| CPC A61K 47/6425 (2017.08) [A61K 47/65 (2017.08); A61K 47/6817 (2017.08); A61K 47/6855 (2017.08); A61K 47/6857 (2017.08); A61K 47/6863 (2017.08); A61K 47/6869 (2017.08); A61P 35/00 (2018.01); C07K 16/3015 (2013.01); C07K 16/3023 (2013.01); C07K 16/3046 (2013.01); C07K 16/3069 (2013.01); C07K 16/32 (2013.01); A61K 38/00 (2013.01); A61K 2039/505 (2013.01); C07K 2317/31 (2013.01); C07K 2317/526 (2013.01); C07K 2317/55 (2013.01); C07K 2317/565 (2013.01); C07K 2317/622 (2013.01); C07K 2317/73 (2013.01)] | 33 Claims |

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1. A method of treating a HER2-expressing cancer comprising administering to a subject having a HER2-expressing cancer an effective amount of an antibody-drug conjugate comprising an anti-HER2 biparatopic antibody conjugated to an auristatin analogue via a linker (L) at a low average drug-to-antibody ratio (DAR),
wherein the anti-HER2 biparatopic antibody comprises a first antigen-binding polypeptide construct comprising the CDR sequences set forth in SEQ ID NOs: 67, 68, 69, 70, 71 and 72, and a second antigen-binding polypeptide construct comprising the CDR sequences set forth in SEQ ID NOs: 27, 28, 29, 39, 40 and 41, wherein the auristatin analogue and linker have general Formula (X):
![]() wherein:
R1 is
![]() L is a protease-cleavable linker, and
represents the point of attachment of the linker to the anti-HER2 biparatopic antibody, andwherein the low average DAR is an average DAR of between 1.5 and 2.5.
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