To overcome a lack
of selectivity during the chemical modification
of native non-engineered antibodies, we have developed a technology
platform termed “AJICAP” for the site-specific chemical
conjugation of antibodies through the use of a class of IgG Fc-affinity
reagents. To date, a limited number of antibody–drug conjugates
(ADCs) have been synthesized via this approach, and no toxicological
study was reported. Herein, we describe the compatibility and robustness
of AJICAP technology, which enabled the synthesis of a wide variety
of ADCs. A stability assessment of a thiol-modified antibody synthesized
by AJICAP technology indicated no appreciable increase in aggregation
or decomposition upon prolonged storage, indicating that the unexpectedly
stable thiol intermediate has a great potential intermediate for payload
or linker screening or large-scale manufacturing. Payload conjugation
with this stable thiol intermediate generated several AJICAP-ADCs. In vivo xenograft studies indicated that the AJICAP-ADCs
displayed significant tumor inhibition comparable to benchmark ADC
Kadcyla. Furthermore, a rat pharmacokinetic analysis and toxicology
study indicated an increase in the maximum tolerated dose, demonstrating
an expansion of the AJICAP-ADC therapeutic index, compared with stochastic
conjugation technology. This is the first report of the therapeutic
index estimation of site-specific ADCs produced by utilizing Fc affinity
reagent conjugation. The described site-specific conjugation technology
is a powerful platform to enable next-generation ADCs through reduced
heterogeneity and enhanced therapeutic index.