ES2640289T3 - Combinaciones con un péptido de esqueleto ciclado - Google Patents

Combinaciones con un péptido de esqueleto ciclado Download PDF

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ES2640289T3
ES2640289T3 ES13745848.5T ES13745848T ES2640289T3 ES 2640289 T3 ES2640289 T3 ES 2640289T3 ES 13745848 T ES13745848 T ES 13745848T ES 2640289 T3 ES2640289 T3 ES 2640289T3
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dab
cfu
compound
cycled
combinations
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Glenn E. Dale
Daniel Obrecht
Francesca BERNARDINI
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Spexis AG
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Polyphor AG
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/04Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
    • A61K38/12Cyclic peptides, e.g. bacitracins; Polymyxins; Gramicidins S, C; Tyrocidins A, B or C
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • A61K31/405Indole-alkanecarboxylic acids; Derivatives thereof, e.g. tryptophan, indomethacin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/407Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with other heterocyclic ring systems, e.g. ketorolac, physostigmine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/496Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene or sparfloxacin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7028Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages
    • A61K31/7034Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin
    • A61K31/7036Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin having at least one amino group directly attached to the carbocyclic ring, e.g. streptomycin, gentamycin, amikacin, validamycin, fortimicins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7052Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K5/00Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof
    • C07K5/04Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof containing only normal peptide links
    • C07K5/12Cyclic peptides with only normal peptide bonds in the ring
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K7/00Peptides having 5 to 20 amino acids in a fully defined sequence; Derivatives thereof
    • C07K7/64Cyclic peptides containing only normal peptide links
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2300/00Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • 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
    • A61K47/68Medicinal 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 antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6801Drug-antibody or immunoglobulin conjugates defined by the pharmacologically or therapeutically active agent
    • A61K47/6803Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates
    • A61K47/6807Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates the drug or compound being a sugar, nucleoside, nucleotide, nucleic acid, e.g. RNA antisense
    • A61K47/6809Antibiotics, e.g. antitumor antibiotics anthracyclins, adriamycin, doxorubicin or daunomycin

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • Organic Chemistry (AREA)
  • Molecular Biology (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Biochemistry (AREA)
  • Genetics & Genomics (AREA)
  • Biophysics (AREA)
  • Immunology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Communicable Diseases (AREA)
  • Pain & Pain Management (AREA)
  • Rheumatology (AREA)
  • Oncology (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)
  • Peptides Or Proteins (AREA)

Abstract

Una combinación que comprende un peptidomimético de horquilla-ß de fórmula cyclo(-Thr-Trp-Ile-Dab-Orn-DDab-Dab-Trp-Dab-Dab-Ala-Ser-DPro-Pro) (I), en donde Dab es ácido (S)-2,4-diaminobutanoico; DDab es ácido (R)-2,4-diaminobutanoico; Orn es ácido (S)-2,5-diaminopentanoico; y un compuesto adicional con una actividad antibiótica seleccionado entre ertapenemo, azitromicina, ciprofloxacina, o amikacina, o una sal farmacéuticamente aceptable de los mismos.

Description

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aplicaciones de 20 µI sobre placas de agar sangre. Todas las placas de agar se incubaron 18-24 horas a 35°C en aire ambiente.
Recuentos de UFC
5
Se determinó que las UFC/ml en el inóculo eran 7,0 log10 UFC/ml que se corresponden con 5,8 log10 UFC/ratón. A las 4 horas de la infección, el log10 medio de UFC/pulmón fue de 5,63 y el nivel de UFC se mantuvo en un nivel similar después de 24 horas en el grupo solo con vehículo. El tratamiento con una combinación del compuesto 1 a 1,88-25 mg/kg y ciprofloxacina dio como resultado una
10 reducción significativa de los niveles de UFC en comparación con el tratamiento con vehículo (p <0,001). El tratamiento con el compuesto 1 solo (5,5 mg/kg) tuvo un efecto significativo sobre la reducción de las cargas bacterianas (p <0,001), después de lo cual el tratamiento con colistina sola (20 mg/kg) y el tratamiento con ciprofloxacina sola (20 mg/kg) no tuvieron efecto o tuvieron solo ligeros efectos sobre las cargas bacterianas.
15 La evaluación de la curva de dosis-respuesta para la DE50 del compuesto 1 en presencia de una dosis fija de ciprofloxacina (20 mg/kg) contra PA9349 en los pulmones murinos utilizando un modelo de dosis-respuesta sigmoideo (pendiente variable) reveló una estimación de 1,55 mg/kg. La Tabla 3 a continuación resume los valores de eficacia relevantes.
20 Tabla 3: Valores de eficacia del compuesto 1
Compuesto 1
Compuesto 1 en presencia de 20 mg/kg de ciprofloxacina
Nivel superior
1,59 log10 UFC/ml -0,21 log10 UFC/ml
Nivel inferior
-0,80 log10 UFC/ml -4,17 log10 UFC/ml
Emax
-2,4 log10 UFC/ml 3,96 log10 UFC/ml
DE50
7,35 mg/kg 1,55 mg/kg
Dosis estática
9,15 mg/kg nd
1 log dosis de destrucción
nd 0,45 mg/kg
2 log dosis de destrucción
nd 1,00 mg/kg
3 log dosis de destrucción
nd 1,82 mg/kg
R2
0,67 0,54
nd: no determinado
Eficacia en el modelo de neumonía murina contra Pseudomonas aeruginosa PA18298 y estimación de la DE50
25 Referencia 3:
Se determinaron la eficacia y la DE50 del compuesto de fórmula (I) ("compuesto 1") frente al aislado clínico de Pseudomonas aeruginosa PA18298 en un modelo de neumonía en ratones. Los recuentos de colonias en los pulmones se determinaron a las 18 -20 horas del tratamiento.
30
Infección de ratones
Colonias frescas cultivadas durante la noche de PA18298 procedentes de una placa de agar sangre de caballo al 5% fueron suspendidas en solución salina estéril al 0,9% hasta aproximadamente 108 UFC/ml y posteriormente se
35 diluyeron hasta aproximadamente 4x107 UFC/ml. Los ratones hembra (DBA/2, no consanguíneos, 18-22 g, Charles River) se anestesiaron con 0,1 ml de Zoletil (tiletamina + zolazepam) y se les inoculó a través de la nariz una pipeta con 0,05 ml de la suspensión de bacterias que contenía aproximadamente 1x106 UFC. A las 4 horas de la inoculación, los ratones se trataron por vía oral con 45 µΙ de neurofeno (20 mg de ibuprofeno/ml correspondiente a aproximadamente 30 mg/kg) como analgésico.
40
Tratamiento de ratones con el compuesto 1
Se disolvió un vial que contenía 10 mg del compuesto 1 activo en 2 ml de solución salina estéril al 0,9% hasta una concentración de 5 mg/ml y se diluyó adicionalmente con solución salina hasta 2, 1, 0,75, 0,55, 0,275 y 0,137 mg/ml.
45 Los ratones se trataron por vía subcutánea en la región del cuello con 0,2 ml con una dosis única a las 4 horas después de la infección calculándose la dosis en base a un peso medio del animal de 20 g. Como control positivo se utilizó colistina de la misma manera con una dosis fija de 20 mg/kg.
12
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Claims (1)

  1. imagen1
    imagen2
ES13745848.5T 2012-08-08 2013-08-07 Combinaciones con un péptido de esqueleto ciclado Active ES2640289T3 (es)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP12005743 2012-08-08
EP12005743 2012-08-08
PCT/EP2013/066551 WO2014023766A1 (en) 2012-08-08 2013-08-07 Combinations with a backbone-cyclized peptide

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US (1) US9814754B2 (es)
EP (1) EP2882771B1 (es)
JP (2) JP6486271B2 (es)
KR (1) KR102142870B1 (es)
CN (1) CN104684924B (es)
AU (1) AU2013301576B2 (es)
BR (1) BR112015002726B1 (es)
CA (1) CA2887388C (es)
CY (1) CY1120727T1 (es)
DK (1) DK2882771T3 (es)
EA (1) EA030524B1 (es)
ES (1) ES2640289T3 (es)
HK (1) HK1207868A1 (es)
HR (1) HRP20171385T1 (es)
HU (1) HUE036289T2 (es)
IL (1) IL236696B (es)
LT (1) LT2882771T (es)
MX (2) MX366993B (es)
NZ (1) NZ703723A (es)
PL (1) PL2882771T3 (es)
PT (1) PT2882771T (es)
RS (1) RS56350B1 (es)
SG (1) SG11201500130WA (es)
SI (1) SI2882771T1 (es)
WO (1) WO2014023766A1 (es)
ZA (1) ZA201500277B (es)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008104090A1 (en) 2007-02-28 2008-09-04 Polyphor Ag Template-fixed peptidomimetics
KR101692992B1 (ko) 2015-05-20 2017-01-17 연세대학교 산학협력단 고리형 펩타이드의 사전 활성화 합성방법 및 이에 따라 합성된 고리형 펩타이드
EP4247338A2 (en) * 2020-11-23 2023-09-27 Spexis AG Compositions of a beta-hairpin peptidomimetic and aerosol dosage forms thereof

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2003232253A1 (en) * 2003-05-02 2004-11-23 Polyphor Ag Template-fixed beta-hairpin peptidomimetics with cxcr4 antagonizing activity
WO2007079597A1 (en) * 2006-01-16 2007-07-19 Polyphor Ltd. Template - fixed peptidomimetics with antimicrobial activity
US20100035845A1 (en) 2008-08-06 2010-02-11 Wyeth Tigecycline formulations

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HRP20171385T1 (hr) 2017-11-03
HUE036289T2 (hu) 2018-06-28
US20150224168A1 (en) 2015-08-13
JP6486271B2 (ja) 2019-03-20
SG11201500130WA (en) 2015-03-30
US9814754B2 (en) 2017-11-14
MX2019002894A (es) 2019-07-04
HK1207868A1 (en) 2016-02-12
DK2882771T3 (en) 2017-09-25
PT2882771T (pt) 2017-09-22
AU2013301576B2 (en) 2017-10-19
KR20150038611A (ko) 2015-04-08
MX366993B (es) 2019-08-02
LT2882771T (lt) 2017-09-25
EP2882771A1 (en) 2015-06-17
JP2015524461A (ja) 2015-08-24
KR102142870B1 (ko) 2020-08-11
CN104684924A (zh) 2015-06-03
WO2014023766A1 (en) 2014-02-13
JP2018109008A (ja) 2018-07-12
SI2882771T1 (sl) 2017-11-30
AU2013301576A1 (en) 2015-02-05
BR112015002726A2 (pt) 2017-07-04
EP2882771B1 (en) 2017-06-14
IL236696B (en) 2019-06-30
IL236696A0 (en) 2015-02-26
BR112015002726B1 (pt) 2022-10-04
CA2887388A1 (en) 2014-02-13
EA030524B1 (ru) 2018-08-31
CN104684924B (zh) 2018-04-17
BR112015002726A8 (pt) 2018-01-16
MX2015001684A (es) 2015-04-10
RS56350B1 (sr) 2017-12-29
NZ703723A (en) 2018-03-23
CY1120727T1 (el) 2019-12-11
EA201590350A1 (ru) 2015-07-30
ZA201500277B (en) 2015-12-23
CA2887388C (en) 2021-02-16
PL2882771T3 (pl) 2018-01-31

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