TWI491410B - G-csf conjugates modified by water-soluble polymers - Google Patents

G-csf conjugates modified by water-soluble polymers Download PDF

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TWI491410B
TWI491410B TW097113755A TW97113755A TWI491410B TW I491410 B TWI491410 B TW I491410B TW 097113755 A TW097113755 A TW 097113755A TW 97113755 A TW97113755 A TW 97113755A TW I491410 B TWI491410 B TW I491410B
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conjugate
acid
pharmaceutically acceptable
csf
acceptable salt
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TW200944236A (en
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Ruijun Wang
Chang An Sun
Tao Jiang
Yali Wang
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Jiangsu Hengrui Medicine Co
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Description

水溶性聚合物修飾的G-CSF偶聯物Water soluble polymer modified G-CSF conjugate

本發明涉及一類全新結構、通式為(I)的經水溶性聚合物修飾的G-CSF偶聯物或其藥學上可接受的鹽,和其製備方法,和含通式(I)化合物或其藥學上可接受的鹽的藥物組合物。The present invention relates to a novel structure, a water-soluble polymer modified G-CSF conjugate of the formula (I) or a pharmaceutically acceptable salt thereof, and a process for the preparation thereof, and a compound of the formula (I) or A pharmaceutical composition of a pharmaceutically acceptable salt thereof.

水溶性聚合物-連接基團-N端-G’(I) Water Soluble Polymer-Linking Group-N- T -G' (I)

粒細胞群落刺激因子(G-CSF)是由單核細胞及成纖維細胞產生,可刺激粒細胞群落形成,對中性球有刺激作用。G-CSF與靶細胞膜受體結合,主要刺激粒細胞系造血,亦可使多功能造血幹細胞進入細胞週期,促進髓系造血組細胞的增殖、分化和成熟,並驅使中性球釋放至血流,使週邊中性球數量增加,並提高其功能,如吞噬功能,針對腫瘤細胞的抗體依賴細胞細胞毒活性等[Metcalf,Blood 67:257(1986);Yan et.al,Blooo 84(3):795-799(1994);Bensinger,et.al,Blood 81(11):3158-3163(1993);Neben,et.al,Blood 81(7):1960-1967(1993)],因此重組的粒細胞群落刺激因子常用於接受放射治療或化療的癌症病人以及骨髓移植後白血病患者的輔助治療。Granulocyte community stimulating factor (G-CSF) is produced by monocytes and fibroblasts, which stimulates the formation of granulocyte colonies and stimulates the neutral sphere. G-CSF binds to target cell membrane receptors, mainly stimulates hematopoiesis in granulocyte lines, and also allows multi-functional hematopoietic stem cells to enter the cell cycle, promote proliferation, differentiation and maturation of myeloid hematopoietic cells, and drive the release of neutrophils to the bloodstream. Increases the number of peripheral neutrophils and enhances their functions, such as phagocytosis, antibody-dependent cellular cytotoxic activity against tumor cells, etc. [Metcalf, Blood 67: 257 (1986); Yan et. al, Bloom 84 (3) : 795-799 (1994); Bensinger, et. al, Blood 81 (11): 3158-3163 (1993); Neben, et. al, Blood 81 (7): 1960-1967 (1993)], thus recombined Granulocyte community stimulating factors are commonly used in cancer patients receiving radiation therapy or chemotherapy and adjuvant therapy for leukemia patients after bone marrow transplantation.

市場常使用的人源G-CSF為Neupogen和Neutrogin,以及人源G-CSF的衍生物Neu-wP,G-CSF的衍生物或變體蛋白也有大量文獻報導[如US5581476、US5214132、 US5362853、US4904584],這些變體蛋白含多個氨基酸的取代,以求尋找更穩定、活性更高、更適用於臨床的G-CSF。The human G-CSF commonly used in the market is Neupogen and Neutrogin, and the derivative of human G-CSF, Neu-wP, a derivative or variant protein of G-CSF, has also been reported in a large number of literatures [such as US5581476, US5214132, US 5,632,853, US 4,904, 584], these variant proteins contain multiple amino acid substitutions in order to find a more stable, more active, more clinically suitable G-CSF.

市售的重組人源G-CSF由於其在人體內生物利用度差、半衰期短以及容易被體內蛋白酶破壞,因此需要頻繁注射給藥,難取得良好的臨床治療效果。研究表明,具有治療應用作用的蛋白質經聚乙二醇修飾形成聚乙二醇-蛋白質偶聯物後,其成為藥物的可能性大大提高。這一類聚乙二醇修飾的蛋白質已經在臨床上得到了充分的應用[如Katre,Advanced Drug Delivery Systems,10:91(1993);Inada,et.al,J.Bioact and Compatible Polymers,5:343(1990)]。經過聚乙二醇修飾得到的蛋白偶聯物具有更好的物理、化學穩定性,同時還具有更好的蛋白酶介穩定性;另外由於偶聯物分子量的增加,其在體內的半衰期得到了延長,在體內形成抗體的可能性亦有所下降,再加上其分佈體積減少,這樣可使毒性減少。由聚乙二醇修飾的G-CSF或G-CSF變體蛋白已公開在許多文獻中,如EP0335423,EP0401384,US5824778,US5985265,WO0044785,WO2001051510,US5824784等。具體而言,在專利US5985265公開的聚乙二醇修飾的G-CSF偶聯物中,以修飾在G-CSF的N末端所得偶聯物的體外、體內生物活性最好,但用醯化反應進行聚乙二醇修飾氨基選擇性差,故通常得到的是一組聚乙二醇修飾在各個位置的混合物,需要進行分離提純才能得到各個單體,收率低,難於 工業化生產;在專利US5824784中用大分子的聚乙二醇醛直接來修飾G-CSF,通過嚴格控制反應的PH,有選擇性的修飾G-CSF的N末端,可以得到相對專一的N末端聚乙二醇修飾的偶聯物,但是不可否認,這種反應的選擇性是通過邊鏈氨基和N末端氨基的Pka不同而實現的,這在製備生產和品質控制上是有相當難度的;另外,由於大分子醛各批之間醛的含量不一,難以控制大分子醛與蛋白的投料比例,必然影響反應收率和生產成本,同時由於大分子醛與不同氨基偶聯產生的偶聯物生物活性有差別也會影響到最終產品品質的均一性和活性。Commercially available recombinant human G-CSF is poorly bioavailable, has a short half-life, and is easily destroyed by proteases in the body. Therefore, it is necessary to administer frequent injections, and it is difficult to obtain a good clinical therapeutic effect. Studies have shown that proteins with therapeutic applications are modified by polyethylene glycol to form polyethylene glycol-protein conjugates, and the possibility of becoming a drug is greatly increased. This type of polyethylene glycol modified protein has been fully utilized clinically [eg Katre, Advanced Drug Delivery Systems, 10: 91 (1993); Inada, et. al, J. Bioact and Compatible Polymers, 5:343). (1990)]. The protein conjugate modified by polyethylene glycol has better physical and chemical stability, and also has better protease-mediated stability. In addition, the half-life of the conjugate is prolonged due to the increase in molecular weight of the conjugate. The possibility of forming antibodies in the body is also reduced, and the volume of distribution is reduced, which reduces toxicity. G-CSF or G-CSF variant proteins modified by polyethylene glycol have been disclosed in many documents, such as EP0335423, EP0401384, US5824778, US5985265, WO0044785, WO2001051510, US5824784, and the like. Specifically, in the polyethylene glycol-modified G-CSF conjugate disclosed in the patent US Pat. No. 5,985,265, the conjugate obtained by modifying the N-terminus of G-CSF has the best biological activity in vitro and in vivo, but with a deuteration reaction. The polyethylene glycol modified amino group has poor selectivity. Therefore, a mixture of polyethylene glycol modified at various positions is usually obtained, and separation and purification are required to obtain individual monomers, and the yield is low and difficult. Industrial production; in the US 5,824,784, the macromolecular polyethylene glycol aldehyde is directly used to modify G-CSF. By strictly controlling the pH of the reaction and selectively modifying the N-terminus of G-CSF, a relatively specific N-terminal polyg can be obtained. Ethylene glycol modified conjugate, but it is undeniable that the selectivity of this reaction is achieved by the difference in Pka between the amino group of the side chain and the N terminal group, which is quite difficult in preparation and quality control; Because the content of aldehydes in different batches of macromolecular aldehydes is different, it is difficult to control the ratio of macromolecular aldehydes to protein, which will inevitably affect the reaction yield and production cost, and the conjugates due to the coupling of macromolecular aldehydes with different amino groups. Differences in biological activity also affect the homogeneity and activity of the final product.

針對現有技術的不足,本發明的目的在於提供一類全新結構、通式為(I)的、經水溶性聚合物修飾的G-CSF偶聯物或其藥學上可接受的鹽;本發明的另一目的在於提供製備通式為(I)的偶聯物或其藥學上可接受的鹽的方法;本發明的又一目的在於提供含該類偶聯物或其藥學上可接受的鹽的藥物組合物及其用途。In view of the deficiencies of the prior art, it is an object of the present invention to provide a novel structure, a water-soluble polymer modified G-CSF conjugate of the formula (I) or a pharmaceutically acceptable salt thereof; A further object is to provide a process for preparing a conjugate of the formula (I) or a pharmaceutically acceptable salt thereof; a further object of the present invention is to provide a medicament comprising the conjugate or a pharmaceutically acceptable salt thereof Composition and its use.

本發明涉及通式為(I)的偶聯物或其藥學上可接受的鹽。The present invention relates to a conjugate of the formula (I) or a pharmaceutically acceptable salt thereof.

水溶性聚合物-連接基團-N端-G’(I)其中,水溶性聚合物包括聚乙二醇、聚丙二醇、聚乳酸、聚合氨基酸等,較佳為聚乙二醇,聚乙二醇的分子量選自2KD至100KD,較佳為5KD至40KD;聚乙二醇可以是直 線型或分支型的;連接基團由水溶性聚合物末端的功能團與引入蛋白質G'的N末端的功能團發生專一反應而形成;G'選自天然G-CSF、基因重組G-CSF或者具有G-CSF功能的基因突變產物,較佳編號為SEQ ID NO:1至10的G-CSF衍生物,更佳為天然存在的人源G-CSF的序列或SEQ ID NO:1表示的Met-G-CSF。Water-soluble polymer-linking group-N-terminus-G'(I) wherein the water-soluble polymer comprises polyethylene glycol, polypropylene glycol, polylactic acid, polymeric amino acid, etc., preferably polyethylene glycol, polyethylene glycol The molecular weight of the alcohol is selected from 2KD to 100KD, preferably 5KD to 40KD; the polyethylene glycol may be straight Linear or branched; the linking group is formed by a specific reaction of a functional group at the end of the water-soluble polymer with a functional group introduced at the N-terminus of the protein G'; G' is selected from natural G-CSF, recombinant G-CSF or A gene mutation product having G-CSF function, preferably a G-CSF derivative of SEQ ID NOS: 1 to 10, more preferably a sequence of a naturally occurring human G-CSF or a Met represented by SEQ ID NO: -G-CSF.

具體地,上述通式為(I)的偶聯物或其藥學上可接受的鹽的化學結構式由通式(II)表示: 其中,R選自C1-4 的直鏈或支鏈烷基,較佳為甲基或乙基,更佳為甲基;R1 、R2 彼此獨立地選自氫或C1-4 直鏈或支鏈烷基,較佳為氫、甲基或乙基;X選自O、S、NH、1選自1至20的整數,較佳為1至10的整數,更佳為1至5的整數;m選自50至2500的整數,較佳為100至1000的整數; n選自1至20的整數,較佳為1至10的整數,更佳為1至5的整數。Specifically, the chemical structural formula of the conjugate of the above formula (I) or a pharmaceutically acceptable salt thereof is represented by the formula (II): Wherein R is selected from a linear or branched alkyl group of C 1-4 , preferably a methyl group or an ethyl group, more preferably a methyl group; and R 1 and R 2 are independently selected from hydrogen or C 1-4 straight. a chain or branched alkyl group, preferably hydrogen, methyl or ethyl; X is selected from O, S, NH, 1 is selected from an integer of 1 to 20, preferably an integer of 1 to 10, more preferably an integer of 1 to 5; m is selected from an integer of 50 to 2500, preferably an integer of 100 to 1000; n is selected from 1 to An integer of 20, preferably an integer of 1 to 10, more preferably an integer of 1 to 5.

G’選自天然G-CSF、基因重組G-CSF或者具有G-CSF功能的基因突變產物。G' is selected from natural G-CSF, genetically recombinant G-CSF or a gene mutation product having G-CSF function.

進一步,本發明涉及上述通式為(I)、(II)的偶聯物或其藥學上可接受的鹽,其特點是G’具有天然存在的人源G-CSF的序列。Further, the present invention relates to a conjugate of the above formula (I), (II) or a pharmaceutically acceptable salt thereof, characterized in that G' has a sequence of naturally occurring human G-CSF.

進一步,本發明涉及上述通式為(I)、(II)的偶聯物或其藥學上可接受的鹽,其特點是G’為Met-G-CSF(SEQ ID NO:1)。Further, the present invention relates to a conjugate of the above formula (I), (II) or a pharmaceutically acceptable salt thereof, characterized in that G' is Met-G-CSF (SEQ ID NO: 1).

上述通式為(I)、(II)的偶聯物包括: 選自400至500的整數; m為選自400至500的整數。The above conjugates of the formula (I), (II) include: An integer selected from 400 to 500; m is an integer selected from 400 to 500.

進一步,本發明通式為(I)、(II)的偶聯物可以和酸成鹽,所用的酸選自有機酸或無機酸,有機酸包括乙酸、三氟乙酸、丙酸、丁酸、馬來酸或者對甲苯磺酸或其混合物,較佳為乙酸、三氟乙酸;無機酸包括鹽酸、硫酸、磷酸或 者甲磺酸或其混合物,較佳為鹽酸。Further, the conjugate of the formula (I), (II) of the present invention may form a salt with an acid selected from an organic acid or an inorganic acid, and the organic acid includes acetic acid, trifluoroacetic acid, propionic acid, butyric acid, Maleic acid or p-toluenesulfonic acid or a mixture thereof, preferably acetic acid, trifluoroacetic acid; inorganic acid including hydrochloric acid, sulfuric acid, phosphoric acid or Methanesulfonic acid or a mixture thereof is preferably hydrochloric acid.

另一方面,本發明提供一種製備通式為(I)、(II)的偶聯物的方法,包括以下步驟:I)將通式化合物(III)與G’的N末端氨基還原胺化反應得通式化合物(IV): 2)將通式化合物(IV)脫去巰基保護基得通式化合物(V): 3)將通式化合物(V)與mPEG-MAL發生邁克爾加成得偶聯物(II): 其中,R、R1 、R2 、G’、X、l、m、n如上所定義; Z為巰基保護基團,選自:甲醯基、乙醯基、丙醯基、三苯甲基或叔丁基,較佳為乙醯基。In another aspect, the present invention provides a process for the preparation of a conjugate of the formula (I), (II) comprising the steps of: I) reductive amination of a compound of the formula (III) with an N-terminal amino group of G' The compound of the formula (IV) is obtained: 2) Deprotecting the compound of the formula (IV) to give a compound of the formula (V): 3) Michael addition of the general compound (V) to mPEG-MAL to obtain the conjugate (II): Wherein R, R 1 , R 2 , G', X, 1, m, n are as defined above; Z is a thiol protecting group selected from the group consisting of: methyl ketone, ethyl hydrazino, propyl fluorenyl, trityl Or a tert-butyl group, preferably an ethyl hydrazide group.

進一步,本發明還涉及本發明的偶聯物或其藥學上可接受的鹽在製備治療由於放射性治療或化療所致白血球減少症、愛滋病及其他免疫缺陷病、細菌感染疾病的藥物中的應用。Further, the present invention relates to the use of the conjugate of the present invention or a pharmaceutically acceptable salt thereof for the preparation of a medicament for treating leukopenia, AIDS and other immunodeficiency diseases, bacterial infection diseases caused by radiotherapy or chemotherapy.

另一方面,本發明提供一種藥物組合物,其含有藥物有效劑量的本發明偶聯物或其藥學上可接受的鹽,和藥學上可接受的載體。In another aspect, the invention provides a pharmaceutical composition comprising a pharmaceutically effective amount of a conjugate of the invention, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.

進一步,本發明還涉及所述藥物組合物在製備治療由於放射性治療和化療所致白血球減少症、愛滋病及其他免疫缺陷病、細菌感染等疾病的藥物中的應用。Further, the present invention relates to the use of the pharmaceutical composition for the preparation of a medicament for treating diseases such as leukopenia, AIDS and other immunodeficiency diseases, bacterial infections, etc. due to radiotherapy and chemotherapy.

本發明公開了一類全新的聚乙二醇修飾的G-CSF偶聯物及其全新的製備方法,同傳統的偶聯物和方法相比,存在以下差別:首先,利用在聚乙二醇和G-CSF之間引入連接基團的新概念,可以保證在蛋白的N末端反應的專一性,因為用小分子修飾N末端所得的蛋白容易分離、提純,保證了修飾點的專一性;其次,由於連接基團中巰基的存在,通過控制反應體系的PH,確保了具有高專一性的邁克爾加成反應的進行,另外,由於連接基團的存在,其他功能基團亦有可能加入,如亞醯胺基、酯基的引入,這為在體內由偶聯物釋放G-CSF提供了前提條件。The invention discloses a novel class of polyethylene glycol modified G-CSF conjugates and a novel preparation method thereof. Compared with the conventional conjugates and methods, the following differences exist: firstly, in polyethylene glycol and G A new concept of introducing a linking group between CSFs can ensure the specificity of the N-terminal reaction of the protein, because the protein obtained by modifying the N-terminus with a small molecule is easy to separate and purify, and the specificity of the modification point is ensured. Secondly, The presence of a sulfhydryl group in the linking group ensures the progress of the Michael addition reaction with high specificity by controlling the pH of the reaction system. In addition, other functional groups may also be added due to the presence of a linking group, such as Aachen. The introduction of an amine group, an ester group, provides a prerequisite for the release of G-CSF from the conjugate in vivo.

本發明的偶聯物或其藥學上可接受的鹽具有天然人源G-CSF生理活性,而且具有比G-CSF更長的體內迴圈半衰期和更好的粒細胞刺激因子活性。The conjugate of the present invention, or a pharmaceutically acceptable salt thereof, has natural human G-CSF physiological activity and has a longer in vivo loop half-life and better granulocyte stimulating factor activity than G-CSF.

具體而言,本發明所公開的偶聯物結構式由(II)表示: 其中,R選自C1-4 的直鏈或支鏈烷基,較佳為甲基或乙基,更佳為甲基;R1 、R2 彼此獨立地選自氫或C1-4 直鏈或支鏈烷基,較佳為氫、甲基或乙基;X選自O、S、NH、1選自1至20的整數,較佳為1至10的整數,更佳為1至5的整數;m選自50至2500的整數,較佳為100至1000的整數;n選自1至20的整數,較佳為1至10的整數,更佳為1至5的整數。In particular, the structural formula of the conjugate disclosed herein is represented by (II): Wherein R is selected from a linear or branched alkyl group of C 1-4 , preferably a methyl group or an ethyl group, more preferably a methyl group; and R 1 and R 2 are independently selected from hydrogen or C 1-4 straight. a chain or branched alkyl group, preferably hydrogen, methyl or ethyl; X is selected from O, S, NH, 1 is selected from an integer of 1 to 20, preferably an integer of 1 to 10, more preferably an integer of 1 to 5; m is selected from an integer of 50 to 2500, preferably an integer of 100 to 1000; and n is selected from 1 to An integer of 20, preferably an integer of 1 to 10, more preferably an integer of 1 to 5.

G’選自天然G-CSF、基因重組G-CSF或者具有G-CSF功能的基因突變產物。G' is selected from natural G-CSF, genetically recombinant G-CSF or a gene mutation product having G-CSF function.

當X為O、S時,聚乙二醇與G-CSF之間的連接基團 中存在一個在體內易被酯酶水解的酯鍵,此時,G-CSF可以以其自由形式與受體作用而體現生物活性;當X為NH、時,其生物活性主要由偶聯物本身實現,當然,由於亞醯胺鍵在體內亦有被水解而釋放G-CSF的能力,因此也不排除自由G-CSF起作用的可能。When X is O, S, there is an ester bond in the linking group between polyethylene glycol and G-CSF which is easily hydrolyzed by esterase in the body. At this time, G-CSF can be freely formd with the acceptor. Acting to reflect biological activity; when X is NH, At the time, its biological activity is mainly achieved by the conjugate itself. Of course, since the sulfhydryl bond is also hydrolyzed in the body to release G-CSF, the possibility of free G-CSF is not ruled out.

在本發明公開的製備方法中,首先通過還原胺化反應將含有巰基的連接基團與G-CSF的N末端氨基反應得到中間體(IV)。其實可以通過多種反應方式將連接基團與G-CSF中氨基反應而連接(如各種活化酯與氨基的反應),但考慮到醛基與N末端氨基反應的高選擇性,因此在本發明中由醛基與G-CSF中的N末端氨基發生還原胺化反應引入連接基團。所用的還原劑選自本領域技術人員所熟知的各種還原劑,較佳為氰基硼氫化鈉、三乙醯氧基硼氫化鈉。In the production method disclosed in the present invention, the thiol-containing linking group is first reacted with the N-terminal amino group of G-CSF by a reductive amination reaction to obtain an intermediate (IV). In fact, the linking group can be linked to the amino group in G-CSF by various reaction methods (such as the reaction of various activated esters with an amino group), but in view of the high selectivity of the reaction of the aldehyde group with the N-terminal amino group, in the present invention A linking group is introduced by a reductive amination reaction of an aldehyde group with an N-terminal amino group in G-CSF. The reducing agent used is selected from various reducing agents well known to those skilled in the art, and is preferably sodium cyanoborohydride or sodium triethoxysulfonate.

在中間體(Y)的製備中,根據巰基保護基團的不同,選擇不同的反應條件。當保護基團為三苯甲基或叔丁基時,使用酸性條件(如三氟乙酸、鹽酸、甲磺酸等)脫保護基團;當保護基團為乙醯基、丙醯基等時,使用本領域技術人員熟知的各種方法、試劑脫保護基團,較佳為在PH=5至7時用鹽酸羥胺脫保護基團。In the preparation of the intermediate (Y), different reaction conditions are selected depending on the thiol protecting group. When the protecting group is a trityl group or a tert-butyl group, the group is deprotected using acidic conditions (such as trifluoroacetic acid, hydrochloric acid, methanesulfonic acid, etc.); when the protecting group is an ethyl group, a propyl group, etc. The group is deprotected using various methods and reagents well known to those skilled in the art, and it is preferred to deprotect the group with hydroxylamine hydrochloride at pH = 5 to 7.

在通式化合物(II)的製備中,反應通過控制反應PH值,利用經典的邁克爾加成來實現,該反應具有很好的選擇性,可達到99%以上。反應結束後可用反相高效液相製 備柱、離子交換柱或凝膠柱分離純化。In the preparation of the compound of the formula (II), the reaction is carried out by controlling the pH of the reaction, using a classical Michael addition, which has a very good selectivity and can reach 99% or more. After the reaction, the reverse phase HPLC system can be used. Separate and purify by preparative column, ion exchange column or gel column.

在本發明中,“C1-4 烷基”指直鏈或支鏈飽和脂肪族碳氫基,如甲基、乙基、丙基、異丙基、丁基等。In the present invention, "C 1-4 alkyl" means a linear or branched saturated aliphatic hydrocarbon group such as a methyl group, an ethyl group, a propyl group, an isopropyl group, a butyl group or the like.

在本發明中,較佳為人源G-CSF,由於沒有其內部序列的改變,這樣會減少蛋白的體內抗原性,最低限度的降低體內中和抗體的形成,提高藥效。G-CSF以及G-CSF的變體蛋白可由文獻報導的方法用傳統的基因表達的方法獲得,包括但不限於Met-G-CSF、Trp-G-CSF、Asp-G-CSF、Glu-G-CSF,較佳為以大腸桿菌表達來源的Met-G-CSF(序列見SEQ ID NO:1)。In the present invention, it is preferred that the human G-CSF has no internal sequence change, thereby reducing the in vivo antigenicity of the protein, minimizing the formation of neutralizing antibodies in vivo, and improving the drug efficacy. Variant proteins of G-CSF and G-CSF can be obtained by methods reported in the literature by conventional gene expression methods including, but not limited to, Met-G-CSF, Trp-G-CSF, Asp-G-CSF, Glu-G. -CSF, preferably Met-G-CSF derived from E. coli expression (see SEQ ID NO: 1 for the sequence).

本發明所得化合物通常以劑量單元給藥。所說的劑量單元可以更好的表述為將活性化合物與製藥賦形劑混合所得的藥物組合物。The compounds obtained in the present invention are usually administered in dosage units. The dosage unit can be better described as a pharmaceutical composition obtained by mixing the active compound with a pharmaceutical excipient.

在本發明所提供的藥物組合物中,通式(I)、(II)偶聯物或其藥學上可接受的鹽為活性化合物。本發明所提供的藥物組合物可以作為癌症病人正在進行化療或放射性治療以及骨髓移植病人的輔助治療,以防止由於體內免疫能力下降而造成的感染;也可用於慢性或相對的白血球減少患者的治療;亦可用於急性髓細胞性白血病患者、愛滋病或其他缺陷性疾病的治療;同時可用於抗真菌,尤其是對全身性或侵襲性念珠菌感染的治療。In the pharmaceutical compositions provided herein, the conjugates of formula (I), (II) or pharmaceutically acceptable salts thereof are the active compounds. The pharmaceutical composition provided by the invention can be used as a adjuvant therapy for cancer patients undergoing chemotherapy or radiotherapy and bone marrow transplantation to prevent infection due to decreased immunity in vivo; and can also be used for treatment of chronic or relative leukopenia patients. It can also be used for the treatment of patients with acute myeloid leukemia, AIDS or other deficient diseases; it can also be used for antifungal treatment, especially for systemic or invasive Candida infections.

通式(I)、(II)偶聯物或其藥學上可接受的鹽給藥的劑量為5至500ug/kg,其中“ug”指通式(I)、(II)偶聯物或其藥學上可接受鹽的計量單位,“kg”指哺乳動物體重的計量 單位。當然,如我們所知道的,給藥的劑量及給藥的頻率依賴於許多因素,如病人的性別、年齡,病人所需預防或治療疾病的種類等。The dose of the conjugate of the formula (I), (II) or a pharmaceutically acceptable salt thereof is from 5 to 500 ug/kg, wherein "ug" means a conjugate of the formula (I), (II) or A unit of measurement for a pharmaceutically acceptable salt, "kg" refers to the measurement of the weight of a mammal unit. Of course, as we know, the dose administered and the frequency of administration depend on many factors, such as the sex and age of the patient, the type of disease the patient is required to prevent or treat.

將本發明所得偶合物或其藥學上可接受鹽與傳統的製藥載體混合可製備成各種單元形式,選用不同的方式給藥,如皮下、肌內、靜脈。The conjugate obtained by the present invention or a pharmaceutically acceptable salt thereof can be prepared in various unit forms by mixing with a conventional pharmaceutical carrier, and administered in various manners such as subcutaneous, intramuscular, and intravenous.

為了更詳細地說明本發明,給出下述例子。但本發明的範圍並非限定於此。In order to explain the present invention in more detail, the following examples are given. However, the scope of the invention is not limited thereto.

實施例一Embodiment 1

Met-G-CSF的還原胺化Reductive amination of Met-G-CSF

取Met-G-CSF原液透析轉換為0.1M的乙酸/乙酸鈉溶液,取140毫升,約含蛋白40毫克。取小分子醛(7.0mg),溶解於乙腈(300ml)中,加入到蛋白液中,再加入氰基硼氫化鈉(176mg),室溫攪拌反應3小時。The Met-G-CSF stock solution was dialyzed and converted into a 0.1 M acetic acid/sodium acetate solution, and 140 ml was obtained, which contained about 40 mg of protein. A small molecule aldehyde (7.0 mg) was dissolved in acetonitrile (300 ml), added to a protein solution, and sodium cyanoborohydride (176 mg) was added thereto, and the mixture was stirred at room temperature for 3 hours.

將反應液用含2mM EDTA的0.1M的PBS溶液(PH=6.2)於4℃透析。The reaction solution was dialyzed against a 2 M EDTA in 0.1 M PBS solution (pH = 6.2) at 4 °C.

實施例二Embodiment 2

脫巰基保護基-乙醯基 將實施例一中所製備的蛋白液中加入10ml配置好的 0.1M的鹽酸羥胺(PH=6.3),使其濃度為50mM,室溫攪拌反應30分鐘,以脫乙醯基使巰基游離。 Deprotecting group - ethyl hydrazide The protein solution prepared in Example 1 was added with 10 ml of 0.1 M hydroxylamine hydrochloride (pH = 6.3) to a concentration of 50 mM, and the reaction was stirred at room temperature for 30 minutes to remove The acetamino group frees the sulfhydryl group.

實施例三Embodiment 3

mPEG-Met-G-CSF(39KD)的製備 將實施例二中所製備的蛋白溶液中加入mPEG-MAL(400mg,20KD),室溫下攪拌反應60分鐘,HPLC中控反應結束後,直接進行製備純化,所得化合物為本發明化合物1,經MALDI-TOF-TOF確證結構正確,見第1圖。 Preparation of mPEG-Met-G-CSF (39KD) The protein solution prepared in Example 2 was added to mPEG-MAL (400 mg, 20 KD), and the reaction was stirred at room temperature for 60 minutes. After the end of the HPLC reaction, the reaction was carried out directly. Prepared and purified, the obtained compound is the compound 1 of the present invention, and the structure is confirmed by MALDI-TOF-TOF, see Fig. 1.

中控條件:分析柱:Jupiter C4,5u,300,150*4.6流動相:A:0.05%TFA/H2 OB:0.05%TFA/CH3 CN 分離純化條件:使用SP Sepharose H.P填裝柱子,1.6cmx12cm,體積約24ml,流速:4ml/min,柱子的前處理:先用0.5M NaOH溶液洗5倍體積;再用純化水洗至中性;再用20mM HAc/NaAc,pH4.0洗5倍體積至平衡。上樣:用泵直接將脫鹽後樣品吸入柱中;洗脫:先用20mMHAc/NaAc,pH4.0洗脫10倍柱體積, 以除掉過量的PEG;再設置鹽梯度:0至50%,50min,4ml/min,將產雜質、產物以及未反應的蛋白依次洗脫收集。Control conditions: analytical column: Jupiter C4, 5u, 300 , 150*4.6 mobile phase: A: 0.05% TFA / H 2 OB: 0.05% TFA / CH 3 CN Separation and purification conditions: packed column with SP Sepharose HP, 1.6cmx12cm, volume about 24ml, flow rate: 4ml/min, pretreatment of the column: first wash 5 times volume with 0.5M NaOH solution; then wash with purified water to neutral; Wash 5 times volume to equilibrium with 20 mM HAc/NaAc, pH 4.0. Loading: directly pump the desalted sample into the column with a pump; elution: first elute 10 times column volume with 20 mM HAc/NaAc, pH 4.0 to remove excess PEG; then set the salt gradient: 0 to 50%, At 50 min, 4 ml/min, impurities, products, and unreacted proteins were sequentially eluted and collected.

實施例四Embodiment 4

mPEG-Met-G-CSF(59KD)的製備 製備和分離、純化方法同實施例三,不同之處在於將mPEG-MAL(400mg,20KD)替換為mPEG-MAL(800mg,40KD),所得化合物為本發明化合物2,MALDI-TOF-TOF見第2圖。 The preparation, isolation and purification methods of mPEG-Met-G-CSF (59KD) are the same as those in the third embodiment except that mPEG-MAL (400 mg, 20 KD) is replaced by mPEG-MAL (800 mg, 40 KD), and the obtained compound is Compound 2 of the present invention, MALDI-TOF-TOF, is shown in Figure 2.

實施例五Embodiment 5

mPEG-Met-G-CSF(39KD)即化合物1注射劑的製備Preparation of mPEG-Met-G-CSF (39KD), Compound 1 Injection

在無菌配料間裏,稱取醋酸鈉(0.12克)、聚山梨酯20(35毫克)、山梨醇(50克),加注射用水(1000毫升),攪拌,使之溶解,加入化合物1(10克)攪拌均勻,加注射用水至3000毫升,在無菌條件下,用0.22μm微孔濾膜過濾後分裝,加滅菌塞並軋外蓋,即得。In the sterile ingredient room, weigh sodium acetate (0.12 g), polysorbate 20 (35 mg), sorbitol (50 g), add water for injection (1000 ml), stir to dissolve, add compound 1 (10克) Stir well, add water for injection to 3000 ml, under sterile conditions, filter with 0.22μm microporous membrane and then dispense, add sterile plug and roll the outer cover, that is.

試驗例一Test Example 1

PEG-G-CSF和G-CSF升高小鼠週邊血白血球計數的作用比較 注明:PEG-G-CSF指本發明化合物1。 Comparison of the effects of PEG-G-CSF and G-CSF on peripheral blood leukocyte counts in mice Note: PEG-G-CSF refers to Compound 1 of the present invention.

1試驗目的評價並比較PEG-G-CSF和G-CSF升高環磷醯胺處理小鼠週邊血白血球計數的療效。1 Objective To evaluate and compare the efficacy of PEG-G-CSF and G-CSF in increasing peripheral blood leukocyte counts in mice treated with cyclophosphamide.

2材料及方法:PEG-G-CSF,G-CSF,環磷醯胺(CTX),由江蘇豪森藥業股份有限公司提供;使用前以生理鹽水稀釋。2 Materials and methods: PEG-G-CSF, G-CSF, cyclophosphamide (CTX), provided by Jiangsu Haosen Pharmaceutical Co., Ltd.; diluted with physiological saline before use.

昆明種小鼠,購自中科院上海實驗動物中心,體重18至22g,♀,各組動物數:10隻。Kunming mice were purchased from the Shanghai Experimental Animal Center of the Chinese Academy of Sciences, weighing 18 to 22 g, and the number of animals in each group was 10 .

動物經適應後,腹腔注射環磷醯胺,第2天皮下注射PEG-G-CSF,G-CSF。PEG-G-CSFO.5、1.0 mg/kg皮下注射1次;G-CSF每天皮下注射1次,連續4次,劑量分別為0.1、0.2mg/kg。給藥結束後斷頸處死小鼠,取血。血細胞計數用ABC全自動血球計數儀計數。After the animals were adapted, cyclophosphamide was intraperitoneally injected, and PEG-G-CSF, G-CSF was injected subcutaneously on the second day. PEG-G-CSFO.5, 1.0 mg/kg was injected subcutaneously once; G-CSF was injected subcutaneously once a day for 4 times at doses of 0.1 and 0.2 mg/kg, respectively. At the end of the administration, the mice were sacrificed by cervical dislocation and blood was taken. Blood cell counts were counted using an ABC automated blood cell counter.

3結果腹腔注射CTX明顯降低小鼠週邊血白血球、紅血球、血小板計數(均P<0.01與對照比,第3圖至第5圖),說明CTX是一個較強的骨髓抑制劑。3 Results Intraperitoneal injection of CTX significantly reduced peripheral blood leukocytes, red blood cells, and platelet counts (both P<0.01 vs. control, Figures 3 to 5), indicating that CTX is a strong myelosuppressive agent.

PEG-G-CSF單次皮下注射使環磷醯胺處理後的小鼠週邊血白血球計數升高,0.5mg/kg給藥時,使白血球計數回復到正常水準;1.0mg/kg給藥時,週邊血白血球計數甚至高於正常水準(P<0.01與對照比,第3圖)。但PEG-G-CSF對週邊血紅血球和血小板計數沒有明顯的升高作用(第4圖,第3圖),說明PEG-G-CSF作用的特異性。A single subcutaneous injection of PEG-G-CSF increased the peripheral blood white blood cell count of mice treated with cyclophosphamide, and the white blood cell count returned to normal level when administered at 0.5 mg/kg; when administered at 1.0 mg/kg, The peripheral blood white blood cell count was even higher than the normal level (P<0.01 vs. control ratio, Fig. 3). However, PEG-G-CSF did not significantly increase peripheral red blood cells and platelet counts (Fig. 4, Fig. 3), indicating the specificity of PEG-G-CSF action.

G-CSF連續皮下注射同樣升高環磷醯胺處理小鼠的週 邊血白血球計數。0.1mg/kg給藥時,白血球計數升到正常水準;0.2mg/kg給藥時,白血球計數高於正常水準(P<0.01與對照相比,第3圖),有明顯的劑量依賴性。但G-CSF對週邊血紅血球、血小板計數沒有明顯影響(第4圖,第5圖)。Continuous subcutaneous injection of G-CSF also increased the week of mice treated with cyclophosphamide Blood white blood cell count. When 0.1 mg/kg was administered, the white blood cell count rose to the normal level; when 0.2 mg/kg was administered, the white blood cell count was higher than the normal level (P<0.01 compared with the control, Fig. 3), and there was a significant dose dependency. However, G-CSF had no significant effect on peripheral red blood cells and platelet counts (Fig. 4, Fig. 5).

綜合以上結果,在給藥總劑量相當的情況下比較,PEG-G-CSF單次皮下注射與G-CSF多次皮下注射對小鼠週邊血白血球計數的療效相當。Based on the above results, the single subcutaneous injection of PEG-G-CSF and multiple subcutaneous injections of G-CSF were equivalent to the peripheral blood white blood cell count in mice.

4結論PEG-G-CSF和G-CSF均明顯升高環磷醯胺處理小鼠的週邊血白血球計數;在給藥總劑量相當的情況下,本發明化合物1單次皮下注射與G-CSF多次皮下注射對小鼠週邊血白血球計數的療效相當。4 Conclusions Both PEG-G-CSF and G-CSF significantly increased peripheral blood leukocyte counts in cyclophosphamide-treated mice; single subcutaneous injection of G-CSF of compound 1 of the present invention in the case of equivalent total doses Multiple subcutaneous injections have comparable effects on peripheral white blood cell counts in mice.

【圖式簡單說明】第1圖:本發明化合物1的MALDI-TOF-TOF圖;第2圖:本發明化合物2的MALDI-TOF-TOF圖;第3圖:PEG-G-CSF,G-CSF對環磷醯胺處理的小鼠週邊血白血球計數的影響圖;第4圖:PEG-G-CSF,G-CSF對環磷醯胺處理的小鼠週邊血紅細胞計數的影響圖;第5圖:PEG-G-CSF,G-CSF對環磷醯胺處理的小鼠週邊血血小板計數的影響圖BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a MALDI-TOF-TOF chart of the compound 1 of the present invention; Fig. 2 is a MALDI-TOF-TOF chart of the compound 2 of the present invention; and Fig. 3: PEG-G-CSF, G- Effect of CSF on peripheral blood leukocyte counts in mice treated with cyclophosphamide; Figure 4: Effect of G-CSF on the peripheral red blood cell count of cyclophosphamide-treated mice; Figure: Effect of PEG-G-CSF and G-CSF on peripheral blood platelet counts in cyclophosphamide-treated mice

<110> 江蘇恒瑞醫藥股份有限公司<120> 水溶性聚合物修飾的G-CSF偶聯物<130> <160> 10 <170> PatentIn version 3.3 <210> 1<211> 175<212> PRT<213> 未知<220> MOD-RES<400> 1<210> 2 <211> 174<212> PRT<213> 未知<220> MOD-RES<400> 2<210> 3<211> 175<212> PRT<213> 未知<220> MOD-RES<400> 3 <210> 4<211> 174<212> PRT<213> 未知<220> MOD-RES<400> 4 <210> 5<211> 175<212> PRT<213> 未知<220> MOD-RES<400> 5<210> 6<211> 175<212> PRT<213> 未知<220> MOD-RES<400> 6<210> 7<211> 175<212> PRT<213> 未知<220> MOD-RES<400> 7<210> 8<211> 175<212> PRT<213> 未知<220> MOD-RES<400> 8 <210> 9<211> 175<212> PRT<213> 未知<220> MOD-RES<400> 9 <210> 10<211> 175<212> PRT<213> 未知<220> MOD-RES<400> 10 <110> Jiangsu Hengrui Pharmaceutical Co., Ltd. <120> Water-soluble polymer modified G-CSF conjugate <130><160> 10 <170> PatentIn version 3.3 <210>1<211>175<212> PRT <213> Unknown <220>MOD-RES<400> 1 <210> 2 <211>174<212>PRT<213> Unknown <220>MOD-RES<400> 2 <210>3<211>175<212>PRT<213> Unknown <220>MOD-RES<400> 3 <210>4<211>174<212>PRT<213> Unknown <220>MOD-RES<400> 4 <210>5<211>175<212>PRT<213> Unknown <220>MOD-RES<400> 5 <210>6<211>175<212>PRT<213> Unknown <220>MOD-RES<400> 6 <210>7<211>175<212>PRT<213> Unknown <220>MOD-RES<400> 7 <210>8<211>175<212>PRT<213> Unknown <220>MOD-RES<400> 8 <210>9<211>175<212>PRT<213> Unknown <220>MOD-RES<400> 9 <210>10<211>175<212>PRT<213> Unknown <220>MOD-RES<400> 10

Claims (17)

一種通式(II)所示之偶聯物或其藥學上可接受的鹽, 其中,R選自甲基或乙基;R1 、R2 彼此獨立地選自氫、甲基與乙基; X為; l選自1至20的整數;m選自50至2500的整數;n選自1至5的整數;G’選自天然G-CSF、基因重組G-CSF。a conjugate of the formula (II) or a pharmaceutically acceptable salt thereof, Wherein R is selected from methyl or ethyl; R 1 and R 2 are independently selected from hydrogen, methyl and ethyl; X is l is selected from an integer from 1 to 20; m is selected from an integer from 50 to 2500; n is selected from an integer from 1 to 5; G' is selected from the group consisting of native G-CSF, genetically recombinant G-CSF. 如申請專利範圍第1項之偶聯物或其藥學上可接受的鹽,其中,l為1至10的整數。 The conjugate of claim 1 or a pharmaceutically acceptable salt thereof, wherein l is an integer of 1 to 10. 如申請專利範圍第2項之偶聯物或其藥學上可接受的鹽,其中,l為1至5的整數。 The conjugate of claim 2 or a pharmaceutically acceptable salt thereof, wherein l is an integer of 1 to 5. 如申請專利範圍第1項之偶聯物或其藥學上可接受的鹽,其中,m為100至1000的整數。 The conjugate of claim 1 or a pharmaceutically acceptable salt thereof, wherein m is an integer of from 100 to 1000. 如申請專利範圍第1項之偶聯物或其藥學上可接受的鹽,其特徵在於G’選自SEQ ID NO:1至10所示的G-CSF 衍生物。 The conjugate of claim 1 or a pharmaceutically acceptable salt thereof, wherein G' is selected from the group consisting of G-CSF shown in SEQ ID NOS: 1 to 10. derivative. 如申請專利範圍第1項之偶聯物或其藥學上可接受的鹽,其特徵在於所述的G’為天然存在的人源G-CSF的序列。 The conjugate of claim 1 or a pharmaceutically acceptable salt thereof, characterized in that said G' is a sequence of a naturally occurring human G-CSF. 如申請專利範圍第1項之偶聯物或其藥學上可接受的鹽,其特徵在於所述的G’為序列編號SEQ ID NO:1表示的Met-G-CSF。 The conjugate of claim 1 or a pharmaceutically acceptable salt thereof, wherein G' is Met-G-CSF represented by SEQ ID NO: 1. 如申請專利範圍第1項之偶聯物或其藥學上可接受的鹽,其特徵在於所述的偶聯物包括: m為選自400至500的整數;和 m為選自400至500的整數。The conjugate of claim 1 or a pharmaceutically acceptable salt thereof, characterized in that the conjugate comprises: m is an integer selected from 400 to 500; and m is an integer selected from 400 to 500. 如申請專利範圍第1項之偶聯物或其藥學上可接受的鹽,其特徵在於所述的偶聯物和酸成鹽,所用的酸選自有機酸或無機酸。 The conjugate of claim 1 or a pharmaceutically acceptable salt thereof, characterized in that the conjugate and the acid are salted, and the acid used is selected from the group consisting of organic acids or inorganic acids. 如申請專利範圍第9項之偶聯物或其藥學上可接受的鹽,其特徵在於所述的有機酸選自乙酸、三氟乙酸、丙酸、丁酸、馬來酸或者對甲苯磺酸或其混合物;所述無機酸選自鹽酸、硫酸、磷酸或者甲磺酸或其混合物。 The conjugate of claim 9 or a pharmaceutically acceptable salt thereof, characterized in that the organic acid is selected from the group consisting of acetic acid, trifluoroacetic acid, propionic acid, butyric acid, maleic acid or p-toluenesulfonic acid. Or a mixture thereof; the inorganic acid is selected from the group consisting of hydrochloric acid, sulfuric acid, phosphoric acid or methanesulfonic acid or a mixture thereof. 如申請專利範圍第10項之偶聯物或其藥學上可接受的鹽,其中,有機酸為乙酸或三氟乙酸。 The conjugate of claim 10 or a pharmaceutically acceptable salt thereof, wherein the organic acid is acetic acid or trifluoroacetic acid. 如申請專利範圍第10項之偶聯物或其藥學上可接受的鹽,其中,無機酸為鹽酸。 The conjugate of claim 10 or a pharmaceutically acceptable salt thereof, wherein the inorganic acid is hydrochloric acid. 一種製備如申請專利範圍第1項之偶聯物的方法,包括:1)將通式化合物(III)與G’的N端氨基還原胺化反應得通式化合物(IV): 2)將通式化合物(IV)脫去巰基保護基得通式化合物(V): 3)將通式化合物(V)與mPEG-MAL發生邁克爾加成得化合物(II): 其中,R、R1 、R2 、G’、X、l、m、n如申請專利範圍第1項所定義;Z為巰基保護基團,選自:甲醯基、乙醯基、丙醯基、三苯甲基或叔丁基。A process for the preparation of a conjugate according to claim 1, comprising: 1) reductive amination of a compound of the formula (III) with an N-terminal amino group of G' to give a compound of the formula (IV): 2) Deprotecting the compound of the formula (IV) to give a compound of the formula (V): 3) Michael addition of the compound of the formula (V) to mPEG-MAL to obtain the compound (II): Wherein R, R 1 , R 2 , G', X, 1, m, n are as defined in the first item of the patent application; Z is a thiol protecting group selected from the group consisting of: methyl ketone, ethyl fluorenyl, propyl hydrazine Base, trityl or tert-butyl. 如申請專利範圍第13項之方法,其中Z為乙醯基。 The method of claim 13, wherein Z is an ethyl group. 一種申請專利範圍第1項之偶聯物或其藥學上可接受的鹽的用途,其係應用在製備治療由於放射性治療或化療所致白血球減少症的藥物。 Use of a conjugate of claim 1 or a pharmaceutically acceptable salt thereof for the manufacture of a medicament for the treatment of leukopenia caused by radiotherapy or chemotherapy. 一種藥物組合物,其含有藥物有效劑量的如申請專利範圍第1項中所述的偶聯物或其藥學上可接受的鹽,和藥學上可接受的載體。 A pharmaceutical composition comprising a pharmaceutically effective amount of a conjugate as described in claim 1 or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier. 一種申請專利範圍第16項之藥物組合物的用途,其係應用在製備治療由於放射性治療或化療所致白血球減少症的藥物。 Use of a pharmaceutical composition according to claim 16 for the preparation of a medicament for the treatment of leukopenia caused by radiotherapy or chemotherapy.
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