HRP20170613T1 - Antikoagulacijski protuotrovi - Google Patents

Antikoagulacijski protuotrovi Download PDF

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Publication number
HRP20170613T1
HRP20170613T1 HRP20170613TT HRP20170613T HRP20170613T1 HR P20170613 T1 HRP20170613 T1 HR P20170613T1 HR P20170613T T HRP20170613T T HR P20170613TT HR P20170613 T HRP20170613 T HR P20170613T HR P20170613 T1 HRP20170613 T1 HR P20170613T1
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dabigatran
antibody
seq
etexilate
patient
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HRP20170613TT
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Joanne Van Ryn
John Edward Park
Norbert Hauel
Ulrich Kunz
Tobias Litzenburger
Keith Canada
Sanjaya Singh
Alisa Waterman
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Boehringer Ingelheim International Gmbh
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Application filed by Boehringer Ingelheim International Gmbh filed Critical Boehringer Ingelheim International Gmbh
Publication of HRP20170613T1 publication Critical patent/HRP20170613T1/hr

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • A61K39/39583Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials not provided for elsewhere, e.g. haptens, coenzymes
    • 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
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4427Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
    • A61K31/4439Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P39/00General protective or antinoxious agents
    • A61P39/02Antidotes
    • 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
    • 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
    • A61P7/02Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
    • 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
    • A61P7/04Antihaemorrhagics; Procoagulants; Haemostatic agents; Antifibrinolytic agents
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/44Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material not provided for elsewhere, e.g. haptens, metals, DNA, RNA, amino acids
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/86Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood coagulating time or factors, or their receptors
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/20Immunoglobulins specific features characterized by taxonomic origin
    • C07K2317/24Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
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    • C07K2317/54F(ab')2
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
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    • C07K2317/55Fab or Fab'
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    • C07K2317/00Immunoglobulins specific features
    • C07K2317/50Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/56Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
    • C07K2317/565Complementarity determining region [CDR]
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    • C07ORGANIC CHEMISTRY
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    • C07K2317/50Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/56Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
    • C07K2317/569Single domain, e.g. dAb, sdAb, VHH, VNAR or nanobody®
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    • C07K2317/00Immunoglobulins specific features
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    • C07K2317/62Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments comprising only variable region components
    • C07K2317/622Single chain antibody (scFv)
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    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/60Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments
    • C07K2317/62Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments comprising only variable region components
    • C07K2317/626Diabody or triabody
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    • C07K2317/76Antagonist effect on antigen, e.g. neutralization or inhibition of binding
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
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    • G01N2500/02Screening involving studying the effect of compounds C on the interaction between interacting molecules A and B (e.g. A = enzyme and B = substrate for A, or A = receptor and B = ligand for the receptor)
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2500/00Screening for compounds of potential therapeutic value
    • G01N2500/10Screening for compounds of potential therapeutic value involving cells

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Claims (20)

1. Molekula protutijela koja ima specifičnost vezanja na dabigatran, naznačena time, da obuhvaća varijabilnu domenu jakog lanca s CDR1 od SEQ ID NO:1, CDR2 od SEQ ID NO:7, CDR3 od SEQ ID NO:10, i varijabilnu domenu slabog lanca s CDR1 od SEQ ID NO:13, CDR2 od SEQ ID NO:14, i CDR3 od SEQ ID NO:15.
2. Molekula protutijela prema zahtjevu 1, naznačena time, da obuhvaća varijabilnu domenu jakog lanca od SEQ ID NO:24, i varijabilnu domenu slabog lanca od SEQ ID NO:27.
3. Molekula protutijela prema bilo kojem od prethodnih zahtjeva, naznačena time, da je ona monoklonalno protutijelo, ljudsko protutijelo, humanizirano protutijelo, kimerno protutijelo, fragment protutijela, posebno fragment Fab, fragment Fab’, ili fragment F(ab’)2, protutijelo jednostrukog lanca, posebno varijabilni fragment jednostrukog lanca (scFv), mali modularni imunofarmaceutik (SmallModularImmunopharmaceutical – SMIP), ili diabody (dimer fragmenta imunoglobulina).
4. Molekula protutijela prema zahtjevu 3, naznačena time, da je ona scFv, pri čemu su varijabilna domena jakog lanca i varijabilna domena slabog lanca međusobno spojene kroz peptidnu poveznicu odabranu iz skupine koju čine: SEQ ID NO:28, SEQ ID NO:29, SEQ ID NO:30, i SEQ ID NO:31.
5. Molekula protutijela prema zahtjevu 3, naznačena time, da ima jaki lanac koji obuhvaća SEQ ID NO:40, i slabi lanac koji obuhvaća SEQ ID NO:35.
6. Protutijelo prema zahtjevu 3, naznačeno time, da je ono Fab-molekula s jednim Fd-fragmentom koji obuhvaća SEQ ID NO:36, ili SEQ ID NO:41, i sa slabim lancem koji obuhvaća SEQ ID NO:37.
7. Protutijelo prema zahtjevu 6, naznačeno time, da Fd-fragment obuhvaća SEQ ID NO:36, i ima slabi lanac koji obuhvaća SEQ ID NO:37.
8. Molekula protutijela prema bilo kojem od prethodnih zahtjeva, naznačena time, da se upotrebljava kao lijek.
9. Molekula protutijela prema bilo kojem od prethodnih zahtjeva, naznačena time, da se upotrebljava kao protuotrov protiv terapije dabigatrana ili dabigatran-eteksilata, i/ili za poništavanje prekomjerne doze dabigatrana ili dabigatran-eteksilata.
10. Postupak za proizvodnju molekule protutijela prema bilo kojem od prethodnih zahtjeva, naznačen time, da obuhvaća sljedeće korake: (a) pripremanje stanice domaćina koja obuhvaća jednu ili više nukleinskih kiselina koje kodiraju navedenu molekulu protutijela u funkcionalnom spoju s kontrolnom sekvencom ekspresije; (b) kultiviranje navedene stanice domaćina; (c) dobivanje molekule protutijela iz stanične kulture.
11. Garnitura, naznačena time, da obuhvaća sljedeće: (a) protutijelo prema bilo kojem od zahtjeva 1 do 7, ili njegov farmaceutski sastav; (b) farmaceutski sastav koji obuhvaća dabigatran, dabigatran-eteksilat, predlijek od dabigatrana ili njegovu farmaceutski prihvatljivu sol; (c) spremnik; i (d) etiketa.
12. Garnitura prema zahtjevu 11, naznačena time, da farmaceutski prihvatljiva sol dabigatran-eteksilata je mesilatna sol.
13. Garnitura prema zahtjevu 11 ili 12, naznačena time, da je jačina od dabigatrana, dabigatran-eteksilata, predlijeka od dabigastrana ili njegove farmaceutski prihvatljive soli, između 75 mg i 300 mg, po jedinici doze, bilo jednom dnevno (QD) ili dva puta dnevno (BID).
14. Garnitura, naznačena time, da obuhvaća sljedeće: (a) prvi farmaceutski sastav koji obuhvaća dabigatran, dabigatran-eteksilat, predlijek od dabigatrana ili njegovu farmaceutski prihvatljivu sol; (b) drugi farmaceutski sastav koji obuhvaća protutijelo prema bilo kojem od zahtjeva 1 do 7; (c) upute za odvojenu primjenu prvog i drugog farmaceutskog sastava kod pacijenta; pri čemu se navedeni prvi i drugi farmaceutski sastav nalaze u odvojenim spremnicima, dok se drugi farmaceutski sastav upotrebljava za primjenu kod pacijenta kojemu je potrebna neutralizacija ili djelomična neutralizacija dabigatrana ili 1-O-acilglukuronida od dabigatrana.
15. Protutijelo prema bilo kojem od zahtjeva 1 do 7, naznačeno time, da se upotrebljava u postupku za neutralizaciju ili djelomičnu neutralizaciju dabigatrana ili 1-O-acilglukuronida od dabigatrana, kod pacijenta koji je bio podvrgnut liječenju s dabigatranom, dabigatran-eteksilatom, predlijekom od dabigatrana ili s njegovom farmaceutski prihvatljivom soli.
16. Protutijelo prema bilo kojem od zahtjeva 1 do 7, naznačeno time, da se upotrebljava u postupku za neutralizaciju ili djelomičnu neutralizaciju dabigatrana ili 1-O-acilglukuronida od dabigatrana, kod pacijenta, pri čemu to obuhvaća sljedeće: (a) utvrđivanje da je pacijent bio podvrgnut liječenju s dabigatranom, dabigatran-eteksilatom, predlijekom od dabigatrana ili s njegovom farmaceutski prihvatljivom soli, te izvještaj o količini koju je pacijent uzeo; (b) neutralizacija dabigatrana ili 1-O-acilglukuronida od dabigatrana pomoću protutijela prema bilo kojem od zahtjeva 1 do 9, prije nego što se poduzme testiranje ili analiza zgrušavanja ili koagulacije, u kojem/kojoj bi dabigatran ili 1-O-acilglukuronid od dabigatrana ometao točan nalaz testa ili rezultate analize; (c) izvođenje testiranja ili analize zgrušavanja ili koagulacije na uzorku koji je uzet od pacijenta, kako bi se odredila razina formiranja ugrušaka bez prisutnosti dabigatrana ili 1-O-acilglukuronida od dabigatrana; i (d) namještanje količine dabigatrana, dabigatran-eteksilata, predlijeka od dabigatrana ili njegove farmaceutski prihvatljive soli, za primjenu kod pacijenta u svrhu dobivanja prikladne ravnoteže između formiranja ugrušaka i njihove razgradnje kod pacijenta.
17. Protutijelo za uporabu prema zahtjevima 15 ili 16, naznačeno time, da je količina protutijela prema dabigatranu ili 1-O-acilglukuronidu od dabigatrana, u molarnom omjeru između 0,1 i 100.
18. Protutijelo za uporabu prema zahtjevu 17, naznačeno time, da je količina protutijela prema dabigatranu ili 1-O-acilglukuronidu od dabigatrana, u molarnom omjeru između 0,1 i 10.
19. Protutijelo za uporabu prema zahtjevu 16, naznačeno time, da točan nalaz testa ili rezultat analize, odgovara točnom nalazu razina fibrinogena, aktiviranoj otpornosti proteina C, ili odgovarajućim testovima.
20. Farmaceutski sastav, naznačen time, da obuhvaća protutijelo prema bilo kojem od zahtjeva 1 do 7, i farmaceutski prihvatljiv nosač.
HRP20170613TT 2010-01-20 2017-04-14 Antikoagulacijski protuotrovi HRP20170613T1 (hr)

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Application Number Priority Date Filing Date Title
EP10151239 2010-01-20
US38391410P 2010-09-17 2010-09-17
PCT/EP2011/050749 WO2011089183A2 (en) 2010-01-20 2011-01-20 Anticoagulant antidotes
EP11703410.8A EP2525812B1 (en) 2010-01-20 2011-01-20 Anticoagulant antidotes

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