DK2440239T3 - Hæmoglobinsammensætninger - Google Patents

Hæmoglobinsammensætninger Download PDF

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DK2440239T3
DK2440239T3 DK10727289.0T DK10727289T DK2440239T3 DK 2440239 T3 DK2440239 T3 DK 2440239T3 DK 10727289 T DK10727289 T DK 10727289T DK 2440239 T3 DK2440239 T3 DK 2440239T3
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hemoglobin
oxygen
peg
composition
blood
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Abraham Abuchowski
Steven Sloshberg
Keith O'hare
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Prolong Pharmaceuticals Llc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/41Porphyrin- or corrin-ring-containing peptides
    • A61K38/42Haemoglobins; Myoglobins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K41/00Medicinal preparations obtained by treating materials with wave energy or particle radiation ; Therapies using these preparations
    • A61K41/10Inactivation or decontamination of a medicinal preparation prior to administration to an animal or a person
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/16Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
    • A61K47/18Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/56Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule
    • A61K47/59Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyureas or polyurethanes
    • A61K47/60Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyureas or polyurethanes the organic macromolecular compound being a polyoxyalkylene oligomer, polymer or dendrimer, e.g. PEG, PPG, PEO or polyglycerol
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/08Solutions
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/02Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P39/00General protective or antinoxious agents
    • A61P39/06Free radical scavengers or antioxidants
    • AHUMAN NECESSITIES
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    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
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    • A61P7/06Antianaemics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/08Plasma substitutes; Perfusion solutions; Dialytics or haemodialytics; Drugs for electrolytic or acid-base disorders, e.g. hypovolemic shock
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis

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  • Chemical Kinetics & Catalysis (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Immunology (AREA)
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  • Dermatology (AREA)
  • Inorganic Chemistry (AREA)
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  • Vascular Medicine (AREA)
  • Medicinal Preparation (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Peptides Or Proteins (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
  • Anti-Oxidant Or Stabilizer Compositions (AREA)
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Claims (17)

1. Sammensætning, der omfatter et kovalent konjugat mellem et funktionelt, nativt hæmoglobinmolekyle og mindst ét molekyle af poly(ethylenglycol), hvilken sammensætning omfatter: a. en vandopløselig hæmoglobinfraktion, der omfatter en gruppe af hæmoglobinmolekyler, hvor hvert element af gruppen af hæmoglobinmolekyler; i. er kovalent konjugeret til mindst ét molekyle af poly(ethylenglycolet) via en amindel af en aminosyrerest (f.eks. en ε-amindel af en lysinrest); ii. er fri for kemiske tværbindingsmidler; og iii. har et P50 på fra 9 mm Hg til 14 mm Hg; og b. en vandopløselig stabiliseringsfraktion, der gør gruppen af hæmoglobinmolekyler oxideringsresistent, hvilken fraktion omfatter et stabiliseringsmiddel, der omfatter et strukturelement, der er mere reaktivt med oxygen end gruppen af hæmoglobinmolekyler; og c. en fortynderfraktion, der omfatter en farmaceutisk acceptabel fortynder, hvori hæmoglobinfraktionen kan opløses, hvor sammensætningen er fri for virusaktivitet og stabilt omfatter mindre end 5 % methæmoglobin; hvor sammensætningen fremstillet ved hjælp af en fremgangsmåde omfatter: i. udsættelse af en opløsning af deoxideret hæmoglobin og et stabiliseringsmiddel for en termisk virusinaktiveringsproces, der omfatter eksponering af opløsningen for cn temperatur, der er tilstrækkeligt høj til at inaktivere enhver virusaktivitet i opløsningen (f.eks. 60 °C), hvor eksponeringen sker i et tidsrum, der er tilstrækkeligt til at opnå inaktiveringen af enhver virusaktivitet i opløsningen (f.eks. 10 timer), hvor stabiliseringsmidlet omfatter et strukturelement, der er mere reaktivt med oxygen end det deoxiderede hæmoglobin i opløsningen, hvorved oxygenbinding ved det deoxiderede hæmoglobin minimeres, hvor opløsningen omfatter en mængde af stabiliseringsmidlet, der er tilstrækkelig til at forebygge dannelse af mere end 5 % methæmoglobin i den termiske virusdeaktiveringsproces; og derefter reoxidering af det deoxiderede hæmoglobin for at danne en reoxideret viralt inaktiveret hæmoglobinopløsning; og ii. etablering af kontakt mellem den reoxiderede viralt inaktiverede hæmoglobinopløsning fra trin (i) med et aktiveret poly(ethylenglycol)molekyle med en reaktivitet, der er komplementært til en aminosyrerest af hæmoglobinet, hvorved der dannes et kovalent konjugat mellem poly(ethylenglycol) og hæmoglobinmolekyler i opløsningen.
2. Sammensætning ifølge krav 1, hvor hvert element af gruppen af hæmoglobinmolekyler er kovalent konjugeret til fem eller flere af poly(ethylenglycol)-delen via amindelen af fem eller flere af aminosyresten.
3. Sammensætning ifølge et hvilket som helst foregående krav, hvor hæmoglobinmolekylet er bundet til et element udvalgt blandt oxygen og carbonmonoxid.
4. Sammensætning ifølge krav 3, hvor hæmoglobinmolekylet er i stand til at overføre et element udvalgt blandt det bundne oxygen og det bundne carbonmonoxid til et væv, som hæmoglobinet er i kontakt med.
5. Sammensætning ifølge krav 1, fremstillet ved hjælp af fremgangsmåden, der endvidere omfatter én eller flere af: (iii), før trin (i), deoxidering af en opløsning af oxideret hæmoglobin, hvorved opløsningen af det deoxiderede hæmoglobin dannes; og (iv), før trin (i), dannelse af opløsningen af det deoxiderede hæmoglobin med stabiliseringsmidlet.
6. Sammensætning ifølge krav 5, hvor deoxideringen frembringer et deoxideret hæmoglobinmolckylc, der hverken er (i) bundet til oxygen eller carbonmonoxid; eller (ii) er bundet til carbonmonoxid.
7. Sammensætning ifølge krav 5, hvor hæmoglobinmolekylet er bundet til et element udvalgt blandt oxygen og carbonmonoxid.
8. Sammensætning ifølge krav 7, hvor hæmoglobinmolekylet er i stand til at overføre et element udvalgt blandt det bundne oxygen og det bundne carbonmonoxid til et væv.
9. Sammensætning ifølge krav 1, hvor hæmoglobinet er bundet til CO.
10. Sammensætning ifølge krav 1, hvor hæmoglobinet ikke er bundet til CO.
11. Sammensætning ifølge kravene 9 og 10, hvor a. når hæmoglobinet er bundet til CO, fortynderffaktionen omfatter en phosphatbufferet saltopløsning; og b. når hæmoglobinet ikke er bundet til CO, fortynderfraktionen omfatter en hypertonisk saltopløsningsfortynder.
12. Sammensætning ifølge krav 11, hvor den hypertoniske saltopløsningsfortynder indbefatter NaCl ved en koncentration på fra 3 % til 7 %.
13. Sammensætning ifølge et hvilket som helst af kravene 1 til 12 til anvendelse i: (i) indgivelse af oxygen eller carbonmonoxid til væv; (ii) behandling af: traume, hæmoragisk chok, iskæmi, reperfusionsskade eller seglcelleanæmi i hvert tilfælde under opretholdt dilation af kollaterale arterier; (iii) induktion af angiogenese eller øgning af blodstrømning til væv; (iv) behandling eller forebyggelse af hypoxi som følge af blodtab, anæmi, shock, myokardieinfarkt, apopleksi eller traumatisk hjernelæsion; eller (v) hyperoxidering af tumorer for at forbedre den terapeutiske effekt af strålingsterapi eller kemoterapi.
14. Sammensætning ifølge krav 1, fremstillet ved hjælp af fremgangsmåden, hvor temperaturen er ca. 60 °C.
15. Sammensætning ifølge krav 1, fremstillet ved hjælp af fremgangsmåden, hvor tiden er fra ca. 1 til ca. 12 timer.
16. Sammensætning ifølge krav 1, fremstillet ved hjælp af fremgangsmåden, hvor stabiliseringsmidlet er en aminosyre.
17. Sammensætning ifølge krav 16, hvor stabiliseringsmidlet er cystein.
DK10727289.0T 2009-06-09 2010-06-09 Hæmoglobinsammensætninger DK2440239T3 (da)

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US18554709P 2009-06-09 2009-06-09
PCT/US2010/038046 WO2010144629A1 (en) 2009-06-09 2010-06-09 Hemoglobin compositions

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US (3) US10080782B2 (da)
EP (2) EP2440239B1 (da)
JP (3) JP6227870B2 (da)
KR (4) KR102170375B1 (da)
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AU (4) AU2010258752B2 (da)
BR (1) BRPI1010775A2 (da)
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CL (1) CL2011003091A1 (da)
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PL (2) PL2440239T3 (da)
PT (1) PT2440239T (da)
RS (1) RS56496B1 (da)
RU (1) RU2589254C2 (da)
SI (1) SI2440239T1 (da)
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