3-methoxy- 5-meth l heptanoate

Compound IP (2.0 g, 7.54 mmol, 1.00 equiv) and compound 1Q (2.6 g, 11.28 mmol, 1.50 equiv) were dissolved in 33 mL of DCM in an inert atmosphere. The solution was cooled to 0°C. DMF (1.2 g) was added drop-wise together with a solution of BF ₃ Et ₂ 0 (2.1 g) in 7.5 mL of DCM. Agitation was continued for 24 hours at 0°C. The reaction medium was washed once with 30 mL of sodium carbonate (10 %) and twice with 50 mL of NaCl-saturated aqueous solution, then dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of EtOAc and PE (1 : 100) to yield 1.82 g (91 %) of compound 1R in the form of a yellow oil.

Compound IS: (3R,4S,5S)-3-methoxy-5-methyl-4-(methylamino)heptanoate hydrochloride

Compound 1R (2.4 g, 6.87 mmol, 1.00 equiv) was dissolved in an inert atmosphere in 35 mL of ethanol in the presence of Pd/C (0.12 g) and concentrated hydrochloric acid (0.63 mL). The nitrogen atmosphere was replaced by a hydrogen atmosphere and the reaction medium was left under agitation 18 hours at ambient temperature. The reaction medium was filtered and concentrated under reduced pressure. The residue was triturated in 50 mL of hexane and the supernatant removed which, after drying under reduced pressure, gave 1.66 g (82 %) of compound IS in the form of a white solid.

Compound IT: tert-butyl (3R,4S,5S)-4-[(2S)-2- [[(benzyloxy)carbonyl]amino]-N,3-dimethylbutanamido]-3-mthox y-5- methylheptanoate

(2S)-2-[[(benzyloxy)carbonyl]amino]-3-methylbutanoic acid (15 g, 0.40 mmol, 1.00 equiv) was dissolved in 300 mL of DCM in the presence of DIEA (38.3 mL) and bromotripyrrolidinophosphonium hexafluorophosphate (PyBrOP, 32.3g). The solution was agitated 30 minutes at ambient temperature before adding compound IS (15.99g, 0.42 mmol, 1.07 equiv). The reaction medium was agitated 2 hours and then concentrated. The residue was purified in reverse phase (CI 8) with a mixture of acetonitrile (ACN) and water (30:70 to 100:0 in 40 minutes) to yield 17 g (58 %) of compound IT in the form of a colourless oil.

Compound 1U: tert-butyl (3R,4S,5S)-4-[(2S)-2-amino-N,3- dimethylbutanamido]-3-methoxy-5 - methylheptanoate

Compound IT (76 mg, 0.15 mmol, 1.00 equiv) was dissolved in an inert atmosphere in 10 mL of ethanol in the presence of Pd/C (0.05 g). The nitrogen atmosphere was replaced by a hydrogen atmosphere and the reaction agitated 2 hours at ambient temperature. The reaction medium was filtered and concentrated under reduced pressure to yield 64 mg of compound 1U in the form of a colourless oil.

Compound IV: (3R,4S,5S)-4-[(2S)-2-[[(9H-fluoren-9-ylmethoxy)carbonyl] amin -N,3-dimethylbutanamido]-3-methoxy-5-methylheptanoate

Compound 1U (18.19 g, 50.74 mmol, 1.00 equiv) was dissolved in 400 mL of a 1 ,4-dioxane/water mixture (1 : 1) in the presence of sodium bicarbonate (12.78 g, 152 mmol, 3.00 equiv) and 9H-fluoren-9-ylmethyl chloro formate (Fmoc-CI, 19.69 g, 76 mmol, 1.50 equiv), then agitated 2 hours at ambient temperature. The reaction medium was then diluted with 500 mL of water and extracted 3 times with 200 mL of EtOAc. The organic phases were combined, washed once with 200 mL of NaCl-saturated aqueous solution, dried over sodium sulfate, filtered and concentrated to yield 40 g of partly purified compound IV in the form of a pale yellow oil.

Compound 1W: (3R,4S,5S)-4-[(2S)-2-[[(9H-fluoren-9-ylmethoxy)carbonyl] amino]- -dimethylbutanamido]-3-methoxy-5-methylheptanoic acid

Compound IV (40 g, 68.88 mmol, 1.00 equiv) was dissolved in a neutral atmosphere in 600 mL of DCM. TFA (300 mL) was added. The solution was agitated 2 hours at ambient temperature, then concentrated under reduced pressure. The residue was purified on a silica column with a mixture of methanol and DCM (1 : 10) to yield 23.6 g (65 %) of compound 1W in colourless oil form.

Compound IX: 9H-fluoren-9-ylmethyl N-[(lS)-l-[[(3R,4S,5S)-3-methoxy- l-[(2S)-2-[(lR,2R)-l-methoxy-2-methyl-2-[[(lS)-2-phenyl-l-(l ,3-thiazol-2- yl)ethyl] carbamoyl] ethyljpyrrolidin- 1 -yl]-5-methyl- 1 -oxoheptan-4-yl] (methyl) carbamoyl]-2-methylpropyl]carbamate

Compound 1W (2.53 g, 4.82 mmol, 1.08 equiv) was dissolved in 20 mL of DCM in the presence of compound IK (2.18 g, 4.47 mmol, 1.00 equiv), DEPC (875 mg, 5.37 mmol, 1.20 equiv) and DIEA (1.25 g, 9.67 mmol, 2.16 equiv). The reaction mixture was left under agitation overnight at ambient temperature, then successively washed with 50 mL of saturated KHS0 ₄ and 100 mL of water, dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of methanol and DCM (1 :200 to 1 :40) to yield 2.8 g (71 %) of compound IX in the form of a pale yellow solid. Compound 1Y: (2S)-2-amino-N-[(3R,5S)-3-methoxy-l-[(2S)-2-[(lR,2R)- 1 -methoxy-2-methyl-2-[ [( 1 S)-2-phenyl- 1 -( 1 ,3-thiazo l-2-yl)ethyl] carbamoyl]ethyl] pyrrolidin- 1 -yl]-5-methyl- 1 -oxoheptan-4-yl]-N,3-dimethylbutanamide

Compound IX (2.8 g, 3.18 mmol, 1.00 equiv) was dissolved in acetonitrile

(ACN, 12 mL) in the presence of piperidine (3 mL) and left under agitation 18 hours at ambient temperature. The reaction was neutralised with 50 mL of water, then extracted twice with 100 mL of DCM. The organic phases were combined, dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of methanol and DCM (1 : 100 to 1 :40) to yield 1.2 g (57 %) of compound 1 Y in the form of a yellow solid.

Compound IZA: (2S)-2-[[(tert-butoxy)carbonyl](methyl)amino]-3-methyl butanoic acid

(2S)-2-[[(tert-butoxy)carbonyl]amino]-3-methylbutanoic acid (63 g, 289.97 mmol, 1.00 equiv) was dissolved in an inert atmosphere in THF (1000 mL) in the presence of iodomethane (181 mL). The solution was cooled to 0°C before adding sodium hydride (1 16 g, 4.83 mol, 16.67 equiv) in small portions. The reaction mixture was agitated for 1.5 hours at 0°C, the cold bath was then removed and agitation continued for 18 hours. The reaction was neutralised with 200 mL of water and then concentrated under reduced pressure. The residual aqueous phase was diluted with 4 litres of water, washed once with 200 mL of EtOAc and its pH adjusted to between 3 and 4 with a IN solution of hydrochloric acid. The mixture obtained was extracted 3 times with 1.2 L of EtOAc. The organic phases were combined, dried over sodium sulfate, filtered and concentrated to yield 60 g (89 %) of compound IZA in the form of a yellow oil. Compound 1ZB: benzyl (2S)-2-[[(tert-butoxy)carbonyl](methyl)amino]-3- methylbutanoate

Compound 1ZA (47 g, 203.21 mmol, 1.00 equiv) was dissolved in DMF (600 mL) in the presence of L1 ₂ CO ₃ (15.8 g, 213.83 mmol, 1.05 equiv). The solution was cooled to 0°C then benzyl bromide (BnBr 57.9 g, 338.53 mmol, 1.67 equiv) was added drop-wise. The reaction mixture was left under agitation overnight before being neutralised with 400 mL of water and filtered. The solution obtained was extracted twice with 500 mL of EtOAc. The organic phases were combined, dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of EtOAc and PE (1 : 100 to 1 :20) to yield 22.5 g (34 %) of compound 1ZB in the form of a yellow oil.

Compound 1ZC: benzyl (2S)-3-methyl-2-(methylamino)butanoate hydrochloride

Compound 1ZB (22.5 g, 70.00 mmol, 1.00 equiv) was dissolved in 150 mL of DCM. Gaseous hydrochloric acid was bubbled. The reaction was agitated 1 hour at ambient temperature and then concentrated under reduced pressure to yield 17 g (94 %) of compound 1ZC in the form of a yellow solid.

Compound 1ZD: tert-butyl N-(3,3-diethoxypropyl)carbamate

3,3-diethoxypropan-l-amine (6 g, 40.76 mmol, 1.00 equiv) was dissolved in 1 ,4-dioxane (30 mL) in the presence of TEA (4.45 g, 43.98 mmol, 1.08 equiv), then cooled to 0°C. (Boc) ₂ 0 (9.6 g, 43.99 mmol, 1.08 equiv) diluted in 20 mL of 1 ,4- dioxane was added drop-wise. The solution was agitated 2 hours at 0°C then overnight at ambient temperature before being neutralised with 10 mL of water. The pH was adjusted to 5 with HC1 (1 %). The solution was extracted 3 times with 50 mL of EtOAc. The organic phases were combined, dried over sodium sulfate, filtered and concentrated to yield 8.21 g (81 %) of compound 1ZD in the form of a pale yellow oil.

Compound 1ZE: tert-butyl N-(3-oxopropyl) carbamate

Compound 1ZD (8.20 g, 33.15 mmol, 1.00 equiv) was dissolved in 18.75 mL of acetic acid and left under agitation overnight at ambient temperature. The reaction medium was then extracted 3 times with 30 mL of EtOAc. The organic phases were combined, washed 3 times with 30 mL of saturated NaCl solution, dried over sodium sulfate, filtered and concentrated to yield 5 g (87 %) of compound 1ZE in the form of a dark red oil.

Compound 1ZF: (2S)-2-[(3-[[(tert-butoxy)carbonyl]amino]propyl)(methyl) amino]-3-meth lbutanoic acid

Compound 1ZE (2.4 g, 13.86 mmol, 1.00 equiv) was dissolved in 50 mL of THF in the presence of compound 1ZC (3.56 g, 13.81 mmol, 1.00 equiv) and DIEA (9.16 mL, 4.00 equiv). The reaction mixture was agitated 30 minutes at ambient temperature before adding sodium triacetoxyborohydride (5.87 g, 27.70 mmol, 2.00 equiv). Agitation was continued overnight, then the reaction was neutralised with 100 mL of water and extracted 3 times with 50 mL of EtOAc. The organic phases were combined, dried over sodium sulfate, filtered and concentrated. The residue was partly purified on a silica column with a mixture of EtOAc and PE (1 :4). The crude product obtained was re-dissolved in 20 mL of methanol in the presence of Pd/C (1.2 g) and hydrogenated for 20 minutes at normal temperature and pressure. The reaction medium was filtered and concentrated under reduced pressure to yield 200 mg (5 %) of compound 1ZF in the form of a white solid.

Compound 1ZG: tert-butyl N-(3-[[(lS)-l-[[(lS)-l-[[(3R,4S,5S)-3- methoxy-l-[(2S)-2-[(lR,2R)-l-methoxy-2-methyl-2-[[(lS)-2-phe nyl-l-(l,3- thiazo l-2-yl)ethyl] carbamoyl]thyl]pyrrolidin- 1 -yl]-5-methyl- 1 -oxoheptan- 4yl](methyl) carbamoyl]-2-methylpropyl]carbamoyl]-2- methylpropyl] (methyl)amino]propyl) carbamate

Compound 1Y (50 mg, 0.08 mmol, 1.00 equiv) was dissolved in 2 mL of DMF in the presence of compound 1ZF (26.2 mg, 0.09 mmol, 1.20 equiv), DIEA (37.7 mL) and 0-(7-azabenzotriazo 1- 1 -yl)-N,N,lSr ,N'-tetramethyluronium hexafluorophosphate (HATU, 43.3 mg, 0.11 mmol, 1.50 equiv). The reaction was left under agitation overnight at ambient temperature, then diluted with 10 mL of water and extracted 3 times with 5 mL of EtOAc. The organic phases were combined, dried over sodium sulfate, filtered and concentrated to yield 100 mg of compound 1ZG in the form of a partly purified colourless oil.

Compound 1ZG (90 mg, 0.10 mmol, 1.00 equiv) was dissolved in a neutral atmosphere in 2 mL of DCM and the solution was cooled with an ice bath. TFA (1 mL) was added and the reaction agitated for 2 hours at ambient temperature, then concentrated under reduced pressure. The residue was purified by preparative HPLC

(Pre-HPLC-001 SHIMADZU, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 150 mm;

Eluting phase: water / ACN buffered with 0.05 % of TFA; Gradient of 18 % to 31 % ACN in 7 minutes then 31 % to 100 % ACN in 2 minutes; Waters 2489 UV Detector at

254 nm and 220 nm). Compound 1 was obtained with a yield of 25 % (23 mg) in the form of a white solid.

LC/MS/UV (Atlantis T3 column, 3 μιη, 4.6 x 100 mm; 35°C; 1 mL / min, 30 % to 60 % ACN in water (20 mM ammonium acetate in 6 minutes); ESI (C ₄₄ H ₇₃ N ₇ O ₆ S, exact masse 827.53) m/z: 829 (MH ⁺ ), 5.84 min (93.7 %, 254 nm).

1H NMR (300MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 7.85 - 7.80 (m,

1H); 7.69 - 7.66 (m, 1H), 7.40 - 7.10 (m, 5H), 5.80 - 5.63 (m, 1H), 4.80 - 4.65 (m, 2H),

4.22 -4.00 (m, 1H), 3.89 - 0.74 (m, 58H). Reference Compound 2

(S)-2-((S)-2-(((2-aminopyridin-4-yl)methyl)(methyl)amino)-3- methylbutanamido)- V-((3R,4S,5S)-l-((S)-2-((lR,2R)-3-(((lS,2R)-l-hydroxy-l- phenylpropan-2-yl)amino)-l-methoxy-2-methyl-3-oxopropyl)pyrr olidin-l-yl)- 3-methoxy-5-methyl-l-oxoheptan-4-yl)- V,3-dimethylbutanamide,

trifluoroacetic acid

Compound 2A: tert-butyl (S)-2-((lR,2R)-3-(((l S,2R)-1 -hydroxy- 1- phenylpropan-2-yl)amino)- 1 -methoxy-2-methyl-3-oxopropyl)pyrrolidine- 1 - carboxylate

Compound ID (2.5 g, 8.70 mmol, 1.00 equiv) and (lS,2R)-2-amino-l- phenylpropan-l-ol (1.315 g, 8.70 mmol, 1.00 equiv) were dissolved in an inert atmosphere in DMF (35 mL). The solution was cooled to 0 °C then DEPC (1.39 mL) and TEA (1.82 mL) were added drop-wise. The reaction mixture was agitated 2 hours at 0 °C then 4 hours at ambient temperature. The reaction mixture was diluted with 200 mL of water and extracted three times with 50 mL of EtOAc. The organic phases were combined, washed once with 50 mL of KHS0 ₄ (1 mol/L), once with 50 mL of NaHC0 ₃ (sat.), once with 50 mL of NaCl (sat.), then dried over sodium sulfate, filtered and concentrated under reduced pressure to yield 3.6 g (98 %) of compound 2A in the form of a yellow solid. Compound 2B: (2R,3R)-N-((1 S,2R)-1 -hydroxy- l-phenylpropan-2-yl)-3- methoxy-2-methyl-3-((S)-pyrrolidin-2-yl)propanamide2,2,2-tri fluoroacetate

Compound 2A (2.7 g, 6.42 mmol, 1.00 equiv) was dissolved in an inert atmosphere in DCM (40 mL) then cooled to 0 °C. TFA (25 mL) was added and the solution agitated for 2 hours at 0 °C. The reaction mixture was concentrated under reduced pressure to yield 4.4 g of compound 2B in the form of a yellow oil.

Compound 2C: (9H-fiuoren-9-yl)methyl ((S)-l-(((3R,4S,5S)-l-((S)-2- (( 1 R,2R)-3-((( 1 S,2R)- 1 -hydroxy- 1 -phenylpropan-2-yl)amino)- 1 -methoxy-2- methyl-3-oxopropyl)pyrrolidin- 1 -yl)-3-methoxy-5-methyl- 1 -oxoheptan-4-yl)

(methyl)amino)-3-methyl- 1 -oxobutan-2-yl)carbamate

Compounds 2B (4.4 g, 10.13 mmol, 1.00 equiv) and 1W (5.31 g, 10.12 mmol, 1.00 equiv) were dissolved in an inert atmosphere in DCM (45 mL). The solution was cooled to 0°C then DEPC (1.62 mL) and DIEA (8.4 mL) were added drop-wise. The reation mixture was agitated for 2 hours at 0 °C then at ambient temperature overnight. The reaction mixture was diluted with 100 mL of water and extracted three times with 50 mL of DCM. The organic phases were combined, washed once with 50 mL of KHSO ₄ (1 mol/L), once with 50 mL of NaHC0 ₃ (sat.), once with 50 mL of NaCl (sat.), then dried over sodium sulfate, filtered and concentrated under pressure to yield 3.3 g (39 %) of compound 2C in the form of a yellow solid.

Compound 2D: (S)-2-amino-N-((3R,4S,5S)-l-((S)-2-((lR,2R)-3-(((l S,2R)- 1 -hydroxy- 1 -phenylpropan-2-yl)amino)- 1 -methoxy-2-methyl-3- oxopropyl)pyrrolidin- 1 -yl)-3-methoxy-5-methyl- 1 -oxoheptan-4-yl)-N,3- dimethylbutanamide

Compound 2C (300 mg, 0.36 mmol, 1.00 eq.) was dissolved in an inert atmosphere in ACN (2 mL) and piperidine (0.5 mL). The solution was left under agitation at ambient temperature overnight then evaporated to dryness under reduced pressure. The residue was purified on a silica column with a mixture of DCM and MeOH (1 : 100) to yield 150 mg (68 %) of compound 2D in the form of a white solid.

Compound 2E: methyl 2-((te -butoxycarbonyl)amino)isonicotinate

Methyl 2-aminopyridine-4-carboxylate (2 g, 13.14 mmol, 1.00 equiv) was dissolved in tert-butanol (20 mL) after which di-tert-butyl dicarbonate (4.02 g, 18.42 mmol, 1.40 equiv) was added. The reaction mixture was agitated at 60°C overnight then the reaction was halted through the addition of an aqueous 1M NaHC0 ₃ solution (50 mL). The solid was recovered by filtration, washed with 50 mL of EtOH then dried in vacuo to yield 2.5 g (75 %) of compound 2E in the form of a white solid.

Compound 2F: tert-butyl (4-(hydroxymethyl)pyridin-2-yl)carbamate

Compound 2E (2.5 g, 9.91 mmol, 1.00 equiv) and CaCl ₂ (1.65 g) were dissolved in EtOH (30 mL). The solution was cooled to 0°C then NaBH ₄ (1.13 g, 29.87 mmol, 3.01 equiv) was gradually added. The solution was left under agitation overnight at ambient temperature then the reaction was halted with the addition of water (50 mL). The mixture was extracted three times with 20 mL of EtOAc. The organic phases were combined, washed twice with 20 mL of NaCl (sat.) then dried over sodium sulfate, filtered and concentrated under reduced pressure to yield 2.0 g (90 %) of compound 2F in the form of a colourless solid. Compound 2G: tert-butyl (4-formylpyridin-2-yl)carbamate

Compound 2F (2.5 g, 11.15 mmol, 1.00 equiv) was dissolved in DCE (25 mL) then 19.4 g (223.14 mmol, 20.02 equiv) of Mn0 ₂ were added. The mixture was left under agitation overnight at 70 °C then the solids were removed by filtering. The filtrate was evaporated to dryness to yield 1.4 g (57 %) of compound 2G in the form of a white solid.

Compound 2H: benzyl (S)-2-(((2-((tert-butoxycarbonyl)amino)pyridin-4- yl)methyl) (methyl)amino)-3-methylbutanoate

Compound 2G (2.3 g, 10.35 mmol, 1.00 equiv) was dissolved in 25 mL of THF in the presence of compound 1ZC (2.93 g, 11.37 mmol, 1.10 equiv), DIEA (5.39 g, 41.71 mmol, 4.03 equiv) and NaBH(OAc) ₃ (4.39 g, 20.71 mmol, 2.00 equiv). The reaction mixture was agitated for 6 hours at ambient temperature then neutralised with 60 mL of NaHC0 ₃ (sat.) and extracted 3 times with 20 mL of AcOEt. The organic phases were combined, washed twice with 20 mL of NaCl (sat.), dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of EtOAc and PE (1 : 15) to yield 2.7 g (61 %) of compound 2H in the form of a white solid.

Compound 21: (S)-2-(((2-((tert-butoxycarbonyl)amino)pyridin-4-yl)methyl)

(methyl)amino)-3-methylbutanoic acid

Compound 2H (500 mg, 1.17 mmol, 1.00 equiv) was dissolved in 10 mL of AcOEt and 2 mL of methanol in the presence of Pd/C (250 mg), and hydrogenated for 3 hours at ambient temperature and atmospheric pressure. The reaction medium was filtered and concentrated under reduced pressure to yield 254 mg (64 %) of compound 21 in the form of a colourless solid

Compound 2J: tert-butyl (4-((3S,6S,9S,10R)-9-((S)-sec-butyl)-10-(2-((S)- 2-(( 1 R,2R)-3-((( 1 S,2R)- 1 -hydroxy- 1 -phenylpropan-2-yl)amino)- 1 -methoxy-2- methyl-3-oxopropyl)pyrrolidin-l-yl)-2-oxoethyl)-3,6-diisopro pyl-2,8-dimethyl- -dioxo-l l-oxa-2,5,8-triazadodecyl)pyridin-2-yl) carbamate

Compound 2J was prepared in similar manner to compound 1ZG from the amine 2D (85.2 mg, 0.14 mmol, 1.50 equiv), the acid 21 (31.7 mg, 0.09 mmol, 1.00 equiv), HATU (42.9 mg, 0.11 mmol, 1.20 equiv) and DIEA (36.7 mg, 0.28 mmol, 3.02 equiv) in DMF (3 mL). After evaporation to dryness, 100 mg of crude product were obtained in the form of a white solid. Compound 2J (100 mg, 0.11 mmol, 1.00 equiv) was dissolved in 2 mL of DCM and 1 mL of TFA. The reaction was agitated for 1 hour at ambient temperature, then concentrated under reduced pressure. The residue (80 mg) was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % TFA; Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes; Waters 2489 UV Detector at 254 nm and 220 nm). Compound 2 was obtained with a yield of 6 % (6.3 mg) in the form of a white solid.

LC/MS/UV (Ascentis Express C18 column, 2.7 μιη, 4.6 x 100 mm; 40°C; 1.8 mL/min, from 10 % to 95 % ACN in water (0.05 % TFA) in 6 minutes); ESI (C ₄₅ H ₇₃ N ₇ O ₇ , exact mass 823.56) m/z: 824.5 (MH ⁺ ) and 412.9 (M.2H ⁺ /2, 100 %), 3.21 min (99.2 %, 210 nm)

1H NMR (400MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 7.81 - 7.79 (m, 1H); 7.39 - 7.29 (m, 5H); 6.61 - 6.59 (m, 2H); 4.84 - 4.52 (m, 1H); 4.32 - 4.02 (m, 1H); 3.90 - 2.98 (m, 10H); 2.90 - 2.78 (m, 1H); 2.55 - 0.81 (m, 39H). Reference Compound 3

methyl ((S)-2-((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)- V,3-dimethyl-2-((S)-3- methyl-2-(methyl(pyridin-4-ylmethyl)amino)butanamido)butanam ido)-3- methoxy-5-methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2- methylpropanamido)-3-phenylpropanoate, trifluoroacetic acid

Compound 3A: tert-butyl (S)-2-((lR,2R)-l-methoxy-3-(((S)-l-methoxy-l- oxo-3-phenylpropan-2-yl)amino)-2-methyl-3-oxopropyl)pyrrolid ine-l-carboxylate

Compound ID (3 g, 10.44 mmol, 1.00 equiv) and methyl (S)-2-amino-3- phenylpropanoate (2.25 g, 12.55 mmol, 1.20 equiv) were dissolved in an inert atmosphere in DMF (40 mL). The solution was cooled to 0 °C then DEPC (1.67 mL, 1.05 equiv) and TEA (3.64 mL, 2.50 equiv) were added drop-wise. The reaction mixture was agitated 2 hours at 0 °C then at ambient temperature overnight. The reaction mixture was diluted with 100 mL of water and extracted three times with 50 mL EtOAc. The organic phases were combined, washed once with 100 mL of KHS0 ₄ (1 mol/L), once with 100 mL of NaHC0 ₃ (sat.), once with 100 mL of NaCl (sat.), then dried over sodium sulfate, filtered and concentrated under pressure to yield 4 g (85 %) of compound 3A in the form of a colourless oil.

Compound 3B: 2,2,2-trifluoroacetate of methyl (S)-2-((2R,3R)-3-methoxy- 2-methyl-3-((S)-pyrrolidin-2-yl)propanamido)-3-phenylpropano ate

Compound 3 A (5 g, 1 1.15 mmol, 1.00 equiv) was dissolved in an inert atmosphere in DCM (40 mL). TFA (25 mL) was added and the solution agitated for 2 hours. The reaction mixture was concentrated under reduced pressure to yield 8 g of compound 3B in the form of a yellow oil.

Compound 3C: methyl (S)-2-((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2- ((((9H-fluoren-9-yl)methoxy)carbonyl)amino)-N,3-dimethylbuta namido)-3- methoxy-5-methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methy lpropanamido)-3- phenylpropanoate

Compounds 3B (8.03 g, 17.36 mmol, 1.00 equiv) and 1W (9.1 g, 17.34 mmol, 1.00 equiv) were dissolved in an inert atmosphere in DCM (80 mL). The solution was cooled to 0 °C then DEPC (2.8 mL) and DIEA (12 mL) were added drop-wise. The reaction mixture was agitated for 2 hours at 0 °C then at ambient temperature overnight. The reaction mixture was diluted with 200 mL of water and extracted three times with 50 mL of DCM. The organic phases were combined, washed once with 50 mL of KHSO ₄ (1 mol/L), once with 50 mL of NaHC0 ₃ (sat.), once with 50 mL of NaCl (sat.), then dried over sodium sulfate, filtered and concentrated under reduced pressure to yield 5 g (34 %) of compound 3C in the form of a yellow solid.

Compound 3D: methyl (S)-2-((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2- amino-N,3-dimethylbutanamido)-3-methoxy-5-methylheptanoyl)py rrolidin-2-yl)-3- methoxy-2-methylpropanamido)-3 - phenylpropanoate

Compound 3C (5.5 g, 6.43 mmol, 1.00 equiv) was dissolved in an inert atmosphere in a solution of tetrabutylammonium fluoride (TBAF, 2.61 g, 9.98 mmol, 1.55 quiv) in DMF (100 mL). The solution was agitated at ambient temperature for 2 hours then diluted with 100 mL of water and extracted three times with 50 mL of EtOAc. The organic phases were combined then dried over sodium sulfate, filtered and concentrated under reduced pressure to yield 3.3 g (81 %) of compound 3D in the form of a yellow solid.

Compound 3E: benzyl (S)-3-methyl-2-(methyl(pyridin-4-ylmethyl)amino) butanoate

Pyridine-4-carbaldehyde (1 g, 9.34 mmol, 1.00 equiv) was dissolved in 10 mL of 1 ,2-dichloroethane (DCE) in the presence of compound 1ZC (2.9 g, 11.25 mmol, 1.21 equiv) and titanium isopropoxide (IV) (4.19 mL, 1.40 equiv). The mixture was agitated at ambient temperature for 30 minutes then 2.77 g of NaBH(OAc)3 (13.07 mmol, 1.40 equiv) were added. The reaction medium was left under agitation overnight then neutralised with 100 mL of water and the mixture extracted 3 times with 50 mL of AcOEt. The organic phases were combined and evaporated to dryness. The residue was purified on a silica column with a mixture of EtOAc and PE (1 :20) to yield 1.3 g (45 %) of compound 3E in the form of a colourless oil.

Compound 3F: (S)-3-methyl-2-(methyl(pyridin-4-ylmethyl)amino)butanoic acid Compound 3E (800 mg, 2.56 mmol, 1.00 equiv) was dissolved in 30 mL of AcOEt in the presence of Pd/C (300 mg) and hydrogenated for 3 hours at ambient temperature and atmospheric pressure. The reaction medium was filtered and concentrated under reduced pressure. The residue was purified on a silica column with a mixture of DCM and MeOH ( 100 : 1 to 5 : 1 ) to yield 100 mg ( 18 %) of compound 3F in the form of a white solid.

Compounds 3D (50 mg, 0.08 mmol, 1.00 equiv) and 3F (26.34 mg, 0.12 mmol, 1.50 equiv) were dissolved in 3 mL of DCM. The solution was cooled to 0 °C then 0.018 mL of DEPC and 0.0392 mL of DIEA were added. The reaction was agitated at 0°C for 2 hours then at ambient temperature overnight. The reaction medium was concentrated under reduced pressure and the residue (70 mg) was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % of TFA; Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes; Waters 2545 UV Detector at 254 nm and 220 nm). Compound 3 was obtained with a yield of 27 % (20 mg) in the form of a white solid.

LC/MS/UV (Ascentis Express C18 column, 2.7 μιη, 4.6 x 100 mm; 40°C; 1.5 mL/min, 10 % to 95 % ACN in water (0.05 % TFA) in 8 minutes); ESI (C ₄₆ H ₇₂ N ₆ O ₈ , exact mass 836.5) m/z: 837.5 (MH ⁺ ) and 419.4 (M.2H ⁺ /2 (100 %)), 7.04 min (90.0 %, 210 nm)

1H NMR (400MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 8.76 - 8.74 (m, 2H); 8.53 - 8.48 (m, 0.4H, NHCO incomplete exchange); 8.29 - 8.15 (m, 0.8H, NHCO incomplete exchange); 8.01 (s, 2H), 7.31 - 7.22 (m, 5H), 4.88 - 4.68 (m, 3H); 4.31 - 4.07 (m, 2H); 3.94 - 2.90 (m, 18H); 2.55 - 0.86 (m, 38H).

Reference Compound 4

(S)-2-((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)- V,3-dimethyl-2-((S)-3-methyl-2- (methyl(pyridin-4-ylmethyl)amino)butanamido)butanamido)-3-me thoxy-5- methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanami do)-3- phenylpropanoic acid, trifluoroacetic acid

Compound 3 (100 mg, 0.11 mmol, 1.00 equiv) was dissolved in a mixture of water (5 mL), ACN (5 mL) and piperidine (2.5 mL). The reaction mixture was left under agitation overnight then concentrated under reduced pressure. The residue was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % TFA; Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes; Waters 2545 UV Detector at 254 nm and 220 nm), to yield 20 mg (20 %) of compound 4 in the form of a white solid.

LC/MS/UV (Ascentis Express C18 column, 2.7 μιη, 4.6 x 100 mm; 40°C;

1.5 mL/min, 10 % to 95 % ACN in water (0.05 % TFA) in 8 minutes); ESI (C ₄₅ H ₇₀ N ₆ O ₈ , exact mass 822.5) m/z: 823.5 (MH ⁺ ) and 412.4 (M.2H ⁺ /2, 100 %), 6.84 min (89.1 %, 210 nm).

1H NMR (400MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 8.79 - 8.78 (m, 2H); 8.09 (m, 2H); 7.30 - 7.21 (m, 5H); 4.80 - 4.80 (m, 1H), 4.36 - 0.87 (m, 58H).

Reference Compound 6

methyl (S)-2-((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((3-amin opropyl) (methyl)amino)-3-methylbutanamido)- V,3-dimethylbutanamido)-3-methoxy-5- methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanami do)-3- phenylpropanoate, bis trifluoroacetic acid

Compound 6A: methyl (2S)-2-[(2R)-2-[(R)-[(2S)-l-[(3R,4S,5S)-4-[(2S)-2- [(2S)-2-[(3-[[(tert-butoxy)carbonyl]amino]propyl)(methyl)ami no]-3-methyl butanamido]-N,3-dimethylbutanamido]-3-methoxy-5-methylheptan oyl]pyrrolidin-2- yl](methoxy)methyl]propanamido]-3-phenylpropanoate

Compound 3D (157.5 mg, 0.25 mmol, 1.00 equiv) was dissolved at 0°C in an inert atmosphere in 3 mL of DCM in the presence of carboxylic acid 1ZF (78.7 mg, 0.27 mmol, 1.10 equiv), DEPC (46 μΐ) and DIEA (124 μΐ). The reaction mixture was agitated 2 hours at low temperature and the cold bath was then removed and agitation continued for 4 hours. It was then concentrated under reduced pressure to yield 200 mg of compound 6A in the form of a crude yellow oil. It was used as such in the following step.

Compound 6A (200 mg, 0.22 mmol, 1.00 equiv) was dissolved in an inert atmosphere at 0°C in 2 mL of DCM. TFA (1 mL) was added drop-wise and the cold bath removed. The reaction mixture was agitated 1 hour at ambient temperature then concentrated under reduced pressure. The residue was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % TFA; Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes; Waters 2489 UV Detector at 254 nm and 220 nm), to yield 60 mg (26 %, yield in 2 steps) of compound 6 in the form of a white solid.

LC/MS/UV (Zorbax Eclipse Plus C8, 3.5 μιη, 4.6 x 150 mm; 1 mL/min, 40°C, 30 to 80 % methanol in water (0.1 % H ₃ P0 ₄ ) in 18 minutes); ESI (C ₄ 3H ₇₄ N ₆ 0 ₈ , exact mass 802.56) m/z: 804 (MH ⁺ ); 11.50 min (91.5 %, 210 nm).

1H NMR (300MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 8.52 (d, 0.3H, NHCO incomplete exchange); 8.25 (d, 0.5H, NHCO incomplete exchange); 7.30-7.22 (m, 5H); 4.9-4.6 (m, 3H); 4.2-4.0 (m, 1H); 4.0-0.86 (m, 61H). Reference Compound 7

(S)-2-((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((3-amin opropyl) (methyl)amino)-3-methylbutanamido)- V,3-dimethylbutanamido)-3-methoxy-5- methylheptanoyl) pyrrolidin-2-yl)-3-methoxy-2-methylpropanamido)-3- lylpropanoic acid, bis trifluoroacetic acid

Compound 6 (70 mg, 0.08 mmol, 1.00 equiv) was dissolved in a mixture of water (5 mL), ACN (2.5 mL) and piperidine (5 mL). The reaction mixture was left under agitation overnight at ambient temperature, then concentrated under reduced pressure. The residue was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep C18 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % TFA; Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes; UV Waters 2489 UV Detector at 254 nm and 220 nm), to yield 14.6 mg (21 %) of compound 7 in the form of a white solid.

LC/MS/UV (Ascentis Express C18, 2.7 μιη, 4.6 x 100 mm; 1.5 mL/min, 40°C, 0 to 80 % methanol in water (0.05 % TFA) in 8 minutes); ESI (C ₄₂ H ₇₂ N ₆ O ₈ , exact mass 788.54) m/z: 790 (MH ⁺ ), 5.71 min (96.83 %, 210 nm).

1H NMR (300MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 8.42 (d, 0.3H, NHCO incomplete exchange); 8.15 (d, 0.2H, NHCO incomplete exchange); 7.31-7.21 (m, 5H); 4.9-4.6 (m, 3H); 4.25-4.0 (m, 1H); 4.0-0.86 (m, 59H).

Compound 11

(S)- V-((3R,4S,5S)-3-methoxy-l-((S)-2-((lR,2R)-l-methoxy-2-methyl -3-oxo-3- (((S)-2-phenyl-l-(thiazol-2-yl)ethyl)amino)propyl)pyrrolidin -l-yl)-5-methyl-l- oxoheptan-4-yl)- V,3-dimethyl-2-((S)-3-methyl-2-(methyl(4-

(methylamino)phenethyl)amino) butanamido)butanamide, trifluoroacetic acid

Compound 11 A: tert-butyl N-[4-(2-hydroxyethyl)phenyl] carbamate

Di-tert-butyl dicarbonate (16.7 g, 77 mmol, 1.05 eq.) was added to a solution of 2-(4-aminophenyl)ethanol (10 g, 72.9 mmol, 1 eq.) in THF (200 mL), and the reaction stirred overnight at ambient temperature. The mixture was diluted with EtOAc (200 mL), washed with water (200 mL), then HC1 1M (100 mL), then saturated aqueous NaHCC"3 solution (100 mL) then brine (100 mL). The organic phase was dried over MgS0 ₄ then evaporated to dryness under reduced pressure. The crude product was triturated twice with heptane (150 mL) and dried under vacuum to furnish compound 11A as a white solid (14.7 g, 84 %).

Compound 11B: tert-butyl N-[4-(2-oxoethyl)phenyl] carbamate

Compound 11A (2.5 g, 10.5 mmol, 1.00 equiv) was dissolved in 25 mL of DCM then cooled to -78°C. A Dess-Martin Periodinane solution (DMP, 6.71 g, 15.8 mmol, 1.5 equiv) in DCM (10 mL) was added drop-wise. The cold bath was removed and agitation continued for 1 hour at ambient temperature. The reaction was neutralised with 60 mL of a 50/50 mixture of sodium bicarbonate-saturated aqueous solution and Na ₂ S203-saturated aqueous solution. The resulting solution was extracted 3 times with 30 mL of EtOAc. The organic phases were combined, washed twice with NaCl- saturated aqueous solution, dried over anhydrous sodium sulfate, filtered and concentrated under reduced pressure. The residue was purified on silica gel (EtOAc/PE 1/15) to yield 1.0 g (40 %) of compound 11B in the form of a pale yellow solid. Compound 11C: benzyl (2S)-2-[[2-(4-[[(tert-butoxy)carbonyl]amino]phenyl) ethyl](methyl)amino]-3-methylbutanoate.

Compound 1ZC (3.5 g, 13.6 mmol, 1.1 equiv) was dissolved in THF (30 mL) in the presence of DIEA (6.4 g, 49.7 mmol, 4.0 equiv), aldehyde 11B (2.9 g, 12.3 mmol, 1.0 equiv) and sodium triacetoxyborohydride (5.23 g, 49.7 mmol, 2.0 equiv). The reaction mixture was left under agitation overnight at ambient temperature, then neutralised with 60 mL of sodium bicarbonate-saturated solution. The resulting solution was extracted 3 times with 30 mL EtOAc. The organic phases were combined, washed twice with NaCl-saturated aqueous solution, dried over anhydrous sodium sulfate, filtered and concentrated under reduced pressure. The residue was purified on silica gel (EtOAc/PE 1 :20) to yield 3.7 g (68 %) of compound 11C in the form of a yellow oil.

Compound IIP: (2S)-2-[[2-(4-[[(tert-butoxy)carbonyl]amino]phenyl)ethyl] (methyl)amino]-3-methylbutanoic acid

Compound 11C (2 g, 4.5 mmol, 1 equiv) was dissolved in 10 mL of methanol in the presence of Pd/C (2 g) and hydrogenated for 2 hours at normal temperature and pressure. The reaction medium was filtered and concentrated under reduced pressure to yield 1.2 g (75 %) of compound 11D in the form of a yellow oil.

Compound ΠΕ: (2S)-2-[[2-(4-[[(tert- butoxy)carbonyl](methyl)amino]phenyl) ethyl] (methyl) amino]-3-methylbutanoic acid

Compound 11D (1.2 g, 3.4 mmol, 1.00 equiv) was dissolved in an inert atmosphere in THF (20 mL). The reaction medium was cooled with an ice bath after which NaH (60 % in oil, 549 mg, 13.7 mmol, 4.0 equiv) was added in portions, followed by iodomethane (4.9 g, 34 mmol, 10 equiv). The reaction was left under agitation overnight at ambient teperature, then neutralised with water and washed with 100 mL of EtOAc. The pH of the aqueous solution was adjusted to 6-7 with IN HC1. This aqueous solution was extracted 3 times with 100 mL of EtOAc. The organic phases were combined, dried over sodium sulfate, filtered and concentrated to yield 800 mg (64 %) of compound HE in the form of a yellow solid.

Compound 11F: tert-butyl N-[4-(2-[[(lS)-l-[[(lS)-l-[[(3R,4S,5S)-3- methoxy-l-[(2S)-2-[(lR,2R)-l-methoxy-2-methyl-2-[[(lS)-2-phe nyl-l-(l,3- thiazo l-2-yl)ethyl] carbamoyl]ethyl]pyrro lidin- 1 -yl]-5-methyl- 1 -oxoheptan-4yl] (methyl)carbamoyl]-2-methylpropyl]carbamoyl]-2-methylpropyl] (methyl)amino]

amine 1Y (150 mg, 0.22 mmol, 1.2 equiv) and the acid HE (70 mg, 0.19 mmol, 1.0 equiv). After purification on silica gel (EtOAc/PE 1 : 1) 100 mg (52 %) of desired product were obtained in the form of a pale yellow solid.

Compound 11 was prepared in the same manner as for compound 1 from the intermediate 11F (100 mg, 0.1 mmol). The residue was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % TFA; Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes; Waters 2489 UV Detector at 254 nm and 220 nm). Compound 11 was obtained with a yield of 39 % (39.7 mg) in the form of a white solid. LC/MS/UV (Eclipse Plus C8, 3.5 μηι, 4.6 x 150 mm; 1 mL/min, 40°C, 50 to 95 % methanol in water (0.05 % TFA) in 18 minutes); ESI (CsoHyyNyOeS, exact mass 903.57) m/z: 904.5 (MH ⁺ ), 7.53 min (93.68 %, 254 nm).

1H NMR (300MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 8.84 (d, 0.5H, NHCO incomplete exchange); 8.7-8.5 (m, 0.9H, NHCO incomplete exchange); 7.76- 7.73 (m, 1H); 7.55 - 7.4 (m, 1H); 7.28-7.22 (m, 7H); 7.08-7.05 (m, 2H); 5.51-5.72 (m, 1H); 4.9-4.80 (m, 2H); 4.3-0.7 (m, 60H).

Compound 12

methyl (S)-2-((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)- V,3-dimethyl-2-((S)-3- methyl-2-(methyl(4-(methylamino)phenethyl)amino)butanamido)b utanamido)-3- methoxy-5-methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2- methylpropanamido)-3- phenylpropanoate, trifluoroacetic acid

In the same manner as for the final phases in the synthesis of compound 1, compound 12 was prepared in two steps from the amine 3D (118 mg, 0.19 mmol) and the acid HE (82 mg, 0.22 mmol). The final residue was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % TFA; Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes; Waters 2489 UV Detector at 254 nm and 220 nm). Compound 12 was obtained with a yield of 7 % (13.7 mg) in the form of a white solid.

LC/MS/UV (Eclipse Plus C8, 3.5 μιη, 4.6 x 150 mm; 1 mL/min, 40°C, 40 to 95 % methanol in water (0.05 % TFA) in 18 minutes); ESI (C ₄ H ₇₈ N ₆ O ₈ , exact mass 878.59) m/z: 879.7 (MH ⁺ ), 10.07 min (90.6 %, 254 nm).

1HNMR (300MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 7.40 (se, 2H); 7.38-7.22 (m, 7H); 4.95-4.7 (m, 3H); 4.2-4.0 (m, 1H); 3.9-0.86 (m, 62H). Compound 13

(S)-2-((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)- V,3-dimethyl-2-((S)-3-methyl-2- (methyl(4-(methylamino)phenethyl)amino)butanamido)butanamido )-3-methoxy- 5-methyl heptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanamido)-3- phenylpropanoic acid, trifluoroacetic acid

Compound 13 was prepared in the same manner as for compound 7 from compound 12 (100 mg, 0.10 mmol). The residue was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % TFA; Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes; Waters 2489 UV Detector at 254 nm and 220 nm). Compound 13 was obtained with a yield of 20 % (20 mg) in the form of a white solid.

LC/MS/UV (Ascentis Express CI 8, 2.7 μιη, 4.6 x 100 mm; 1.5 mL/min, 40°C,

10 to 95 % methanol in water (0.05 % TFA) in 8 minutes); ESI exact mass 864.57) m/z: 865.6 (MH ⁺ ), 6.05 min (90.9 %, 210 nm).

1H NMR: (300MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 7.32-7.19 (m, 9H); 4.9-4.65 (m, 3H); 4.2-4.0 (m, 1H); 3.9-0.86 (m, 59H).

Compound 14

(S)-2-((S)-2-((3-aminobenzyl)(methyl)amino)-3-methylbutanami do)- V- ((3R,4S,5S)-3-methoxy-l-((S)-2-((lR,2R)-l-methoxy-2-methyl-3 -oxo-3-(((S)- 2-phenyl-l-(thiazol-2-yl)ethyl)amino)propyl)pyrrolidin-l-yl) -5-methyl-l- oxoheptan-4-yl)- V,3-dimethylbutanamide, trifluoroacetic acid

Compound 14A: tert-butyl (3-(hydroxymethyl)phenyl) carbamate

(3-aminophenyl)methanol (3 g, 24.36 mmol, 1.00 equiv) was dissolved in THF (60 mL) after which di-tert-butyl dicarbonate (6.38 g, 29.23 mmol, 1.20 equiv) was then added. The reaction mixture was left under agitation overnight at ambient temperature and the reaction was then diluted by adding 200 mL of water. The product was extracted 3 times with 100 mL of AcOEt and the organic phases were then recombined, dried over sodium sulfate, filtered and concentrated under reduced pressure to yield the crude product (13.85 g of compound 14A) in the form of a yellow oil.

Compound 14B: tert-butyl (3-formylphenyl)carbamate

Compound 14A (13.8 g, 61.81 mmol, 1.00 equiv) was dissolved in DCE (400 mL) and Mn0 ₂ (54 g, 621.14 mmol, 10.05 equiv) was then added. The mixture was left under agitation at ambient temperature for 3 days after which the solids were removed by filtering. The filtrate was evaporated to dryness and the residue was purified on a silica column with a mixture of EtOAc and PE (1 :30) to yield 3 g (22 %) of compound 14B in the form of a white solid.

Compound 14C: benzyl (S)-2-((3-((tert-butoxycarbonyl)amino)benzyl) (methyl)amino)-3-methylbutanoate

Compound 14B (1 g, 4.52 mmol, 1.00 equiv) was dissolved in 20 mL of THF in the presence of compound 1ZC (1.16 g, 4.50 mmol, 1.00 equiv), DIEA (3 mL) and NaBH(OAc) ₃ (1.92 g, 9.06 mmol, 2.01 equiv). The reaction mixture was left under agitation overnight at ambient temperature and then neutralised with 100 mL of water and extracted 3 times with 50 mL of AcOEt. The organic phases were combined, dried over sodium sulfate, filtered and concentrated. The residue was purified on a silica column with a mixture of EtOAc and PE (1 :50) to yield 1.9 g (99 %) of compound 14C in the form of a white solid.

Compound 14D: (S)-2-((3-((tert- butoxycarbonyl)amino)benzyl)(methyl)amino)-3-methylbutanoic acid

Compound 14C (1 g, 2.34 mmol, 1.00 equiv) was dissolved in 30 mL of AcOEt and 4 mL of methanol in the presence of Pd/C (400 mg) and hydrogenated for 1 hour at ambient temperature and atmospheric pressure. The reaction medium was filtered and concentrated under reduced pressure to yield 680 mg (86 %) of compound 14D in the form of a white solid.

Compound 14E: tert-butyl (3-((3S,6S,9S,10R)-9-((S)-5ec-butyl)-3,6- diisopropyl-10-(2-((S)-2-((lR,2R)-l-methoxy-2-methyl-3-oxo-3 -(((S)-2-phenyl- 1 -(thiazo 1-2-y l)ethy l)amino)propy l)pyrro lidin- 1 -y l)-2-oxoethy l)-2 , 8-dimethy 1-4 , 7- dioxo-l l-oxa-2,5,8- triazadodecyl)phenyl) carbamate

Compound 14E was synthesised in the same manner as for compound 3 from the amine 1Y (100 mg, 0.15 mmol, 1.00 equiv), the acid 14D (102.27 mg, 0.30 mmol, 2.00 equiv), DEPC (0.053 mL) and DIEA (0.046 mL) in DCM (3 mL). The crude product (80 mg) was purified on a silica column with a mixture of EtOAc and PE (1 : 1) to yield 100 mg (67 %) of compound 14E in the form of a pale yellow solid.

Compound 14 was synthesised in the same manner as for compound 2 from the intermediate 14E (100 mg, 0.10 mmol, 1.00 equiv). The crude product (80 mg) was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % TFA;

Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes;

Waters 2545 UV Detecctor at 254 nm and 220 nm). Compound 14 was obtained with a yield of 10 % (10 mg) in the form of a white solid.

LC/MS/UV (Eclipse plus C8 column, 3.5 μιη, 4.6 x 150 mm; 40°C; 1.0 mL / min, 40 % to 95 % MeOH in water (0.05 % TFA) in 18 minutes); ESI (C ₄₈ H ₇₃ N ₇ O ₆ S, exact mass 875.5) m/z: 876.5 (MH ⁺ ) and 438.9 (M.2H ⁺ /2, 100 %), 11.35 min (95.6 %,

210 nm).

1H NMR (400MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 8.92 - 8.86 (m, 0.4H, NH incomplete exchange); 8.70 - 8.54 (m, 0.6H, NH incomplete exchange); 7.88 - 7.78 (m, 1H); 7.60 - 7.50 (m, 1H); 7.45 - 6.97 (m, 9H); 5.80 - 5.65 (m, 1H); 4.85 - 4.70 (m, 1H); 4.40 - 0.80 (m, 56H). Compound 15

methyl (S)-2-((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((3-amin obenzyl) (methyl)amino)-3-methylbutanamido)- V,3-dimethylbutanamido)-3-methoxy-5- methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanami do)-3- phenylpropanoate, trifluoroacetic acid

Compound 15A: methyl (S)-2-((2R,3R)-3-((S)-l-((3R,4S,5S)

((S)-2-((3-((tert-butoxycarbonyl)amino)benzyl)(methyl)ami no)-3- methylbutanamido)-N,3-dimethylbutanamido)-3-methoxy-5- methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanami do)-3- phenylpropanoate

Compound 15A was synthesised in the same manner as for compound 3 from the amine 3D (200 mg, 0.32 mmol, 1.00 equiv), the acid 14D (212.6 mg, 0.63 mmol, 2.00 equiv), DEPC (0.1 103 mL) and DIEA (0.157 mL, 3.00 equiv) in DCM (5 mL). The crude product was purified on a silica column with a mixture of EtOAc and PE (1 : 1) to yield 200 mg (67 %) of compound 15A in the form of a yellow solid.

Compound 15: Compound 15 was synthesised in the same manner as for compound 2 from the intermediate 15A (200 mg, 0.21 mmol, 1.00 equiv). The crude product was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % TFA; Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes; Waters UV Detector 2545 at 254 nm and 220 nm). Compound 15 was obtained with a yield of 19 % (38.6 mg) in the form of a white solid. LC/MS/UV (Ascentis Express C18 column, 2.7 μιη, 4.6 x 100 mm; 40°C; 1.5 mL/min, 10 % to 95 % MeOH in water (0.05 % TFA) in 8 minutes); ESI (C ₄₇ H ₇₄ N ₆ O ₈ , exact mass 850.5) m/z: 851.5 (MH ⁺ ) and 426.4 (M.2H ⁺ /2, 100 %), 6.61 min (91.1 %, 210 nm).

1H NMR (400MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 7.53 - 7.42 (m, 1H); 7.35 - 7.18 (m, 8H); 4.88 - 4.79 (m, 2H); 4.42 - 4.00 (m, 3H); 3.93 - 2.71 (m, 22H); 2.61 - 0.81 (m, 33H).

Compound 20

(S)-2-((S)-2-((4-aminobenzyl)(methyl)amino)-3-methylbutanami do)- V- ((3R,4S,5S)-3-methoxy-l-((S)-2-((lR,2R)-l-methoxy-2-methyl-3 -oxo-3-(((S)- 2-phnyl-l-(thiazol-2-yl)ethyl)amino)propyl)pyrrolidin-l-yl)- 5-methyl-l- oxoheptan-4-yl)- V,3-dimethylbutanamide, trifluoroacetic acid

Compound 20 was prepared in the same manner as for compound 1, from the amine 1ZC and corresponding aldehyde.

The 4-nitrobenzaldehyde involved in the preparation of compound 20 was commercial.

The synthesis of compound 20 was completed by reducing the nitro group. This was performed as follows: (2S)-N-[(3R,4S,5S)-l-[(2S)-2-[(lR,2R)-2-[[(lS,2R)-l- hydroxy- 1 -phenylpropan-2-yl] carbamoyl]- 1 -methoxy-2-methylethyl]

pyrrolidin- 1 -yl]-3-methoxy-5-methyl- 1 -oxoheptan-4-yl]-N,3-dimethyl-2-[(2S)-3- methyl-2-[methyl[(4-nitrophenyl)methyl]amino]butanamido]buta namide (40 mg, 0.05 mmol, 1.0 equiv) was dissolved in 15 mL of ethanol. Dihydrated tin chloride (II) (317 mg, 1.4 mmol, 30 equiv) was added and the solution left under agitation for 3 days at ambient temperature. The reaction was neutralised with 50 mL of water, then extracted three times with 50 mL of EtOAc. The organic phases were combined, dried over anhydrous sodium sulfate, filtered and concentrated under reduced pressure to yield compound 20 in the crude state (purity: 93.2%; quantity: 21.6 mg).

The compound was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep C18 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % TFA; Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes; Waters 2489 UV Detector at 254 nm and 220 nm), to give the corresponding TFA salts in the form of white solids.

1H NMR: (400MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 7.85-7.80 (m, 1H); 7.6-7.5 (m, 1H); 7.4-7.15 (m, 5H); 7.1-7.05 (m, 2H); 6.73-6.70 (m, 2H); 5.8-5.55 (m, 1H); 5.0-4.7 (m, 2H); 4.25-4.05 (m, 1H); 4.0-0.8 (m, 54H). LC/MS/UV ESI: (C ₄₈ H ₇₃ N ₇ O ₇ S, exact mass 875.53) m/z 876 (MH ⁺ ), 439 [75 %, (M.2H ⁺ )/2]; UV: RT = 4.83 min (96.8 %, 254 nm). 1H NMR (400MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 7.85-7.80 (m, 1H); 7.6-7.5 (m, 1H); 7.4-7.1 (m, 7H); 6.76-6.72 (m, 2H); 5.8-5.55 (m, 1H); 4.9-4.65 (m, 2H); 4.25-4.05 (m, 1H); 4.0-0.8 (m, 54H).

Compound 29

(S)-2-((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((3-amin obenzyl) (methyl)amino)-3-methylbutanamido)- V,3-dimethylbutanamido)-3-methoxy-5- methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanami do)-3- phenylpropanoic acid, trifluoroacetic acid

Compound 15 (100 mg, 0.10 mmol, 1.00 equiv) was dissolved in a mixture of water (5 mL), ACN (5 mL) and piperidine (2.5 mL). The reaction mixture was left under agitation overnight at ambient temperature and then concentrated under reduced pressure. The residue was purified by preparative HPLC (Pre-HPLC-001 SHIMADZU, SunFire Prep C18 OBD column, 5 μιη, 19 x 150 mm; Eluting phase: water / ACN buffered with 0.05 % TFA; Gradient of 20 % to 40 % ACN in 10 minutes then 40 % to 100 % ACN in 2 minutes; Waters 2545 UV Detector at 254 nm and 220 nm), to yield 20 mg (20 %) of compound 29 in the form of a white solid.

LC/MS/UV (Eclipse Plus C8 column, 3.5 μιη, 4.6 x 150 mm; 40°C; 1.0 mL/min, 40 % to 95 % MeOH in water (0.05 % TFA) in 18 minutes); ESI (C ₄₆ H ₇₂ N ₆ O ₈ , exact mass 836.54) m/z: 837.5 (MH ⁺ ) and 419.4 (M.2H ⁺ /2, 100 %), 10.61 min (92.5 %, 210 nm).

1H NMR: (400MHz, CD ₃ OD, ppm): δ (Presence of rotamers) 7.38 - 7.15 (m, 6H); 7.00 - 6.99 (m, 3H); 4.85 - 4.68 (m, 2H); 4.37 - 3.38 (m, 1 1H); 3.31 - 2.70 (m, 8H); 2.60 - 0.82 (m, 35H).

Compound 61

(S)-2-((S)-2-((4-aminophenethyl)(methyl)amino)-3-methylbutan amido)- V- ((3R,4S,5S)-3-methoxy-l-((S)-2-((lR,2R)-l-methoxy-2-methyl-3 -oxo-3-(((S)-2- phenyl-l-(thiazol-2-yl)ethyl)amino)propyl)pyrrolidin-l-yl)-5 -methyl-l-oxoheptan-

4-yl)- V,3-dimethylbutanamide

Compound 61A: N-(4-aminophenethyl)-N-methyl-Z-valine dihydrochloride

BocHN

Compound 11D (962 mg, 2.75 mmol) was dissolved in 10 ml of a commercially available solution of HC1 in propan-2-ol (5 - 6 M), and stirred at room temperature for 2 hours. TLC analysis indicated complete consumption of starting material. The solvent was evaporated under reduced pressure, and the resulting yellow solid triturated with Et ₂ 0 (2 x 10 ml). The product was dried under vacuum to furnish compound 61 A as a yellow solid (322 mg, 47 %).

Compound 61: Carboxylic acid 61 A (73 mg, 0.23 mmol, 1 eq.) and amine 1Y (150 mg, 0.23 mmol, 1 eq.) were dissolved in dry DMF (2 ml). DIEA (158 μΐ, 0.90 mmol, 4 eq.) and DECP (also called DEPC) (51 μΐ, 0.34 mmol, 1.5 eq.) were added and the reaction stirred for 4 hours at room temperature. Analysis by LC-MS showed complete consumption of the starting material. The solvent was evaporated under reduced pressure, and the residue purified by flash chromatography on silica gel (DCM/MeOH) to furnish compound 61 as a light yellow solid (83 mg, 40 %).

1H NMR: (500MHz, DMSO-d ₆ , ppm): δ (Presence of rotamers), 8.86 (d, 0.5H,

NHCO); 8.65 (d, 0.5H, NHCO), 8.11-8.05 (m, 1H, NHCO), 7.80 (d, 0.5H, thiazole), 7.78 (d, 0.5H, thiazole), 7.65 (d, 0.5H, thiazole), 7.63 (d, 0.5H, thiazole), 7.32 - 7.12 (m, 5H), 6.83 (d, J=8.3 Hz, 2H), 6.45 (d, J=8.3 Hz, 2H), 5.56 - 5.49 (m, 0.5 H), 5.42 - 5.35 (m, 0.5H), 4.78 (s, 2H, NH ₂ ), 4.74 - 4.46 (m, 2H), 4.01 - 0.66 (m, 57H).

HPLC (Xbridge Shield C18, 3.5 μιη, 4.6 x 50 mm ; 3.5 ml/min, 40°C, 0 to 95 %

MeCN in water (0.1 % TFA) in 2.25 minutes then 95 % MeCN for 0.5 minutes, Tr = 1.31 min (96.5 %, 220 nm).

m/z (Q-TOF ESI ⁺ ) 890.5558 (2%, MH ⁺ , C ₄₉ H ₇₆ N ₇ O ₆ S requires 890.5572), 445.7834 (100 %, (MH ₂ ) ²⁺ , C ₄₉ H ₇₇ N ₇ O ₆ S requires 445.7823).

Compound 62

Methyl ((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((4- aminophenethyl)(methyl)amino)-3-methylbutanamido)- V,3-dimethylbutanamido)- 3-methoxy-5-methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-met hylpropanoyl)-L- phenylalaninate

Compound 62 was prepared in the same manner as for compound 61, using carboxylic acid 61A (69 mg, 0.21 mmol, 1 eq.), amine 3D (135 mg, 0.21 mmol, 1 eq.), DIEA (75 μΐ, 0.43 mmol, 2 eq.) and DECP (49 μΐ, 0.32 mmol, 1.5 eq.). The crude product was purified by flash chromatography on silica gel (DCM/MeOH) to furnish compound 62 as a yellowish solid (82 mg, 45 %).

1H NMR: (500MHz, OMSO-d ₆ , ppm): δ (Presence of rotamers), 8.50 (d, J=8.3, 0.5H, NHCO); 8.27 (d, J=8.0, 0.5H, NHCO), 8.15-8.04 (m, 1H, NHCO), 7.27 - 7.13 (m, 5H), 6.86 - 6.79 (m, 2H), 6.48 - 6.42 (m, 2H), 4.78 (s, 2H, NH ₂ ), 4.74 - 4.44 (m, 3H), 4.01 - 3.72 (m, 1.5H), 3.66 (s, 1.5H, C0 ₂ Me), 3.63 (s, 1.5H, C0 ₂ Me), 3.57 - 0.65 (m, 55.5H).

HPLC (Xbridge Shield C18, 3.5 μιη, 4.6 x 50 mm ; 3.5 ml/min, 40°C, 0 to 95 % MeCN in water (0.1 % TFA) in 2.25 minutes then 95 % MeCN for 0.5 minutes, Tr = 1.29 min (95.3 %, 220 nm).

m/z (Q-TOF ESI ⁺ ) 865.5800 (2%, MH ⁺ , C48H77N6O8 requires 865.5797),

433.2937 (100 %, (MH ₂ ) ²⁺ , C ₄₈ H ₇ 8N ₆ 08 requires 433.2935).

Compound 63

((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((4-aminophene thyl)(methyl)amino)- 3-methylbutanamido)- V,3-dimethylbutanamido)-3-methoxy-5- methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl )-L-phenylalanine

2,2,2-trifluoroacetate

Compound 62 (23 mg, 0.03 mmol) was dissolved in a mixture of water (1 ml) and acetonitrile (1 ml). Piperidine (0.75 ml) was added and the mixture stirred at room temperature for 5 hours. TLC analysis indicated complete consumption of the starting material. The solvent was evaporated under reduced pressure, and the residue purified by preparative HPLC (SunFire Prep column C18 OBD, 5 μιη, 19 x 150 mm; Mobile phase: water/MeCN buffered with 0.1 % TFA; Gradient of 20 % to 40 % MeCN in 10 minutes, then from 40 % to 100 % MeCN in 2 minutes; Detector UV Waters 2545 at 254 nm et 220 nm). Compound 63 was obtained as a white solid (14 mg, 66 %).

1H NMR: (500MHz, DMSC / ₆ , ppm): δ (Presence ofrotamers), 12.7 (s(br), 1H, C0 ₂ H), 9.58 (m(br), 1H); 9.04 - 8.89 (m, 1H), 8.41 (d, 0.6H, NHCO), 8.15 (d, 0.4H, NHCO), 7.27 - 7.13 (m, 5H), 7.13 - 6.99 (m(br), 2H), 6.90 - 6.64 (s(br), 2H), 4.77 - 3.40 (m, 10H), 3.34 - 2.75 (m, 20H), 2.34 - 1.94 (m, 4H), 1.90 - 0.7 (m, 25H).

HPLC (Xbridge Shield C18, 3.5 μιη, 4.6 x 50 mm ; 3.5 ml/min, 40°C, 0 to 95 %

MeCN in water (0.1 % TFA) in 2.25 minutes then 95 % MeCN for 0.5 minutes, Tr = 1.24 min (100 %, 220 nm).

m/z (Q-TOF EST ) 851.5641 (6%, MH ⁺ , C ₄ 7H7 ₅ N ₆ 0 ₈ requires 851.5641), 426.2854 (100 %, (MH ₂ ) ²⁺ , requires 426.2857).

Example 15: Antiproliferative activity of the Drugs

Method:

Cell culture. A549 (Non Small Cell Lung Cancer - ATCC CCL-185) and MDA- MB-231 (breast adenocarcinoma - ATCC HTB-26) cells were cultured in Minimum Essential Medium Eagle (MEM) with 5%> fetal calf serum (FCS) and Dulbecco's modified Eagle Medium (DMEM) with 10% FCS respectively. MCF7 (breast ductal carcinoma - ATCC HTB-22) and SN-12C (kidney carcinoma - ATCC) cells were maintained in RPMI1640 medium (without phenol red for MCF7 cells) containing 10% FCS. All the media were supplemented with fungizone (1.25 μg/mL) and penicillin- streptomycin (100 U / 100 μg/mL). Cells were cultured under standard conditions in an incubator at 37°C, 5%> C0 ₂ and 95%> atmospheric humidity.

Antiproliferative activity on 4 tumor cell lines. Selected drugs were investigated for their antiproliferative activity using an ATP lite proliferation assay (Perkin Elmer, Villebon sur Yvette, France) on a comprehensive panel of 4 cell lines. Cells were seeded in 96 well plates (10 ³ cells/well for A549, 2.10 ³ for MCF7, MDA-

MB-231 and SN12C) at day 0 at a concentration to ensure cells remained in logarithmic cell growth phase throughout the 72 h drug treatment period. After a 24h incubation period, all the cells were treated with serial dilutions of the tested compounds (1 Ιμί of a 10X solution in 1% DMSO - 6 wells/ condition). To avoid adherence of the compounds onto the tips, tips were changed between two consecutive dilutions. Cells were then placed in 37°C, 5% C0 ₂ incubator. On day 4, cell viability was evaluated by dosing the ATP released by viable cells. The number of viable cells was analyzed in comparison with the number of solvent treated cells. The EC50 values were determined with curve fitting analysis (non linear regression model with a sigmoidal dose response, variable hill slope coefficient), performed with the algorithm provided by the GraphPad Software (GraphPad Software Inc., CA, USA).

Results:

Various drugs:

Various drugs were tested to determine their antiproliferative activity on the MDA-MB-231 cell line following the above-described method. The measured activities gave values of EC50 < 0.1 μΜ.

The few following examples chosen from among the above exemplified drugs illustrate their fully remarkable antiproliferative properties:

Example 12: EC ₅₀ = 5.80xl0 ^"10 M; Example 13: EC ₅₀ = 7.95xl0 ^"8 M; Example 15: EC ₅₀ = 1.70xl0 ^"10 M; Example 27: EC ₅₀ = 1.20xl0 ^"10 M.

Various cell lines:

Compound 15 was tested on different cell lines (A549, MDA-MB-231 , MCF-7, SN12C) following the above-described method. The measured activities gave values of EC50 < 0.1 μΜ on all the tested cell lines.

Comparative examples:

The substitution on the phenyl ring (amino v. carboxyl) was studied in the comparative examples below showing the improved antiproliferative activity of the drugs according to the invention comprising an amino substituent.

Example 16: Synthesis of the Drug-Linker moiety

Compound E-ll

4-((S)-2-((S)-2-(6-(2,5-dioxo-2,5-dihydro-lH-pyrrol-l-yl)hex anamido)-3- methylbutanamido)-5-ureidopentanamido)benzyl (4-((3R,4S,7S,10S)-4-((S)-sec- butyl)-7,10-diisopropyl-3-(2-((5)-2-((lR,2R)-l-methoxy-2-met hyl-3-oxo-3-(((S)-2- phenyl-l-(thiazol-2-yl)ethyl)amino)propyl)pyrrolidin-l-yl)-2 -oxoethyl)-5,ll- dimethyl-6,9-dioxo-2-oxa-5,8,ll-triazatridecan-13-yl)phenyl) (methyl)carbamate

2,2,2-trifluoroacetate

Compound E-11-1: meth l (S)-2-amino-5-ureido entanoate hydrochloride

Acetyl chloride (10 mL) was added dropwise to MeOH (120 mL) at 0°C with stirring. After 20 minutes, L-Citrulline (10 g, 57 mmol, 1.00 eq.) was added and the mixture heated at reflux overnight. The solvent was evaporated under reduced pressure to yield 15 g (116 %) of compound E-11-1 as a white solid. The product was used in the next step without further drying.

Compound E-ll-2: methyl (5)-2-((5)-2-((fert-butoxycarbonyl)amino)-3- methylbutanamido -5-ureido entanoate

Compound E-11-1 (13 g, 57.6 mmol, 1.1 eq.) was dissolved in DMF (140 mL) at 0°C under an inert atmosphere. DIEA (30 mL, 173 mmol, 3.0 eq.), hydroxybenzotriazole (HOBt - 10.59 g, 69.1 mmol, 1.2 eq.) and Boc-L-valine hydroxysuccinimide ester (Boc-Val-OSu - 18.1 g, 57.6 mmol, 1.0 eq.) were added. The reaction mixture was agitated overnight at ambient temperature, then the solvent was evaporated under reduced pressure. The residue was dissolved in water (100 mL) and extracted twice with DCM (150 mL). The organic phases were combined, dried over Na ₂ S0 ₄ and concentrated under reduced pressure. The residue was purified on silica gel (DCM/MeOH) to yield 18.8 g (84 %) of compound E-ll-2 as a white solid.

Compound E-ll-3: (5)-2-((5)-2-((tert-butoxycarbonyl)amino)-3 -methyl butanamido)-5-ureido entanoic acid

Compound E-ll-2 (18.8 g, 48.4 mmol, 1 eq.) was dissolved in MeOH (200 mL) at 0°C. A solution of NaOH 1M (72 mL, 72 mmol, 1.5 eq.) was added and the mixture stirred for 2 hours at room temperature. The MeOH was removed under reduced pressure and the remaining aqueous solution acidified with HC1 1M. The aqueous phase was evaporated to dryness and the residue purified on silica gel (DCM/MeOH) to yield 18 g (99 %) of compound E-ll-3 as a white solid.

Compound E-ll-4: tert-butyl ((S)-l-(((S)-l-((4-(hydroxymethyl)phenyl) amino)- 1 -oxo-5-ureido entan-2-yl)amino)-3-methyl- 1 -oxobutan-2-yl)carbamate

Compound E-ll-3 (5g, 13.4 mmol, 1 eq.) was dissolved in a mixture of dry DCM (65 ml) and dry MeOH (35 ml). (4-aminophenyl)methanol (1.81 g, 14.7 mmol, 1.1 eq.) and N-Ethoxycarbonyl-2-ethoxy-l ,2-dihydroquinoline (EEDQ - 6.60 g, 26.7 mmol, 2 eq.) were added and the mixture stirred in the dark overnight. The solvents were evaporated under reduced pressure, and the residue purified on silica gel (DCM/MeOH) to yield 5.2 g (73 %) of compound E-ll-4 as an off-white solid.

Compound E-ll-5: tert-butyl ((5)-3-methyl-l-(((S)-l-((4-((((4- nitrophenoxy)carbonyl)oxy)methyl)phenyl)amino)-l-oxo-5-ureid opentan-2-yl)amino)- 1 -oxobutan-2-yl)carbamate

Compound E-ll-4 (1.1 g, 2.29 mmol, 1 eq.) was dissolved in dry DMF (5 ml) at ambient temperature under an inert atmosphere. Bis(4-nitrophenyl) carbonate (1.40 g, 4.59 mmol, 2 eq.) was added, followed by DIEA (600 μΐ, 3.44 mmol, 1.5 eq.), and the resulting yellow solution stirred overnight. The DMF was evaporated under reduced pressure, and the residue purified on silica gel (DCM/MeOH) to yield 1.27 g (84 %) of compound E-ll-5 as an off- white solid.

Compound E-ll-6: 4-((5)-2-((5)-2-((fert-butoxycarbonyl)amino)-3 - methylbutanamido)-5-ureidopentanamido)benzyl (4-((3R,4S,7S, 10S)-4-((S)-sec-butyl)- 7, 10-diisopropyl-3-(2-((S)-2-((lR,2R)- l-methoxy-2-methyl-3-oxo-3-(((5)-2-phenyl- 1 - (thiazol-2-yl)ethyl)amino)propyl)pyrrolidin-l-yl)-2-oxoethyl )-5, l l-dimethyl-6,9-dioxo- 2-oxa-5,8, 1 1 -triazatridecan- 13-yl)phenyl)(methyl)carbamate 2,2,2-trifluoroacetate

Carbonate E-ll-5 (1 14 mg, 0.177 mmol, 1.2 eq.) and aniline 11F (150 mg, 0.147 mmol, 1 eq.) were dissolved in dry DMF (4 mL). HOBt (38 mg, 0.295 mmol, 2 eq.) and DIEA (54 μΐ,, 0.295 mmol, 2 eq.) were added and the mixture stirred for the weekend at room temperature. The DMF was evaporated under reduced pressure and the residue purified by flash chromatography on silica, eluting with DCM. The product was repurified by preparative HPLC (Waters 600E, SunFire Prep CI 8 OBD column, 5 μηι, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound E-ll-6 as a white solid (89 mg, 39 %).

-ll:

Compound E-ll-6 (21 mg, 0.014 mmol, 1.0 eq.) was dissolved in DCM (0.25 mL) and TFA (40 μί) was added. The solution was stirred for 2 hours at room temperature, after which, LC-MS analysis indicated complete consumption of starting material. The mixture was briefly cooled (bath of liquid nitrogen) whilst simultaneously adding DMF (0.5 mL) then DIEA (100 μί) in order to neutralise the TFA. The cooling bath was then removed and 2,5-dioxopyrrolidin-l-yl 6-(2,5-dioxo-2,5-dihydro-lH- pyrrol-l-yl)hexanoate (4 mg, 0.012 mmol, 1 eq.) was added. The mixture was stirred at room temperature for 48 hours and the product purified by preparative HPLC (Waters 600E, SunFire Prep C18 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound E-ll as a white solid (11 mg, 54 %).

m/z (Q-TOF MS ESI+) 1524.8282 (2 %, MNa ⁺ , CygHns is aOnS requires 1524.8299), 751.9283 (100 %, (MH ₂ ) ²⁺ , C79H117N13O14S requires 751.9276). Compound E-12

methyl ((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((4-((((4-((S) -2-((S)-2-(6-(2,5- dioxo-2,5-dihydro-lH-pyrrol-l-yl)hexanamido)-3-methylbutanam ido)-5- ureidopentanamido)benzyl)oxy)carbonyl)(methyl)amino)phenethy l)(methyl) amino)-3-methylbutanamido)- V,3-dimethylbutanamido)-3-methoxy-5- methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl )-L- phenylalaninate 2,2,2- trifluoroacetate

Compound E-12-1: tert-butyl ((S)-3-methyl-l-oxo-l-(((S)-l- ((((perfluorophenoxy)carbonyl)oxy)methyl)phenyl)amino)-5-ure idopentan-2- l)amino)butan-2-yl)carbamate

Compound E-ll-4 (670 mg, 1.26 mmol, 1 eq.) was dissolved in dry DMF (6 ml) at 0°C under an inert atmosphere. Bis(perfluorophenyl) carbonate (991 mg, 2.51 mmol, 2 eq.) was added, followed by DIEA (329 μΐ, 1.89 mmol, 1.5 eq.), and the resulting colourless solution stirred for 30 minutes at room temperature. The DMF was evaporated under reduced pressure, and the residue purified on silica gel (DCM/MeOH) to yield 836 mg (96 %) of compound E-12-1 as an off-white solid.

Compound E-12-2: methyl ((2R R)-3 (S) (3R,4S,5S)-4-((S)-2-((S)-2-((4- ((((4-((5)-2-((5)-2-((tert-butoxycarbonyl)amino)-3-methylbut anamido)-5- ureidopentanamido)benzyl)oxy)carbonyl)(methyl)amino)phenethy l)(methyl)amino)-3- methylbutanamido)-N,3 -dimethylbutanamido)-3 -methoxy-5 - methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl )-Z-phenylalaninate -trifluoroacetate

Aniline 12 (165 mg, 0.189 mmol, 1.0 eq.) was dissolved in DMF (5 mL) at 0°C under an inert atmosphere. Carbonate E-12-1 (194 mg, 0.282 mmol, 1.5 eq.), HOBt (51 mg, 0.375 mmol, 2 eq.) and DIEA (66 μί, 0.375 mmol, 2 eq.) were added and the mixture stirred at room temperature for 8 hours. The solvent was evaporated under reduced pressure and the residue purified by preparative HPLC (Waters 600E, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound E12-7 as a white solid (247 mg, 77 %).

Compound E-12-3: methyl ((2^,3^)-3-((5)-1-((3^,4^,55)-4-((5)-2-((5)-2-((4- ((((4-((5)-2-((5)-2-amino-3-methylbutanamido)-5-ureidopentan amido)benzyl)oxy) carbonyl)(methyl)amino)phenethyl)(methyl)amino)-3-methylbuta namido)-N,3- dimethylbutanamido)-3 -methoxy-5 -methylheptanoyl)pyrrolidin-2-yl)-3 -methoxy-2- meth lpropanoyl)-Z-phenylalaninate bis(2,2,2-trifluoroacetate)

Compound E-12-2 (5.6 mg, 4.04 μηιοΐ, 1.0 eq.) was dissolved TFA (100 μΐ/).

After 5 minutes, 2 ml of water was added and the mixture lyophilised overnight to yield compound E-12-3 as an off- white solid (5.6 mg, 98 %).

Compound E-12:

Compound E-12-3 (5.6 mg, 4 μmol, 1.0 eq.) was dissolved in acetonitrile (0.5 mL), and DIEA (5 μί, 7 eq.) was added, followed by 2,5-dioxopyrrolidin-l-yl 6-(2,5- dioxo-2,5-dihydro-lH-pyrrol-l-yl)hexanoate (2.5 mg, 8 μιηοΐ, 2 eq.). The mixture was stirred for 6 hours at room temperature. After controlling the reaction by LC-MS, 200 μΐ, of water was added, and the resulting solution purified by preparative HPLC (Waters 600E, SunFire Prep C18 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound E-12 as a white solid (4.6 mg, 70 %).

m/z (Q-TOF MS ESI+) 739.4389 (100 %, (MH ₂ ) ²⁺ , C ₇ 8Hi i ₈ Ni ₂ 0i6 requires 739.4389).

Compound E-13

((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((4-((((4-( (5)-2-((5)-2-(6-(2,5-dioxo-2,5- dihydro-lH-pyrrol-l-yl)hexanamido)-3-methylbutanamido)-5- ureidopentanamido)benzyl)oxy)carbonyl)(methyl)amino)phenethy l)(methyl)amino

)-3-methylbutanamido)- V,3-dimethylbutanamido)-3-methoxy-5- methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl )-L-phenylalanine

2,2,2-trifluoroacetate

Compound E-13-1: ((2R R)-3-((S) -((3R,4S,5S)-4-((S)-2 (S)-2 (4-((((4-((S)-

2-((S)-2-((tert-butoxycarbonyl)amino)-3 -methylbutanamido)-5 - ureidopentanamido)benzyl)oxy)carbonyl)(methyl)amino)phenethy l)(methyl)amino)-3- methylbutanamido)-N,3 -dimethylbutanamido)-3 -methoxy-5 - methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl )-Z-phenylalanine

Compound E-12-2 (185 mg, 0.123 mmol, 1.0 eq.) was dissolved in a mixture of water (5 mL) and acetonitrile (5 mL) at room temperature. Piperidine (3.67 mL, 300 eq.) was added and the mixture stirred for 6 hours at room temperature. The solvents were evaporated to dryness under reduced pressure, and the residue triturated with Et ₂ 0 (60 mL). The solid was rinsed with twice Et ₂ 0 (20 ml) and dried under vacuum to yield compound E-13-1 as an off-white solid (175 mg, 95 %).

Compound E-13-2: ((2^,3^)-3-((5)-1-((3^,4^,55)-4-((5)-2-((5)-2-((4-((((4-((5) -

2-((5)-2-amino-3 -methylbutanamido)-5 - ureidopentanamido)benzyl)oxy)carbonyl)(methyl)amino)phenethy l)(methyl)amino)-3- methylbutanamido)-N,3 -dimethylbutanamido)-3 -methoxy-5 - methylheptanoyl)pyrro lidin-2-yl)-3 -methoxy-2-methylpropanoyl)-Z-phenylalanine bis 2,2,2-trifluoroacetate)

Compound E-13-1 (175 mg, 0.128 mmol, 1.0 eq.) was dissolved TFA (200 μΐ,). After 5 minutes, water (1 mL) and acetonitrile (1 mL) were added and the solution lyophilised overnight to yield compound E-13-2 as an off-white solid (180 mg, 87 %).

Compound E-13: ((2R,3R)-3-((S)- 1 (3R,45,5S)-4-((S)-2-((S)-2-((4-((((4-((S)-2-

((iS)-2-(6-(2,5-dioxo-2,5-dihydro- IH-pyrrol- 1 -yl)hexanamido)-3-methylbutanamido)-5- ureidopentanamido)benzyl)oxy)carbonyl)(methyl)amino)phenethy l)(methyl)amino)-3- methylbutanamido)-N,3-dimethylbutanamido)-3-methoxy-5-methyl heptanoyl) pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl)-Z-phenylalanin e, 2,2,2-trifluoroacetate

Compound E-13-2 (80 mg, 0.058 mmol, 1.0 eq.) was dissolved in a mixture of acetonitrile (1.5 mL) and DMF (0.4 mL). DIEA (50 μΐ,, 0.289 mmol, 5 eq.) was added, followed by 2,5-dioxopyrrolidin-l-yl 6-(2,5-dioxo-2,5-dihydro-lH-pyrrol-l- yl)hexanoate (36 mg, 0.1 16 mmol, 2 eq.). The mixture was stirred for 3 hours at room temperature. After controlling the reaction by LC-MS, the solvent was evaporated under reduced pressure and the residue purified by preparative HPLC (Waters 600E, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound E-13 as a white solid (32 mg, 35 %).

m/z (Q-TOF MS ESI-) 1461.8336 (100 %, (M-H) ^~ , C77H113N12O16 requires 1461.8403). m/z (Q-TOF MS ESI+) 1463.8565 (2 %, MH ⁺ , CvvHi isNizOig requires 1463.8549), 732.4317 (100 %, (MH ₂ ) ²⁺ , CvvHi igNizOig requires 732.431 1). Compound E-15

methyl ((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((3-((((4-((S) -2-((S)-2-(6-(2,5- dioxo-2,5-dihydro-lH-pyrrol-l-yl)hexanamido)-3-methylbutanam ido)-5- ureidopentanamido)benzyl)oxy)carbonyl)amino)benzyl)(methyl)a mino)-3- methylbutanamido)- V,3-dimethylbutanamido)-3-methoxy-5- methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl )-L- -trifluoroacetate

Compound E-15-1: methyl ((2R R)-3-((S) (3R,4S,5S)-4-((S)-2-((S)-2-((3- ((((4-((5)-2-((5)-2-((tert-butoxycarbonyl)amino)-3-methylbut anamido)-5- ureidopentanamido)benzyl)oxy)carbonyl)amino)benzyl)(methyl)a mino)-3- methylbutanamido)-N,3 -dimethylbutanamido)-3 -methoxy-5 - methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl )-Z-phenylalaninate 2,2 2-trifluoroacetate

Compound E-15-1 was prepared according to the same method as for compound E-ll-6, using carbonate E-ll-5 (28 mg, 0.044 mmol, 1 eq.), aniline 15 (42 mg, 0.044 mmol, 1 eq.), HOBt (3 mg, 0.022 mmol, 0.5 eq.), and DIEA (15 μί, 0.087 mmol, 2 eq.) in DMF (2 mL). Compound E-15-1 was isolated as a white solid (8.2 mg, 13 %).

Compound E-15-2: methyl ((2^,3^)-3-((5)-1-((3^,4^,55)-4-((5)-2-((5)-2-((3-

((((4-((5)-2-((5)-2-amino-3-methylbutanamido)-5-ureidopen tanamido)benzyl)oxy) carbonyl)amino)benzyl)(methyl)amino)-3-methylbutanamido)-N,3 - dimethylbutanamido)-3-methoxy-5-methylheptanoyl)pyrrolidin-2 -yl)-3-methoxy-2- meth lpropanoyl)-Z-phenylalaninate bis(2,2,2-trifluoroacetate)

Compound E-15-1 (8.2 mg, 5.58 μιηοΐ, 1.0 eq.) was dissolved in TFA (200 μΐ,). After 5 minutes, water (1 mL) was added and the solution lyophilised overnight to yield compound E-15-8 as a white solid (7.6 mg, 99 %). Compound E-15:

Compound E-15 was prepared according to the same method as for compound E-12, using amine E-15-2 (7.6 mg, 5.55 μιηοΐ, 1 eq.), 2,5-dioxopyrrolidin-l-yl 6-(2,5- dioxo-2,5-dihydro-lH-pyrrol-l-yl)hexanoate (2 mg, 6.65 μιηοΐ, 1.2 eq.) and DIEA (5 μί, 0.028 mmol, 5 eq.) in acetonitrile (0.5 mL). Compound E-15 was isolated as a white solid (4.2 mg, 48 %).

m/z (Q-TOF MS ESI+) 1471.8169 (2 %, MNa ⁺ , requires 1471.8211), 725.4223 (100 %, (MH ₂ ) ²⁺ , C76H114N12O16 requires 725.4232), 483.9482 (10 %, (MH ₃ ) ³⁺ , C ₇₆ Hi i ₅ Ni20i6 requires 483.9513).

Compound F-13

((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((4-((5)-2-((5 )-2-(6-(2,5-dioxo-2,5- dihydro-lH-pyrrol-l-yl)hexanamido)-3-methylbutanamido)- V-methyl-5- ureidopentanamido)phenethyl)(methyl)amino)-3-methylbutanamid o)- V,3- dimethylbutanamido)-3-methoxy-5-methylheptanoyl)pyrrolidin-2 -yl)-3-methoxy- 2-methylpropanoyl)-L-phenylalanine 2,2,2-trifluoroacetate

Compound F-13-1: benzyl N-(4-((tert-butoxycarbonyl)(methyl)amino) phenethyl)-N-methyl-Z-valinate

BocHN

Compound 11C (250 mg, 0.567 mmol, 1 eq.) was dissolved in THF (10 ml) followed by the addition of NaH (60 % suspension in mineral oil, 68 mg, 1.702 mmol, 3 eq.). The mixture was stirred for 5 minutes before adding iodomethane (106 μί, 1.702 mmol, 3 eq.). The reaction was stirred for 2 hours at room temperature before quenching with water and separating between EtOAc (100 mL) and water (50 mL). The organic phase was dried over MgSC^ and evaporated to dryness to yield compound F- 13-1 as a yellow oil (250 mg, 97 %), which was used without further purification.

Compound F-13-2: benz l N-meth l-N- 4- meth lamino heneth l -Z-valinate

2 HCI

Boc-protected aniline F-13-1 (250 mg, 0.550 mmol, 1 eq) was dissolved in MeOH (5 mL) followed by the addition of 1 mL of a commercially-available solution of HCI in 'PrOH (5 - 6 M). The solution was stirred at room temperature for 2 hours before evaporating to dryness under reduced pressure. The resulting yellow oil was triturated with Et ₂ 0 to yield compound F-13-2 as a yellow solid (202 mg, 94 %).

Compound F-13-3: benzyl N-(4-((5)-2-((5)-2-((fert-butoxycarbonyl)amino)-3- methylbutanamido)-N-methyl-5-ureidopentanamido)phenethyl)-N- methyl-Z-valinate

Acid E-ll-3 (190 mg, 0.508 mmol, 1.5 eq.) was dissolved in dry DMF (1 ml), followed by the addition of DIE A (1 18 μί, 0.677 mmol, 2 eq.), benzotriazol-l-yl- oxytripyrrolidinophosphonium hexafluorophosphate (PyBOP - 264 mg, 0.508 mmol, 1.5 eq.) and aniline F-13-2 (120 mg, 0.339 mmol, 1 eq.). The mixture was stirred at room temperature overnight and the solvents evaporated under reduced pressure. The residue was purified by preparative HPLC (Waters 600E, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound F-13-3 as a white solid (140 mg, 45 %).

Compound F-13-4: N-(4-((5)-2-((5)-2-((fert-butoxycarbonyl)amino)-3 - m thylbutanamido)-N-methyl-5-ureidopentanamido)phenethyl)-N-me thyl-Z-valine

Compound F-13-3 (1 16 mg, 0.163 mmol, 1 eq.) was dissolved in MeOH (5 ml) in the presence of Pd/C 10% (30 mg) and hydrogenated for 2 hours at ambient temperature and atmospheric pressure. The reaction medium was filtered and concentrated under reduced pressure to yield 1 10 mg (99 %) of compound F-13-4 as a beige solid.

Compound F-13-5: methyl ((2^,3^)-3-((5)-1-((3^,4^,55)-4-((5)-2-((5)-2-((4-

((5)-2-((5)-2-((tert-butoxycarbonyl)amino)-3-methylbutana mido)-N-methyl-5- ureidopentanamido)phenethyl)(methyl)amino)-3-methylbutanamid o)-N,3- dimethylbutanamido)-3 -methoxy-5 -methylheptanoyl)pyrrolidin-2-yl)-3 -methoxy-2- methylpropanoyl)-Z-phenylalaninate 2,2,2-trifluoroacetate

Amine 3D (89 mg, 0.140 mmol, 1 eq.) and acid F-13-4 (145 mg, 0.210 mmol, 1.5 eq.) were dissolved in dry DMF (4 mL), and PyBOP (109 mg, 0.210 mmol, 1.5 eq.) and DIEA (73 μί, 0.420 mmol, 3 eq.) were added. The mixture was stirred for 1 hour at room temperature and the solvent evaporated. The residue was separated between EtOAc and water, and the organic phase dried over MgSC^, filtered and evaporated under reduced pressure. The crude product was purified by preparative HPLC (Waters 600E, SunFire Prep C 18 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound F-13-5 as a white solid (140 mg, 73 %).

Compound F-13-6: ((2R,3R)-3-((S)- 1 (3R,45,5S)-4-((S)-2-((S)-2-((4-((S)-2- ((5)-2-((^ert-butoxycarbonyl)amino)-3-methylbutanamido)-N-me thyl-5- ureidopentanamido) phenethyl)(methyl)amino)-3-methylbutanamido)-N,3- dimethylbutanamido)-3 -methoxy-5 -methylheptanoyl)pyrrolidin-2-yl)-3 -methoxy-2- methylpropanoyl)-Z-phenylalanine 2,2,2-trifluoroacetate

Compound F-13-5 (140 mg, 0.104 mmol, 1 eq.) was dissolved in a mixture of water (4 mL), acetonitrile (4 mL) and piperidine (2 mL) and stirred at room temperature for 4 hours. The solvent was evaporated under reduced pressure and the residue purified by preparative HPLC (Waters 600E, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound F-13-6 as a white solid (1 15 mg, 83 %).

Compound F-13:

Compound F-13 was prepared according to the same method as for compound E-ll, using Boc-protected amine F-13-6 (55 mg, 0.041 mmol, 1.0 eq.) in DCM ( 0.5 mL) and TFA (100 μί, 30 eq.), followed by dilution with DMF (1 mL), quenching with (DIEA (320 μί, 45 eq) then reaction with 2,5-dioxopyrrolidin-l-yl 6-(2,5-dioxo-2,5- dihydro-lH-pyrrol-l-yl)hexanoate (15 mg, 0.049 mmol, 1.2 eq.). After purification by preparative HPLC and lyophilisation, compound F-13 was obtained as a white solid (14 mg, 24 %).

m/z (Q-TOF MS ESI+) 1314.8067 (2 %, MH ⁺ , CggHiosNnOw requires 1314.8072), 657.9067 (100 %, (MH ₂ ) ²⁺ , CggHiogNnOw requires 657.9072). Compound F-61

V-((5)-l-(((5)-l-((4-((3R,4S,7S,10S)-4-((S)-sec-butyl)-7,10- diisopropyl-3-(2-((S)-2-

((lR,2R)-l-methoxy-2-methyl-3-oxo-3-(((5)-2-phenyl-l-(thi azol-2- yl)ethyl)amino)propyl)pyrrolidin-l-yl)-2-oxoethyl)-5,ll-dime thyl-6,9-dioxo-2-oxa- 5,8,ll-triazatridecan-13-yl)phenyl)amino)-l-oxo-5-ureidopent an-2-yl)amino)-3- methyl-l-oxobutan-2-yl)-6-(2,5-dioxo-2,5-dihydro-lH-pyrrol-l -yl)hexanamide

2,2,2-trifluoroacetate

Compound F-61-1: benzyl N-(4-aminophenethyl)-N-methyl-Z-valinate dihydrochloride

BocHN

Compound 11C (1.0 g, 2.27 mmol, 1 eq.) was dissolved in 8 mL of a commercially-available solution of HCI in 'PrOH (5 - 6 M). The mixture was stirred for 2 hours at room temperature before evaporating to dryness under reduced pressure. The residue was triturated twice with Et ₂ 0 (30 mL) and dried under vacuum to yield compound F-61-1 as a white solid (916 mg, 98 %).

Compound F-61-2: benzyl N-(4-((5)-2-((5)-2-((fert-butoxycarbonyl)amino)-3- methylbutanamido)-5-ureidopentanamido)phenethyl)-N-methyl-Z- valinate

Acid E-ll-3 (769 mg, 2.05 mmol, 1.5 eq.) was dissolved in dry DMF (2.5 ml) followed by the addition of DIEA (957 μΐ,, 5.48 mmol, 4 eq.) and PyBOP (1.07 g, 2.05 mmol, 1.5 eq.). Aniline F-61-1 (566 mg, 1.369 mmol, 1 eq.) was added and the mixture stirred at room temperature overnight. The solvents were evaporated under reduced pressure, and the residue purified on silica gel (DCM/MeOH) to yield 969 mg (102 %) of compound F-61-2 as a white solid.

Compound F-61-3: N-(4-((S)-2-((S)-2-((tert-butoxycarbonyl) m thylbutanamido)-5-ureidopentanamido)phenethyl)-N-methyl-Z-va line

Compound F-61-2 (969 mg, 1.28 mmol, 1 eq.) was dissolved in MeOH (20 ml) in the presence of Pd/C 10% (270 mg) and hydrogenated for 3 hours at ambient temperature and atmospheric pressure. The reaction medium was filtered and concentrated under reduced pressure, and the residue purified on silica gel

(DCM/MeOH/ AcOH) to yield 520 mg (67 %) of compound F-61-3 as a white solid.

Compound F-61-4: tert-butyl ((5)-1-(((5)-1-((4-((3^,4^,7^,105)-4-((5)-5^- butyl)-7,10-diisopropyl-3-(2-((5)-2-((li?,2i?)-l-methoxy-2-m ethyl-3-oxo-3-(((5)-2- phenyl- 1 -(thiazo l-2-yl)ethyl)amino)propyl)pyrrolidin- 1 -yl)-2-oxoethyl)-5 , 11 -dimethyl- 6,9-dioxo-2-oxa-5,8, 11 -triazatridecan- 13-yl)phenyl)amino)- 1 -oxo-5-ureidopentan-2- yl)amino)-3 -methyl- 1 -oxobutan-2-yl)carbamate 2,2,2-trifluoroacetate

Acid F-61-3 (67.5 mg, 0.1 1 1 mmol, 1.5 eq.) was dissolved in dry DMF (2 mL) and DECP (17 μΐ,, 0.1 1 1 mmol, 1.5 eq.) and DIEA (39 μΐ,, 0.223 mmol, 3 eq.) were added. After stirring for 15 minutes at room temperature, amine 1Y (50 mg, 0.074 mmol, 1 eq.) was added and the solution stirred overnight. The solvent was evaporated under reduced pressure, and the residue purified by preparative HPLC (Waters 600E, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound F61-4 as a white solid (28 mg, 28 %).

Compound F-61-5: (5)-2-((5)-2-amino-3-methylbutanamido)-N-(4-

((3R,4S S, 10S)-4-((S)-sec-butyl)-7, 10-diisopropyl-3-(2-((S)-2-(( 1R,2R)- 1 -methoxy-2- methyl-3-oxo-3-(((iS)-2-phenyl- 1 -(thiazol-2-yl)ethyl)amino)propyl)pyrrolidin- 1 -yl)-2- oxoethyl)-5, 1 1 -dimethyl-6,9-dioxo-2-oxa-5,8, 1 1 -triazatridecan- 13-yl)phenyl)-5- ureidopentanamide bis(2,2,2-trifluoroacetate)

Compound F-61-4 (28 mg, 0.021 mmol, 1.0 eq.) was dissolved in TFA (200 μί). After 5 minutes, water (2 mL) and acetonitrile (0.5 mL) were added and the solution lyophilised overnight to yield compound F-61-5 as a colourless oil (38 mg, 134 %).

Compound F-61:

Compound F-61-5 (28.3 mg, 0.020 mmol, 1 eq.) was dissolved in acetonitrile (0.5 mL), followed by 2,5-dioxopyrrolidin-l-yl 6-(2,5-dioxo-2,5-dihydro-lH-pyrrol-l- yl)hexanoate (9 mg, 0.029 μιηοΐ, 1.4 eq.) and DIEA (25 μί, 0.143 mmol, 7 eq.). The mixture was stirred for 4.5 hours, after which time HPLC analysis showed the presence of starting material but complete consumption of the succinimide. Supplementary 2,5- dioxopyrrolidin-l-yl 6-(2,5-dioxo-2,5-dihydro-lH-pyrrol-l-yl)hexanoate was therefore added (3 mg, 0.01 μιηοΐ, 0.5 eq.) and the reaction stirred for 1.5 hours. HPLC analysis showed complete consumption of the starting material. The solvent was evaporated to dryness and the residue triturated twice with a mixture of EtOAc/Et ₂ 0 (80/20) to yield compound F-61 as an off-white solid (19.4 mg, 70 %).

m/z (Q-TOF MS ESI+) 1361.7725 (2 %, MNa ⁺ , C ₇₀ Hio ₆ Ni ₂ NaOi ₂ S requires 1361.7666), 670.3961 (100 %, (MH ₂ ) ²⁺ , C ₇ oHi ₀ 8Ni ₂ Oi ₂ S requires 670.3960). Compound F-62:

methyl ((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((4-((S)-2-((S )-2-(6-(2,5-dioxo- 2,5-dihydro-lH-pyrrol-l-yl)hexanamido)-3-methylbutanamido)-5 - ureidopentanamido)phenethyl)(methyl)amino)-3-methylbutanamid o)- V,3- dimethylbutanamido)-3-methoxy-5-methylheptanoyl)pyrrolidin-2 -yl)-3-methoxy- 2-methylpropanoyl)-L-phenylalaninate 2,2,2-trifluoroacetate

Compound F-62-1: methyl ((2R R)-3 (S) (3R,4S,5S)-4-((S)-2-((S)-2-((4- ((5)-2-((5)-2-((tert-butoxycarbonyl)amino)-3 -methylbutanamido)-5 - ureidopentanamido)phenethyl)(methyl)amino)-3-methylbutanamid o)-N,3- dimethylbutanamido)-3 -methoxy-5 -methylheptanoyl)pyrrolidin-2-yl)-3 -methoxy-2- methylpropanoyl)-Z-phenylalaninate 2,2,2-trifluoroacetate

Compound F-62-1 was prepared in similar manner to compound F-61-4 from amine 3D (100 mg, 0.158 mmol, 0.9 eq.), acid F-61-3 (108 mg, 0.178 mmol, 1 eq.), DECP (41 μί, 0.267 mmol, 1.5 eq.) and DIEA (93 μΐ., 0.534 mmol, 3 eq.) in DMF (2 mL). After purification by preparative HPLC, compound F-62-1 was obtained as a white solid (93 mg, 39 %).

Compound F-62-2: methyl ((2^,3^)-3-((5)-1-((3^,4^,55)-4-((5)-2-((5)-2-((4- ((5)-2-((5)-2-amino-3-methylbutanamido)-5-ureidopentanamido) phenethyl)(methyl) amino)-3 -methylbutanamido)-N,3 -dimethylbutanamido)-3 -methoxy-5 -methylheptanoyl) pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl)-Z-phenylalanin ate bis(2,2,2- trifluoroacetate

Compound F-62-1 (35 mg, 0.026 mmol, 1.0 eq.) was dissolved in TFA (200 μί). After 10 minutes, water (2 mL) and acetonitrile (0.5 mL) were added and the solution lyophilised overnight to yield compound F-62-2 as a white solid (34 mg, 105 %). Compound F-62:

Amine F-62-2 (34 mg, 5.55 μmol, 1 eq.) was dissolved in acetonitrile (3 mL). DIEA (5 μΐ,, 0.028 mmol, 5 eq.) and 2,5-dioxopyrrolidin-l-yl 6-(2,5-dioxo-2,5-dihydro- lH-pyrrol-l-yl)hexanoate (2 mg, 6.65 μιηοΐ, 1.2 eq.) were added. HPLC analysis showed complete consumption of the starting material. The solvent was evaporated to dryness and the residue triturated with a mixture of EtOAc/Et ₂ 0 (80/20). The crude product was purified by preparative HPLC (Waters 600E, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound F-62 as a white solid (5.5 mg, 13 %).

m/z (Q-TOF MS ESI+) 1336.7859 (2 %, MNa ⁺ , CggHioyNnNaOu requires 1336.7891), 657.9073 (100 %, (MH ₂ ) ²⁺ , CggHiogNnOw requires 657.9072). Compound F-63:

((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((4-((S)-2-((S )-2-(6-(2,5-dioxo-2,5- dihydro-lH-pyrrol-l-yl)hexanamido)-3-methylbutanamido)-5- ureidopentanamido)phenethyl)(methyl)amino)-3-methylbutanamid o)- V,3- dimethylbutanamido)-3-methoxy-5-methylheptanoyl)pyrrolidin-2 -yl)-3-methoxy- 2-methylpropanoyl)-L-phenylalanine 2,2,2-trifluoroacetate

Compound F-63-1: ((2R,3R)-3-((S)- 1 (3R,4S,5S)-4-((S)-2-((S)-2-((4-((S)-2- ((5)-2-((tert-butoxycarbonyl)amino)-3-methylbutanamido)-5- ureidopentanamido)phenethyl) (methyl)amino)-3-methylbutanamido)-N,3- dimethylbutanamido)-3 -methoxy-5 -methylheptanoyl)pyrrolidin-2-yl)-3 -methoxy-2- methylpropanoyl)-Z-phenylalanine

Compound F-62-1 (157 mg, 0.1 18 mmol, 1 eq.) was dissolved in a mixture of water (4.5 mL), acetonitrile (4.5 mL) and piperidine (3.5 mL) and stirred at room temperature for 5 hours. The solvent was evaporated under reduced pressure and the residue triturated Et ₂ 0 (60 mL). The solid was collected by filtration and rinsed twice with Et ₂ 0 (10 mL) to yield compound F-63-1 as an off- white solid (153 mg, 100 %).

Compound F-63-2: ((2R,3R)-3-((S)- 1 -((3^,4^,55)-4-((5)-2-((5)-2-((4-((5)-2- ((5)-2-amino-3-methylbutanamido)-5-ureidopentanamido)pheneth yl)(methyl)amino)-3- methylbutanamido)-N,3-dimethylbutanamido)-3-methoxy-5-methyl heptanoyl) pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl)-Z-phenylalanin e bis 2,2,2- trifluoroacetate

Compound F-63-1 (153 mg, 0.127 mmol, 1.0 eq.) was dissolved in TFA (200 μί). After 10 minutes, water (2 mL) and acetonitrile (0.5 mL) were added and the solution lyophilised overnight to yield compound F-63-2 as a white solid (34 mg, 105 %).

Compound F-63:

Amine F-63-2 (100 mg, 0.082 mmol, 1 eq.) was dissolved in a mixture acetonitrile (2 mL) and DMF (0.5 mL), and 2,5-dioxopyrrolidin-l-yl 6-(2,5-dioxo-2,5- dihydro-lH-pyrrol-l-yl)hexanoate (45 mg, 0.147 mmol, 1.8 eq.) and DIEA (71 μΐ,, 0.409 mmol, 5 eq.) were added. After stirring at room temperature for 4.5 hours, the solvent was evaporated under reduced pressure. The crude product was purified by preparative HPLC (Waters 600E, SunFire Prep C 18 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound F-63 as a white solid after (42 mg, 36 %).

m/z (Q-TOF MS ESI+) 1300.7901 (2 %, MH ⁺ , CesHioe nOn requires 1300.7915), 650.8990 (100 %, (MH ₂ ) ²⁺ , CesHiov nOn requires 650.8994). Compound G-12

methyl ((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((4-(6-(2,5-di oxo-2,5-dihydro- lH-pyrrol-l-yl)- V-methylhexanamido)phenethyl)(methyl)amino)-3- methylbutanamido)- V,3-dimethylbutanamido)-3-methoxy-5- methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl )-L- henylalaninate 2,2,2-trifluoroacetate

Into oxalyl chloride (3 mL) was dissolved 6-(2,5-dioxo-2,5-dihydro-lH-pyrrol- l-yl)hexanoic acid (200 mg, 0.947 mmol, 1 eq.). The solution was stirred at room temperature for 5 hours before evaporating to dryness under reduced pressure. Compound G-12-1 was obtained as a beige solid (217 mg, 100 %) and used in the next step without purification.

Compound G-12:

Aniline 12 (40 mg, 0.045 mmol, 1 eq.) was dissolved in dry DCM (1 mL) at 0°C and DIEA (8 μί, 0.045 mmol, 1 eq.) was added. After stirring for 30 minutes, a solution of compound G-12-1 (10 mg, 0.45 mmol, 1 eq.) in dry DCM (1 mL) was introduced and the reaction stirred for 1 hour at 0°C. The mixture was diluted with DCM (25 ml) and washed twice with water (20 mL), once with brine (10 mL). The organic phase was dried over Na ₂ S0 ₄ , filtered and evaporated under reduced pressure to yield the crude product as a light brown solid (54 mg). This was purified by flash chromatography on silica gel (DCM/MeOH) followed by preparative HPLC (Waters 600E, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The isolated product was lyophilised to yield a white solid (23 mg), which was repurified by preparative HPLC and the selected fractions combined and lyophilised to furnish compound G-12 as a white solid (9 mg, 16 %).

m/z (Q-TOF MS ESI+) 1094.6543 (20 %, MNa ⁺ , requires 1094.6512), 1072.6722 (16 %, MH ⁺ , C59H90N7O11 requires 1072.6693), 536.8358 (100 %, (MH ₂ ) ²⁺ , C59H91N7O11 requires 536.8383). Compound G-13

((2R,3R)-3-((S)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((4-(6-(2,5-di oxo-2,5-dihydro-lH- pyrrol-l-yl)- V-methylhexanamido)phenethyl)(methyl)amino)-3- methylbutanamido)- V,3-dimethylbutanamido)-3-methoxy-5- methylheptanoyl)pyrrolidin-2-yl)-3-methoxy-2-methylpropanoyl )-L-phenylalanine

2 2,2-trifluoroacetate

Compound G-13:

Aniline 13 (15 mg, 0.015 mmol, 1 eq.) was dissolved in dry DCM (1.5 mL) at 0°C and DIEA (8 μί, 0.046 mmol, 3 eq.) was added. A solution of compound G-12-1 (3.5 mg, 0.046 mmol, 1 eq.) in dry DCM (0.5 mL) was introduced and the reaction stirred for 1.5 hours at 0°C. The solvent was evaporated under reduced pressure and the crude product purified by preparative HPLC (Waters 600E, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound G-13 as a white solid (1 1.4 mg, 62 %).

m/z (Q-TOF MS ESI+) 1058.6510 (30 %, MH ⁺ , C ₅ 8H ₈₈ N ₇ 0i i requires 1058.6536), 529.8285 (100 %, (MH ₂ ) ²⁺ , C ₅ 8H ₈₉ N ₇ 0i i requires 529.8305).

Compound G-15

methyl ((2R,3R)-3-((5)-l-((3R,4S,5S)-4-((S)-2-((S)-2-((3-(6-(2,5-di oxo-2,5-dihydro- lH-pyrrol-l-yl)hexanamido)benzyl)(methyl)amino)-3-methylbuta namido)- V,3- dimethylbutanamido)-3-methoxy-5-methylheptanoyl)pyrrolidin-2 -yl)-3-methoxy- -methylpropanoyl)-L-phenylalaninate 2,2,2-trifluoroacetate

Compoun -15:

Aniline 15 (40 mg, 0.047 mmol, 1 eq.) was dissolved in dry DCM (2 mL) at 0°C and DIEA (10 μί, 0.056 mmol, 1.2 eq.) was added. A solution of compound G-12-1 (108 mg, 0.47 mmol, 10 eq.) in dry DCM (1 mL) was introduced and the reaction stirred for 1.5 hours at 0°C. The mixture was diluted with DCM (10 ml) and washed twice with water (5 mL). The organic phase was dried over MgSC^, filtered and evaporated under reduced pressure to yield the crude product as a beige solid. This was purified by preparative HPLC (Waters 600E, SunFire Prep CI 8 OBD column, 5 μιη, 19 x 100 mm; Eluting phase: water / MeCN buffered with 0.1 % TFA; Gradient of 5 % to 100 % MeCN in 15 minutes; Waters 2487 UV Detector at 220 nm). The selected fractions were combined and lyophilised to furnish compound G15 as a white solid (27 mg, 50 %).

m/z (Q-TOF MS ESI+) 1066.6517 (2 %, MNa ⁺ , C ₅₇ H ₈₅ N ₇ NaOn requires

1066.6199), 522.8224 (100 %, (MH ₂ ) ²⁺ , C ₅ 7H ₈₇ N ₇ 0i i requires 522.8226).

Example 2: ADC synthesis, purification and characterization

Trastuzumab (1-5 mg/ml) was partially reduced with Tris(2- carboxyethyl)phosphine hydrochloride (TCEP) in 10 mM borate buffer pH 8.4 containing 150 mM NaCl and 2 mM EDTA for 2 h at 37°C. Typically, 2.75 molar equivalents of TCEP were used to target a Drug-to-Antibody Ratios (DAR) of around 4. The partial antibody reduction was confirmed by SDS-PAGE analysis under non reducing conditions. Before Linker-Drug coupling to the released interchain cysteine residues, the reduction mixture was allowed to cool to room temperature. The antibody concentration was then adjusted to 1 mg/ml with 10 mM borate buffer pH 8.4 containing 150 mM NaCl and 2 mM EDTA, and a 7 molar excess of drug to antibody was added from a 10 mM solution in dimethyl sulfoxide (DMSO). The final DMSO concentration was adjusted to 10% to maintain the solubility of the drug in the aqueous medium during coupling. The reaction was carried out for 1 h at room temperature. The drug excess was quenched by addition of 1.5 moles of N-acetylcysteine per mole of drug and incubation for 1 h at room temperature. After dialysis against 25 mM His buffer pH 6.5 containing 150 mM NaCl overnight at 4°C, the antibody-drug-conjugates were purified by using methods known to persons skilled in the art based with commercial chromatography columns and ultrafiltration units. First, the non coupled drug and the ADC aggregates were eliminated by size exclusion chromatography (SEC) on a S200 (GE Life Sciences) column. The purified ADC monomers were then concentrated to 3 mg/ml by affinity chromatography on Protein A. The purified ADCs were stored at 4°C after sterile filtration on 0.2 μιη filter. They were further analyzed by SDS-PAGE under reducing and non reducing conditions to confirm drug conjugation and by SEC on an analytical S200 column to determine the content of monomers and aggregated forms. Protein concentrations were determined by using the bicinchoninic acid (BCA) assay with IgG as standard. The DAR was estimated for each purified ADC by HIC. Typically, the content of aggregated forms was lower than 5% and the DAR was comprised between 4 and 5. Example 3: In vivo activity of the tratuzumab antibody conjugated to either

E-13 or G-13 compounds in the Calu-3 xenograft model.

In order to confirm the in vivo efficacy of antibodies coupled to G-13 or E-13 compounds, they have been coupled to Tratuzumab and tested in the HER2 sensitive xenograft model Calu-3 known for its HER2 amplification and (3 ) expression. The antibody Tratuzumab was purchased from Euromedex, 24 Rue des Tuileries 67460 SOUFFELWEYERSHEIM / France.

All animal procedures were performed according to the guidelines of the 2010/63/UE Directive on the protection of animals used for scientific purposes. The protocol was approved by the Animal Ethical Committee of the Pierre Fabre Institute. Seven millions Calu-3 cells were injected subcutaneous into 7 weeks old SCID mice.

Six days after Calu-3 cell implantation, when tumors reached an average size of 250-260 mm ³ , the animals were divided into groups of 6 mice according to tumor size and aspect. The different treatments were inoculated by intraperitoneal injections. The health status of animals was monitored daily. Tumor volume was measured twice a week with an electronic calliper until study end. Tumor volume is calculated with the following formula: (length x width ² )/2. Toxicity was evaluated following the weight of animals three times per week. Statistical analyses were performed at each measure using a Mann- Whitney test. All compounds were injected intraperitoneally (i.p.). In this example, the anti-tumor activity of Tratuzumab mAb coupled with either E-13 or G-13 at about DAR 4 was evaluated after 1 injections of a 3 mg/kg dose at D6. In parallel

Tratuzumab alone was injected at the equivalent dose of the one corresponding to 3mg/kg of naked antibody. Injection of either Trastuzumab-E-13 (Figure 1) or Trastuzumab-G-13 (Figure 2) significantly inhibited the tumor growth and even induced a complete tumor growth regression in all treated mice (p <0.05 vs corresponding naked antibody). No statistical activity difference was observed between Trastuzumab-E-13, and Trastuzumab-G-13 groups. Compared to published data (Cretella et al. Molecular Cancer 2014, 13: 143) on this Calu-3 model, TDM-1 did not induced complete regression even if its dosing was higher (15 mg/kg every 6 days vs 3 mg/kg, one injection respectively) than the one used for either Trastuzumab-E-13 or Trastuzumab-G-13. Example 4: In vivo activity of the tratuzumab antibody conjugated to either

E-13 or G-13 compounds in the JIMT-1 xenograft model.

In order to know whether Trastuzumab antibody conjugates display also an activity on a model known to be resistant to Trastuzumab, the JIMT-1 xenograft model that highly expressed HER2 but that was resistant to Tratuzumab therapy was evaluated. .All animal procedures were performed according to the guidelines of the 2010/63/UE Directive on the protection of animals used for scientific purposes. The protocol was approved by the Animal Ethical Committee of the Pierre Fabre Institute. Seven millions JIMT-1 cells were injected subcutaneous into 7 weeks old SCID mice.

Fourteen days after JIMT-1 cell implantation, when tumors reached an average size of 220-230 mm ³ , the animals were divided into groups of 5 mice according to tumor size and aspect. The different treatments were inoculated by intraperitoneal injections. The health status of animals was monitored daily. Tumor volume was measured twice a week with an electronic calliper until study end. Tumor volume is calculated with the following formula: (length x width ² )/2. Toxicity was evaluated following the weight of animals three times per week. Statistical analyses were performed at each measure using a Mann- Whitney test. All compounds were injected intraperitoneally (i.p.). In this example, the anti-tumor activity of Trastuzumab mAb coupled with either E-13 or G-13 at about DAR 4 was evaluated after 1 injections of a 3 mg/kg dose at D6 (Figures 3 and 4). In a first experiment, we have showed that Trastuzumab alone did not have any anti-tumoral effect (Figure 5). This result is in agreement with published data. Injection of either Trastuzumab-E-13 (Figure 3) or Trastuzumab-G-13 (Figure 4) significantly inhibited the tumor growth traduced by respectively 73 and 70% of growth inhibition at day 34. No statistical activity difference could be noted between Trastuzumab-E-13, and Trastuzumab-G-13. As already observed in the Calu-3 model and compared to published data (Barok et al. Breast Cancer Research 2011, 13:R46) on this JIMT-1 model, TDM-1 seems to be less potent even if its dosing (15 mg/kg every 6 days vs 3 mg/kg, one injection respectively) was higher than the one used for either Trastuzumab-E-13 or Trastuzumab-G-13. The in vivo activity of Trastuzumab-G-13 in the Tastuzumab-resistant JIMT-1 model, when tumor volume reached 350 mm ³ (D29) and after a single ADC injection, was also evaluated. Results are represented in Figure 6. Trastuzumab-G-13 induced more than 70% tumor growth inhibition 20 days after a single injection whereas multiple T-DM1 injections at higher doses (15 mg/kg Q6dn) were described as being inactive (published data).

The In vivo activity of Trastuzumab-G-13 in the Tastuzumab-resistant JIMT-1 model, when tumor volume reached 650 mm ³ (Days 36) was also evaluated. Results are represented in Figure 7. Trastuzumab-G-13 induced more than 50% of tumor growth inhibition 20 days after a single injection whereas multiple T-DM1 injections at higher doses (15 mg/kg Q6dn) were described as being inactive (published data).