AR082025A1 - Administracion intratecal de enzimas lisosomicas y sus usos terapeuticos - Google Patents
Administracion intratecal de enzimas lisosomicas y sus usos terapeuticosInfo
- Publication number
- AR082025A1 AR082025A1 ARP110102246A ARP110102246A AR082025A1 AR 082025 A1 AR082025 A1 AR 082025A1 AR P110102246 A ARP110102246 A AR P110102246A AR P110102246 A ARP110102246 A AR P110102246A AR 082025 A1 AR082025 A1 AR 082025A1
- Authority
- AR
- Argentina
- Prior art keywords
- enzyme
- composition
- lysosomal
- syndrome
- activity
- Prior art date
Links
- 108090000790 Enzymes Proteins 0.000 title abstract 11
- 102000004190 Enzymes Human genes 0.000 title abstract 11
- 230000001225 therapeutic effect Effects 0.000 title 1
- 238000000034 method Methods 0.000 abstract 10
- 239000000203 mixture Substances 0.000 abstract 6
- 230000002132 lysosomal effect Effects 0.000 abstract 4
- 208000015439 Lysosomal storage disease Diseases 0.000 abstract 3
- 230000000694 effects Effects 0.000 abstract 3
- 239000012530 fluid Substances 0.000 abstract 3
- 102100022146 Arylsulfatase A Human genes 0.000 abstract 2
- 108010036867 Cerebroside-Sulfatase Proteins 0.000 abstract 2
- NBSCHQHZLSJFNQ-QTVWNMPRSA-N D-Mannose-6-phosphate Chemical compound OC1O[C@H](COP(O)(O)=O)[C@@H](O)[C@H](O)[C@@H]1O NBSCHQHZLSJFNQ-QTVWNMPRSA-N 0.000 abstract 2
- 201000011442 Metachromatic leukodystrophy Diseases 0.000 abstract 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 abstract 2
- 108010089932 heparan sulfate sulfatase Proteins 0.000 abstract 2
- 238000003780 insertion Methods 0.000 abstract 2
- 230000037431 insertion Effects 0.000 abstract 2
- 210000000278 spinal cord Anatomy 0.000 abstract 2
- 208000011580 syndromic disease Diseases 0.000 abstract 2
- 101710096421 Iduronate 2-sulfatase Proteins 0.000 abstract 1
- 102100029199 Iduronate 2-sulfatase Human genes 0.000 abstract 1
- 239000006172 buffering agent Substances 0.000 abstract 1
- 239000003795 chemical substances by application Substances 0.000 abstract 1
- 238000009472 formulation Methods 0.000 abstract 1
- 238000007913 intrathecal administration Methods 0.000 abstract 1
- 208000036546 leukodystrophy Diseases 0.000 abstract 1
- 201000002273 mucopolysaccharidosis II Diseases 0.000 abstract 1
- 208000022018 mucopolysaccharidosis type 2 Diseases 0.000 abstract 1
- 239000004094 surface-active agent Substances 0.000 abstract 1
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- C12N9/14—Hydrolases (3)
- C12N9/24—Hydrolases (3) acting on glycosyl compounds (3.2)
- C12N9/2402—Hydrolases (3) acting on glycosyl compounds (3.2) hydrolysing O- and S- glycosyl compounds (3.2.1)
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- C12N9/2434—Glucanases acting on beta-1,4-glucosidic bonds
- C12N9/2437—Cellulases (3.2.1.4; 3.2.1.74; 3.2.1.91; 3.2.1.150)
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- C12Y301/06—Sulfuric ester hydrolases (3.1.6)
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- C12Y302/01—Glycosidases, i.e. enzymes hydrolysing O- and S-glycosyl compounds (3.2.1)
- C12Y302/01045—Glucosylceramidase (3.2.1.45), i.e. beta-glucocerebrosidase
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Abstract
Reivindicación 1: Un método que comprende una etapa de: administrar por vía intratecal a un sujeto que sufre de o es sensible a una enfermedad por almacenamiento lisosómico asociado con reducción del nivel o actividad de una enzima lisosómica, una composición que comprende una enzima de reemplazo para la enzima lisosómica en una concentración mayor aproximadamente 5 mg/ml.Reivindicación 2: El método de acuerdo con la reivindicación 1, donde la enzima de reemplazo está en una concentración mayor de aproximadamente 10 mg/mI. Reivindicación 3: El método de acuerdo con la reivindicación 1 ó 2, donde la composición además comprende uno o más de (i) un agente buffer, (ii) un tensioactivo, o (iii) un tonificante. Reivindicación 4: El método de acuerdo con cualquiera de las reivindicaciones precedentes, donde la composición tiene un pH de aproximadamente 5,0 - 7,0. Reivindicación 5: El método de acuerdo con cualquiera de las reivindicaciones precedentes, donde la composición se administra en un volumen de dosis único menor de 5 mL. Reivindicación 9: Un método que comprende una etapa de: administrar por vía intratecal a un sujeto que sufre de o es sensible a una enfermedad por almacenamiento lisosómico asociada con reducción del nivel o actividad de una enzima lisosómica, una composición que comprende una enzima de reemplazo para la enzima lisosómica en una formulación que no es CSF sintética. Reivindicación 49: El método de acuerdo con cualquiera de las reivindicaciones precedentes, donde la enfermedad por almacenamiento lisosómico se selecciona del grupo que consiste en síndrome de Hunters, enfermedad de leucodistrofia metacromática (MLD), síndrome de Sanfilippo tipo A, síndrome de Sanfilippo tipo B y enfermedad de leucodistrofia de células globoides (GLD). Reivindicación 50: El método de acuerdo con la reivindicación 49, donde la enzima de reemplazo se selecciona del grupo que consiste en iduronato-2-sulfatasa (l2S), arilsulfatasa A (ASA), heparan N-sulfatasa (HNS), a-N-acetilglucosaminidasa (Naglu) y b-galactosidasa (GLC) recombinantes. Reivindicación 51: El método de acuerdo con cualquiera de las reivindicaciones precedentes, donde la enzima de reemplazo contiene residuos de manosa-6-fosfato (M6P). Reivindicación 63: El método de acuerdo con la reivindicación 62, donde la actividad enzimática está aumentada en al menos 1 vez, 2 veces, 3 veces, 4 veces, 5 veces, 6 veces, 7 veces, 8 veces, 9 veces o 10 veces en comparación con el control. Reivindicación 80: Un sistema para la administración intratecal, que comprende un dispositivo de acceso al fluido; un cuerpo hueco que tiene un primer orificio de flujo en comunicación fluida con el dispositivo de acceso al fluido y un segundo orificio de flujo configurado para la inserción en la médula espinal; y un mecanismo de sujeción para sujetar la inserción del cuerpo hueco en la médula espinal.
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US35885710P | 2010-06-25 | 2010-06-25 | |
US36078610P | 2010-07-01 | 2010-07-01 | |
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